Kenect Application Form

1
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2
Date
Date
Year
Month
Day
Date
05
Hour
42
Minutes
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3
Please choose an application option* This field is requiredThe full application option is only available to candidates who have already agreed to work with Kenect Recruitment. The express of Interest form can be completed by anyone with an interest of working with Kenect in the near future and it only takes 2 minutes to complete.
Full Application
Express of Interest
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4
You have chosen the 'Full Application' option, is this right?* This field is requiredYou must have agreed to work with Kenect Recruitment and spoken with a consultant at your local branch to complete the full application. This process can take up to 30 minutes, please be patient upon submission.
YESNO
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5
Are you in a Kenect branch?* This field is requiredThis application can be completed just about anywhere, however if you're in one of our branches the process is a lot quicker as your identification can be verified by our staff immediately.
YES i'm in a branch
NO i'm not in a branch
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6
Please confirm you are in a Kenect branch.* This field is requiredYou must be in one of our branches to continue. If you are not in one of our branches please click no and select "NO i'm not in a branch". If you continue and are not in a branch location it may result in you having to complete the application again.
YESNO
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7
Excellent, please tell us which branch you're in?* This field is required
Please choose a branch
Please select your local branch
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8
Okay, great! Where is your local Kenect branch?* This field is requiredPlease ensure you choose the correct branch, this is where your application will be sent to. If you're unsure of which branch you need to choose please check our website contact map.
Please choose a branch
Please select your local branch
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9
Understanding Our Services & How We Work* This field is requiredPlease tick to confirm you have read Kenect Recruitment's services of using a contracting intermediary company. You will be sent a copy of this form upon the completion of your application.
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10
Kenect Recruitment Privacy Notice* This field is requiredWe take data protection very seriously, please tick to confirm you have read Kenect Recruitment's Privacy Notice and downloaded a copy that's been saved for your records.
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11
Name:* This field is required
Title
First Name
Last Name
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12
Have you ever been known by another name?* This field is required
YESNO
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13
Please enter your previous name below* This field is required
Title
First Name
Last Name
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14
Date of birth:* This field is required
Month
Day
Year
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15
E-mail address:Please ensure you enter a valid email address. This needs to be verified before continuing with the application. Not got an email address? You can get one free at www.gmail.com (other email providers are available).
example@kenect.co.uk
Confirm Email
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16
Address:* This field is requiredPlease enter your current residential address
Street Address
Street Address Line 2
City
County
Postal Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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17
Previous address:If you've been at your current address for less than 3 years please give us your previous address details:
Street Address
Street Address Line 2
City
County
Postal Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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18
Contact numbers
Landline
Mobile Number
Other Contact Number
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19
How were you referred to us?* This field is requiredInformation supplied here will sent to our marketing department for research purposes only.
Walk-In
Another Employee
Newspaper Ad
Radio Ad
Facebook
Twitter
Instagram
LinkedIn
Google
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20
What work are you looking for?* This field is requiredPlease choose the sector you wish to work in below.
Transport
Industrial
Commercial
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21
Information & Details* This field is requiredPlease supply us with as many details as possible to support your interest. Please also tell us when you are available to start work.
