Candidate Registration Online Form

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Next of Kin Details

To assist us in finding suitable work for you, please tick all the care tasks in which you are experienced:

Please print details of all your employment history for a period of at least the last 5 years, in reverse date order, starting with your present or last position.

Please give the names and addresses of 2 professional referees, whom we may approach for a reference.

Both referees must have known you in a professional capacity (Not relatives or friends) and one should be your present or most recent employer.

1st Referee:

Second Referee:

Select an Option

Please specify which type of work you would prefer. You should tick all appropriate boxes. The service we provide depends on accurate, up to date information. Please keep us informed of all developments, in your career and work preferences.

Have you ever had, or currently have, problems associated with the following areas/ Conditions?

Inoculations: Have you been inoculated against the following?

We pay agency staff by BACS (automatic transfer), Directly into their bank account. You will receive a full detailed pay advice, and by using BACS, your money will be available in your bank account sooner.

We are an equal opportunities employer. The aim of our policy is to ensure that no job applicant or employee receives less favourable treatment on the grounds of race, colour, ethnic and national origin, religious belief, political opinion or affiliation, sex, marital status, sexual orientation, gender reassignment, age or disability, or is disadvantaged by conditions or requirements which cannot be shown to be justifiable. Our selection criteria and procedures are frequently reviewed to ensure that individuals are selected, promoted and treated on the basis of their relevant merits and abilities.

All employees are given equal opportunities and are encouraged to progress within the organization. We are committed to an ongoing program of action to make this policy fully effective. To ensure that this policy is fully and fairly implemented and monitored, and for no other reasons, would you provide the following information.

Please tick the appropriate category.

I have read and I understand the above and I agree to abide by the contents therein.

Under the rehabilitation of Offenders Act 1974 you are required to reveal ALL convictions. This has to include ALL spent convictions as defined under the act.

We actively promote equality of opportunity for all, as stated in our Equal Opportunities policy, which can be found in your handbook or at your local office. If you are in any doubt whatsoever about a declaration, you must discuss this with your local office manager.

A conviction does not automatically prevent you from registering, however failure to declare, will lead to immediate action. You are required to inform us if you are convicted of a criminal offence, cautioned or have a hearing pending in the future.

What is an enhanced disclosure?

An enhanced disclosure is for positions involving greater contact with Children or vulnerable adults. In addition to the information provided on a standard disclosure, the enhanced disclosure involves an additional check with the police, who check if any information is held on file that may be relevant. The police decide what (if any) additional information will be added to the disclosure.

In rare circumstances the police may write to the employer separately giving confidential information about an ongoing criminal investigation into the applicant. This information may NOT be released to the applicant.

Examples of information that may not be released:

  • - All spent convictions (from childhood up until present day)
  • - Investigations that have not led to a criminal conviction
  • - Any action taken against you by a local authority
  • - Driving offences received through a court of law
  • - Details of ongoing criminal investigations

If an offence is highlighted (when we receive your enhanced disclosure) that you have not declared your application may be withdrawn from the recruitment process.

For more information on CRB enhanced disclosures please call 0870 9090811 or visit their web site

The information supplied on this form will be processed and stored in manual and computerised records for recruitment employment and management processes. You have the right to access this data. All information will be treated in the strictest confidence. Unsuccessful applicants will be retained for 3 months.

I declare that the information contained on this form is true and complete. I understand that if it is later discovered that any statement is false or misleading, it may be sufficient for cancelling any agreements made or I may be dismissed from employment by the company.

I consent to Right4Recruitment holding and processing this information and give permission for reference checking in connection with my application. I understand too that an Enhanced Criminal Record Bureau Disclosure will be sought.



01923 239 400
Outside office hours
07534 927 174

Business address

KK House/Blue Box, 1 Metropolitan Station Approach, Rickmansworth Road, Watford, WD18 7FR


Our Services

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At Right4Recruitment we specialise in providing the best temporary and permanent staff to our clients in the health and social care sector.

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