Application Page – PLUS CleanTrust

Personal Details

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *

Nationality *

Email Address *

Place of Birth *

Phone *

House Number *

Street Name

Town / City

County

Post Code

Have you worked as a cleaner before? *YesNo

How many years of paid cleaning experience do you have? *NoneLess than 1 yearMore than 1 year

Emergency Contact Full Name *

Address of Emergency Contact *

Country of Emergency Contact *

Relationship with Emergency Contact *

Phone number of Emergency Contact *

Declarations

Safeguarding / Ex-Offenders Declaration: Please note this section will only be seen by those involved in the recruitment process and will be treated with the strictest confidence.

Are you currently bound over or do you have any current UNSPENT convictions that have been issued by a Court or Court-Martial in the United Kingdom or in any other country? *

Are there any restrictions on your right to work in the UK that may prevent your employment opportunity with PLUS Recruitment? *

If your application is successful, you will be required to provide evidence that you have the right to work in the UK. Do you have a British birth certificate? Evidence to be provided and a copy taken: *

Do you have a DBS Certificate? *

Are you on the DBS Update Service? *

DBS Number *

Medical Questionnaire

CONFIDENTIAL The purpose of the questionnaire is to see whether you have any health problems that could affect your ability to undertake the duties of the post you have been offered or place you at any risk in the workplace. Our aim is to promote and maintain the health of all staff at work. Kindly complete this section.

Do you have any illness/impairment/disability (physical or psychological) which may affect your work? *

Have you ever had any illness/impairment/disability which may have been caused or made worse by your work? *

Are you undergoing, or waiting for treatment (including medication) or investigations at present? *

If your answer is "Yes" for any of the above medical questions, please provide further details of the condition, treatment and dates:

Documents / Certificates Upload

Upload your Curriculum Vitae (CV) *

DBS Certificate(Needed before start of work) *Contact Plus Recruitment for your DBS processing if you don’t have on the update service

DBS Update Service Check *Apply for DBS Update Service ---- Check if you are already on the DBS Update Service

Upload your Sharecode *Check share code here

Upload Passport Picture (Please make sure image is clear enough) *

Upload Driver's License

Issue Date

Expiry Date

Declaration

The information in this application form is true and complete. I agree that any deliberate omission, falsification or misrepresentation in the application form will be grounds for rejecting this application or subsequent dismissal if employed. Where applicable, I consent that can seek clarification regarding professional registration details.

I declare that the answers to the above questions are true and complete to the best of my knowledge and belief. *YesNo

Type your full name to indicate signature *

Date of Submission *