Small
Normal
Large
Huge
Ok
Ok
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22
Work eligibility:* This field is required
British
Afghan
Albanian
Algerian
American
Andorran
Angolan
Anguillan
Argentine
Armenian
Australian
Austrian
Azerbaijani
Bahamian
Bahraini
Bangladeshi
Barbadian
Belarusian
Belgian
Belizean
Beninese
Bermudian
Bhutanese
Bolivian
Botswanan
Brazilian
British
British Virgin Islander
Bruneian
Bulgarian
Burkinan
Burmese
Burundian
Cambodian
Cameroonian
Canadian
Cape Verdean
Cayman Islander
Central African
Chadian
Chilean
Chinese
Citizen of Antigua and Barbuda
Citizen of Bosnia and Herzegovina
Citizen of Guinea-Bissau
Citizen of Kiribati
Citizen of Seychelles
Citizen of the Dominican Republic
Citizen of Vanuatu
Colombian
Comoran
Congolese (Congo)
Congolese (DRC)
Cook Islander
Costa Rican
Croatian
Cuban
Cymraes
Cymro
Cypriot
Czech
Danish
Djiboutian
Dominican
Dutch
East Timorese
Ecuadorean
Egyptian
Emirati
English
Equatorial Guinean
Eritrean
Estonian
Ethiopian
Faroese
Fijian
Filipino
Finnish
French
Gabonese
Gambian
Georgian
German
Ghanaian
Gibraltarian
Greek
Greenlandic
Grenadian
Guamanian
Guatemalan
Guinean
Guyanese
Haitian
Honduran
Hong Konger
Hungarian
Icelandic
Indian
Indonesian
Iranian
Iraqi
Irish
Israeli
Italian
Ivorian
Jamaican
Japanese
Jordanian
Kazakh
Kenyan
Kittitian
Kosovan
Kuwaiti
Kyrgyz
Lao
Latvian
Lebanese
Liberian
Libyan
Liechtenstein citizen
Lithuanian
Luxembourger
Macanese
Macedonian
Malagasy
Malawian
Malaysian
Maldivian
Malian
Maltese
Marshallese
Martiniquais
Mauritanian
Mauritian
Mexican
Micronesian
Moldovan
Monegasque
Mongolian
Montenegrin
Montserratian
Moroccan
Mosotho
Mozambican
Namibian
Nauruan
Nepalese
New Zealander
Nicaraguan
Nigerian
Nigerien
Niuean
North Korean
Northern Irish
Norwegian
Omani
Pakistani
Palauan
Palestinian
Panamanian
Papua New Guinean
Paraguayan
Peruvian
Pitcairn Islander
Polish
Portuguese
Prydeinig
Puerto Rican
Qatari
Romanian
Russian
Rwandan
Salvadorean
Sammarinese
Samoan
Sao Tomean
Saudi Arabian
Scottish
Senegalese
Serbian
Sierra Leonean
Singaporean
Slovak
Slovenian
Solomon Islander
Somali
South African
South Korean
South Sudanese
Spanish
Sri Lankan
St Helenian
St Lucian
Stateless
Sudanese
Surinamese
Swazi
Swedish
Swiss
Syrian
Taiwanese
Tajik
Tanzanian
Thai
Togolese
Tongan
Trinidadian
Tristanian
Tunisian
Turkish
Turkmen
Turks and Caicos Islander
Tuvaluan
Ugandan
Ukrainian
Uruguayan
Uzbek
Vatican citizen
Venezuelan
Vietnamese
Vincentian
Wallisian
Welsh
Yemeni
Zambian
Zimbabwean
Nationality
National Insurance Number
Are you legally entitled to work in the UK?
Please state if you have any unspent criminal convictions?
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23
Upload your CV:You can skip this section and complete the next two sections if you do not have a CV to upload.
Drag and drop files here
Select files to upload
Max. file size: 30.0MB
Upload a File
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24
Employment history 1/2:Please provide details of your employment history below (we only require your last two positions). If you've never been in employment before or have already uploaded your CV, please move on to the next section.
Current / Previous Employer
Position Held
Annual Salary
Name Of Line Manager
Start Date
End Date
Reason For Leaving / Wanting To Leave
Contact Number
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25
Employment history 2/2:Please provide details of your employment history below (we only require your last two positions). If you've never been in employment before or have already uploaded your CV, please move on to the next section.
Previous Employer
Position Held
Annual Salary
Name Of Line Manager
Start Date
End Date
Reason For Leaving
Contact Number
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26
References:Due to compliance and our obligation to employment law, we are required to obtain two references before you can commence work. One employment referee is mandatory, we are not able to process your application without this information. A School/College or character reference equivalent referee is applicable should you not have any previous employment. Please enter these details below.
Referee one
Please enter their email (if known)
Contact Number
Referee Two
Please enter their email (if known)
Contact Number
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27
Job expectations & availability (Transport):Please complete the fields below to the best of your knowledge so we can assess your information and provide you with the best available vacancies in your area.
