Registration / Application Form

Registration

Share Code (if applicable)

Personal Details

First Name *

Last Name *

Street Address *

City *

County *

Post Code *

Telephone

Mobile Phone *

Email Address *

Date Of Birth *

Day *

Month *

Year *

Do you hold a Full UK Driving LicenseYesNo

National Insurance Number *

How will you be travelling to work?

Nationality *

Location

Next of Kin

Contact Number

Bank Details

Sort Code *

Account Number *

Bank Name *

First Name *

Last Name *

Medical Questions

Have you ever been dismissed or refused employment on health grounds? *

Are you receiving medical attention at present or taking any form of medication? *

Do you have any registered disabilities that you are legally obliged to inform your employer?

If Yes to any of the above, Please enter specific details

Questions in relation to working nights (If Applicable)

Have you ever worked regular shifts on nights?

Do you have any health concerns which you feel may prevent you from working at night?

Do you have a requirement to take medication (tablets, insulin) on a strict timetable?

Do you have heart or circulatory problems that could be aggravated by the additional stress and/or required stamina that night work may require?

Do you have stomach or intestinal disorders where the regularity timing of meals is important?

Do you have any medical conditions that affect the ability to sleep or are affected by changing sleep patterns?

Do you have any chronic chest or respiratory disorders that symptoms are significantly worse at night?

Criminal Declaration

Have you ever been convicted of a criminal offence or been the subjection of caution? You do not need to declare convictions, which are "spent" under the Rehabilitation of Offenders Act (1974)

If yes, please state the nature and date(s) of the offence(s):

Work

Please name any companies you have worked for in the last 8 weeks

Working Time Regulations 'Opt Out' Contract

This agreement is made between Launchpoint UK Ltd

(hereinafter referred to as Launchpoint UK LTD’) which is an employment agency and employment business and the temporary worker.

In this agreement the following further definitions apply: –

‘Assignment’ means the period which the temporary worker is engaged to render service to A client.

‘Client’ means the person, firm or corporate body or hirer engaging the services of the temporary worker.

‘Working week’ means an average of 48 hours calculated over A 17-week reference period.

The Working Time Regulations 1998 provide that the Temporary worker shall not work on an assignment with a Client in excess of the Working Week unless the agency worker agrees in writing that this should not apply. The Temporary Worker hereby agrees that the Working Week limit shall not apply to the Assignment. The Temporary worker may end this agreement by giving Lauchpoint UK LTD 4 weeks’ notice in writing.

For the avoidance of doubt any notice bringing this agreement to an end shall not be construed as termination by the Temporary Worker of an assignment with a Client.

Signed By

First Name

Last Name

Date

Day

Month

Year

GDPR

I hereby grant permission to Launchpoint UK to provide work finding services on my behalf. I permit for any information required, including details of my current and/or previous employment and/or academic history from, where applicable, my previous and or current employers including, if applicable, Jobcentre Plus, Department for Work and Pensions, School or College.

Any such information obtained will be used strictly in accordance with the requirements of the ICO and the GDPR. For information on how we process your data please refer to your nearest

HEALTH & SAFETY POLICIES AND WORKING PROCEDURES

Payment

To ensure that you receive your payment on time, you must adhere to the instructions on the Payment Form enclosed. Please complete and return the Payment Form immediately to prevent any delay to payment. (Breaks will be unpaid unless notified before the assignment starts).

You must ensure your timesheet is completed and signed by the client in order to be paid correctly. Please assure you download your digital tachograph

Pension

The Company will comply with the employer pension duties concerning pension’s auto-enrolment in accordance with Part 1 of the Pensions Act 2008.You will be automatically enrolled into National Employment Savings Trust (“NEST”) scheme. If you do not opt-out of auto-enrolment, you will be required to make pension contributions at the level set out in the relevant legislation and you agree to the Employer deducting such contributions from your payments. Further information about your pension choices will be provided at the appropriate time.