Position Sought
Are you available for temporary work?
Salary or hourly rate preferred (Numerical only)
Workwear you have available?
Notice Period
Preferred start time or shift required
Please use the space above to provide any information which may help us with your application.
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28
Job expectations & availability (Industrial):Please complete the fields below to the best of your knowledge so we can assess your information and provide you with the best available vacancies in your area.
Position Sought
Are you available for temporary work?
Salary or hourly rate preferred (Numerical only)
Workwear you have available?
Notice Period
Preferred start time or shift required
Please use the space above to provide any information which may help us with your application.
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Enter
29
Job expectations & availability (Commercial):Please complete the fields below to the best of your knowledge so we can assess your information and provide you with the best available vacancies in your area.
Position Sought
Are you available for temporary work?
Salary or hourly rate preferred (Numerical only)
Workwear you have available?
Notice Period
Preferred start time or shift required
Please use the space above to provide any information which may help us with your application.
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30
Type of work required
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31
Transport experienceTo help us evaluate your application we require you to highlight any relevant skills you have had experience with in the past. Please choose & select these skills from the list below.
LGV/HGV1 (C+E)
LGV/HGV2 (C)
7.5 Tonne (C1)
Van Driving (B, B1)
Multi-Drop 5+
Multi-Drop 10+
Multi-Drop 20+
Delivery Information Acquisition Devices
Tilts
Floating Deck Trailers
Draw Bar
Flat Bed
A Frame
Demountable
Tippers
Tankers
Low Loaders
Containers
Bulk Loads
Shunting
Hand Balling
Trunking
Tramping/Nights Out
Supermarket Deliveries
Wagon & Drag
Drey Work
International/European
Petroleum
Chains
Straps & Ratchets
Roping & Sheeting
Splitter Gear Box
Range Change Gear Box
EPS Gear Box
Pre-Select Gear Box
Power Transfer Gear Box
Automatic Gear Box
Other Manual Gear Box
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32
Industrial experienceTo help us evaluate your application we require you to highlight any relevant skills you have had experience with in the past. Please choose & select these skills from the list below.
Drivers Mate/Porter
Picking - Manually
Picking - (Voice)
Packing
Goods In/Out
Furniture Removals
Furniture Erecting
Warehouse Production
Machine Operating
Stock Control
General Labouring
Mechanical Assembly
PCB Assembly
Foundry Work
FLT Counterbalance
FLT Reach
FLT Bendy
FLT VNA
FLT LLOP
FLT HLOP/MLOP
Cherry Picker
Handballing
Stock Taking
Woodwork
Tool Making
Factory Work
Shop Fitting
GRP Laminating
General Building Site Ops
Computer Experience
Team Leader
Supervisor
Management
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33
Commercial experienceTo help us evaluate your application we require you to highlight any relevant skills you have had experience with in the past. Please choose & select these skills from the list below.
Microsoft Packages
MS Word
MS Outlook
MS Excel
MS PowerPoint
MS Access
MS Publisher
Office Management
Supervisor Role
Voice Typing
Website Design
IT Maintenance
Networking (Systems)
Data Entry
IT Support
Health IT
IT Developer
Public Sector IT
Receptionist
Security Cleared
Network
Communications
Business Analysis
Customer Service
Executive
Secretarial
Clerical
Accounts
Administration
Call Centre
Purchasing
Personal Assistant
Sales
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34
Working at night* This field is requiredA night worker’s normal hours of work may exceed the limit of 10 hours in each 24 hour period. Whether you will be working nights or not, it is a requirement by law that you accept and adhere to these terms. Click below to read and save a copy for your records
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35
Driving licence information* This field is requiredPlease complete all fields below, to proceed to the next stage you will have to agree for us to complete a full DVLA check to verify your information. As part of the verification process we will also check the expiry dates of the categories you hold on your licence.
Type of licence held
Driving Licence Number (No 5 on your UK licence card)
Date Of Photo Expiry (No 4b on your UK licence card)
Select categories (You may select more than one)
What qualification cards do you hold?
Do you consent for us to complete a full DVLA check?
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36
Driving licence & driver cardsPlease upload CLEAR copies of your Driving Licence / Digital Tachograph Card / CPC Card: The front AND back is required on all cards.
Drag and drop files here
Select files to upload
Max. file size: 30.0MB
Browse Files
Cancelof
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37
Q1. 17+47=7+?
57
67
65
35
Press
Enter
38
Q2. Which spelling is correct?
Commitee
Committee
Comitee
Comittee
Press
Enter
39
Q3. 18+33=29+?
21
22
35
23
Press
Enter
40
Q4. Which spelling is correct?
Amatuer
Amater
Amatueur
Amateur
Press
Enter
41
Q5. 54-32=25-
2
3
14
22
Press
Enter
42
Q6. Which spelling is correct?
Miscelaneous
Miselaneous
Misellaneous
Miscellaneous
Press
Enter
43
Q7. 2000+550-155=
2395
2398
2405
2385
Press
Enter
44
Q8. There is no such thing as a completely safe manual handling operation. Manual handling operations are based on the individual’s physical capabilities. When lifting a heavy item do you...
lift the load above your head standing straight
Keep the load at arm’s length standing straight
Carry the item crouched down
Keep the load close to the waist standing straight
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Enter
45
Road signs test* This field is requiredPlease complete the multiple-choice questionnaire below to the best of your knowledge. Please read the question and answer carefully. If you make a mistake you can click the back button. Your results can be obtained from your branch at the end of your application.
What road sign indicates the national speed limit?
Which sign informs drivers that all vehicles are prohibited?
What sign would you be expected to see at a level crossing?
Which sign is usually seen when approaching a low bridge?
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46
Geography test* This field is requiredPlease complete the blank fields below with the appropriate answers.
Which motorway connects London to the West of England and South Wales?
Which of these cities is furthest North?
Newcastle, Sunderland and Middlesbrough are in which part of England?
What is the longest A road in the UK?
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47
Tachograph testPlease only complete this section if you are applying to drive 7.5t or higher. If you are applying for a Van job you may skip this section. Some answers in this section may have more than one answer.
Which are more important – EU drivers hours or working time rules?
How many times can you reduce your daily rest?
When must you start using your tacho recording equipment?
After a driver has completed 4.5 hours of driving, what must they do?
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48
Safe systems of work* This field is requiredThe purpose of this safe systems of work is to provide information of the associated hazards and a means of avoiding injury to all personnel that work on behalf of Kenect Recruitment Ltd. Click below to read and save a copy for your records.
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49
Working Time Regulations (WTR) - 48hr opt out agreement* This field is requiredThe working time regulations 1998 provide that you shall not work in excess of the 'Working Week', an average of 48 hours each week calculated over a 17-week reference period. Please indicate whether or not you wish to 'opt out' of this WTR rule below.
Option A - I AGREE to opt out of the WTR
Please choose one
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50
Road Transport (Working Time) Directive DeclarationThe Road Transport (Working Time) Regulations (2005) applies to mobile workers, including drivers and crews of heavy goods and public service vehicles subject to Regulation 3820/85. These regulations limit weekly working time (excluding breaks and periods of availability) and limit the amount of work that can be done at night. They also specify how much continuous work can be done before taking a break and introduce daily and weekly rest limits for the crew and travelling staff. The Regulations require mobile workers to notify their employer in writing of time worked for another employer for inclusion in the calculation of the mobile worker’s working time. Kenect Recruitment Ltd require all mobile workers to complete the following declaration to ensure all working hours are included in the working time calculation: Please select one of the two options below:. If Option B is selected, please provide basic details of any other employer in the box below.
Option A - I declare that I am not currently engaged in any work outside of my commitments with Kenect Recruitment Limited which would need to be included in the calculations of my working time under the Road Transport (Working Time) Directive regulations. I undertake to inform the agency immediately should this situation change at anytime.