Timesheets

Please be aware that it is your responsibility to ensure that your time sheet is completed in full, signed by the client, and reaches the branch by 12pm Tuesday to enable payment on the Friday of the same week. NB: Please use the branch fax number or your consultants email address for timesheets and then call the branch to confirm receipt.

Health Questionnaire

Whilst working with Launchpoint UK Ltd we want to make sure you are content in your workplace. Should you have the misfortune of an accident or situation that cannot be comfortably dealt with by us, we would like to help in contacting those who can. Therefore, it is in your best interests that you complete and return the Health Questionnaire.

Health & Safety

This section details the rules and standards which relate to all employees at work. It is the responsibility of all to follow these rules and to behave in a safe manner. Deliberate contravention of these rules will be considered a breach of contract and, at the discretion of the management, can lead to summary dismissal.

Health & Safety Welfare

To help you understand some of the main Health, Safety & Welfare matters on site, please familiarize yourself with the common terms listed below.

C.O.S.H.H.

Control of Substances Hazardous to Health. In terms you should make yourself aware of the risks that could cause you injury from the materials you are using from such things as fumes, burns etc and what equipment you should be issues with and wear when carrying out the work. Information should be provided by the client or marked on the product.

R.I.D.D.O.R.

Reporting of Injuries, Diseases and Dangerous Occurrences Regulations. In terms you are responsible to report any accidents that cause injuries or diseases or any dangerous occurrences, which could have led to injuries or diseases immediately to the client for recording in the site register, you must also report to your branch office.

Risk Assessments

Under the latest regulations the client is required to have evaluated the risks or hazards appertaining to the work you are carrying out. This information should be made available to you. You are also required to have evaluated all risk or hazards and to take all precautions possible to reduce or eliminate the risks or hazards involved.

Method Statements

Where identifiable risks or hazards exist in carrying out works then the client should issue a method statement as to how sections of work must be carried out (you should also satisfy yourself as to the accuracy of the statements. They will not eliminate you from your duties of responsibilities to carry out your work in a safe manner).

Manual Handling Regulations

Under the latest regulation’s guidance lines have been put in to reduce the number of injuries caused by lifting too heavy materials improperly. You should avoid lifting materials where there is a risk of injury. Additional help or mechanical assistance should be asked for. Think before you lift!

Holiday (applies to all contractors)

Please inform Launchpoint UK about any period of holiday you require so we can agree and organize the dates with our clients.

Holiday Pay (PAYE)

If you are paid via PAYE, you will receive holiday pay in accordance with the Working Time Directive (WTD) legislation. The WTD legislation currently states that all employees should receive 20 days paid holiday per annum based on working a 40hour week. For example, Permanent Employees holiday pay is generally accrued at 1.66 days per month. Therefore, in accordance with WTD legislation and to apply fair rule to all operatives, we calculate your holiday pay on your average basic pay rate and accrual of all basic hours from the day you commence an assignment. Therefore, for every 12 hours worked at basic rate, 1 hour’s holiday is accrued and paid at your average basic pay rate from commencement of assignment. Please note; your annual Holiday Accrual commences from your assignment start date.

Night Shifts & Weekends

Before commencing a shift during unsociable hours, make sure that the Health and Safety Practices and procedures are the same as those in a “normal” working day. Make sure that you know who the appointed health & safety representative is and that the procedure for reporting accidents and the fire evacuation procedures are the same.

PLEASE UPLOAD ANY REQUIRED DOCUMENTATION HERE

Important Notes: Please Upload all relevant right to work documents and all qualification cards/certificates:

Passport/Birth Certificate/ EU ID Card:Choose file or drag and drop files here

No file chosen

Proof of National Insurance:Choose file or drag and drop files here

No file chosen

Proof of Address:Choose file or drag and drop files here

No file chosen

Other (i.e extra licences, cards, certificates):Choose file or drag and drop files here

No file chosen

Confirmation of Agreement

By signing this agreement, the Contractor confirms they have read and understood and agreed to the contract and all enclosed arrangements.

Signature *

First Name *

Last Name *

Date

Day

Month

Year