Option B - I declare that I am currently engaged in workout side of my commitments with Kenect Recruitment Limited which would need to be included in the calculations of my working time under the Road Transport (Working Time) Directive regulations. I undertake to inform the agency immediately should this situation change at any time.
Please choose one
Please only use this section if you have selected Option B
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51
Would you say you are in good health? * This field is required
YESNO
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52
Have you in the past or currently suffer from eye complaints or any defects in vision?* This field is required
NOYES
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53
Have you in the past or currently suffer from back injury, strain or slipped disk?* This field is required
NOYES
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54
Have you in the past or currently suffer from Diabetes?* This field is required
NOYES
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55
Have you in the past or currently suffer from heart disease/angina?* This field is required
NOYES
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56
Have you in the past or currently suffer from fits or fainting attacks?* This field is required
NOYES
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57
Have you in the past or currently suffer from chest problems?* This field is required
NOYES
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Enter
58
Have you in the past or currently suffer from high or low blood pressure?* This field is required
NOYES
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59
Have you in the past or currently suffer from rheumatism or arthritis?* This field is required
NOYES
Press
Enter
60
Have you in the past or do you currently have any other temporary disabilities or illness?* This field is required
NOYES
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61
Have you had any hospital investigations/admissions?* This field is required
NOYES
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62
Do you take regular medication or are you currently on any treatment?* This field is required
NOYES
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63
Are you registered disabled?* This field is required
NOYES
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64
Are there any disabilities which may affect your application?* This field is required
NOYES
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65
Are there any reasonable adjustments which you feel should be made to the recruitment process to assist you in your application for the job? * This field is required
NOYES
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66
Are there any reasonable adjustments which you feel should be made to the job itself which would enable you to carry out the job?* This field is required
NOYES
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67
Are there any medical reasons, or are you currently taking any medication, that will affect your ability to work nights?* This field is required
NOYES
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68
If you answered YES to any of the above questions please give details:You can skip this section by clicking next
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69
Next of Kin Details* This field is required
Full Name
Please enter their phone number
Please enter their email address
Please enter their home address
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70
Select a Payroll Method* This field is required
PAYE - Holiday Retained (Prism Payroll)
PAYE - Holiday Paid (Breathe Management)
Umbrella (Prism Payroll)
Limited Company Option (Prism Accounts)
My Own Limited Company
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71
Payroll Registration Form* This field is requiredWe can use your personal details to populate our Payroll registration form automatically to save you time however, we need your authorisation to do this. Please confirm you are happy to proceed.
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72
Passing Personal Data to Third Parties* This field is requiredI understand that the Company may need to process my sensitive personal data in carrying out its duties, rights and obligations as the Agency which sources my assignments. Confirm you consent to the processing of your sensitive personal data and your personal data being passed to the subsidiary you have chosen.
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73
Consent & Authorisation* This field is requiredPlease sign here to confirm that you give consent for us to process your sensitive personal data and to pass on your personal data to the stated third parties. This information will populate a form (Passing of Personal Data to Third Parties) with your signature that will be sent with your application for work.
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74
Understanding Prism Business Services* This field is requiredKenect Recruitment uses Prism Business Services to manage it's payroll and back office. Please read through the attached document to understand how the payroll procedure works.
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75
Prism Accounts Privacy Notice & Consent* This field is requiredPlease tick to confirm you have read Prism Accounts' Privacy Notice and Consent Form and downloaded a copy that's been saved for your records.
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76
Prism Payroll Privacy Notice & Consent* This field is requiredPlease tick to confirm you have read Prism Payroll's Privacy Notice and Consent Form and downloaded a copy that's been saved for your records.
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77
Breathe Management Privacy Notice & Consent* This field is requiredPlease tick to confirm you have read Breathe Management's Privacy Notice and Consent Form and downloaded a copy that's been saved for your records.
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78
Attention! - Breathe Management (holiday pay, paid weekly)* This field is requiredYou have selected to be paid via Breathe Management. This option means you will be paid your holiday pay in your hourly rate on a weekly basis and WILL NOT accrue any holiday to take at a later date. Click previous if you didn't mean to choose this option, alternatively please sign below and click next to confirm you understand these terms. N.B. All payments are paid into your bank account every Friday before 18.00.
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79
Your tax circumstances - Important!* This field is requiredPlease read the following statements carefully and select the one choice that applies to you. This helps us identify the correct Tax Coding for you to be paid on, inaccurate information may cause you to pay more/less tax then you're supposed to.
A - This is my first job since April and I have not been receiving taxable Jobseeker’s Allowance, Employment and Support Allowance or taxable incapacity Benefit. I do not receive a State or Occupational Pension.
B - This is now my only job since last April I have had another job, or receive taxable Jobseeker’s Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a State or Occupational Pension.
C - As well as my new job, I have another job or receive a State or Occupational Pension.
D - I will be sending you my P45 / Not required because i'm a Limited Company
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80
Bank details for payroll* This field is requiredPlease ensure you double check these details as this is where we will be processing your wage payments. We prefer to send payslips via email if - you prefer to receive them via post please speak to a member of staff.
Bank Name
Account Name
Sort Code
Account Number
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81
Right to work* This field is requiredWe are required by law to verify your ID and to retain the data for our records. Therefore, prior to processing the first payroll, CERTIFIED copies or ORIGINALS of the applicable documents are required. Regrettably we cannot accept applications from individuals not permitted to work in the UK or on work permits. Please confirm you have included one of the following: passport, National Identity Card or Full UK birth certificate. Also we require one of the following: Utility bill, Document/ letter from a Government department or Bank/Building Society statement which clearly states the Applicant’s Address - dated within 3 months or Photo card driver license issued by the DVLA. This information will be required on the next page, please sign to consent for these details to be used for both Kenect Recruitment & your chosen payroll company.
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82
Limited Company Due Diligence* This field is requiredBEFORE we enter into a business agreement with you for the provision of labour services we need to check some details about your company. Please complete all details below:
Limited Company Name IN FULL
Limited Company Registration Number
Name Of The Company Director(s)
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83
Limited Company Address* This field is requiredPlease enter the address where your limited company is registered in the UK.
Street Address
Street Address Line 2
City
County
Postal Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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84
Are the bank account details for the account which payments will be made in the name of the company?* This field is required
YESNO
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85
Have any of the directors ever been disqualified from being a company director?* This field is required
YESNO
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86
Why were they disqualified?* This field is required
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87
Are any of the directors also director of another UK registered company?* This field is required
YESNO
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88
Please insert the name(s) of the other company(s)* This field is required
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89
Please name the company shareholder(s) and the % age of shares held within the company.* This field is required
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90
Company PAYE reference number(s)* This field is requiredPlease insert PAYE reference numbers for ALL PAYE schemes adopted by your company.
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91
Are you registered for VAT?* This field is required
YESNO
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92
Please insert your company VAT number below* This field is required
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93
Provide proof that the VAT number is valid using the government website or VAT registration certificate* This field is requiredPlease attach screenshot of the VAT number being valid or a copy of your company VAT certificate.
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94
Has the company ever failed to pay PAYE, CIS, VAT or corporation tax on time?* This field is required
YESNO
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95
Please detail the reason for the failure, the outcome and the dates it happened.* This field is required
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96
Provide proof of your current liability position in relation to PAYE, VAT and Corporation Tax from your Government Gateway dashboard* This field is requiredPlease print/screenshot a copy of your dashboard and provide us with a copy of this.
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97
If any amounts are due please provide an explanation below.* This field is requiredIf no amounts are due please type 'N/A' and click next.
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98
Provide proof of submitted returns during the last 12 months from your Government Gateway Account* This field is requiredPlease print/screenshot to provide us with a copy of this.
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99
If any returns are overdue please provide an explanation below.* This field is requiredIf no returns are overdue please type 'N/A' and click next.
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100
How many individuals does the company engage?* This field is requiredPlease state the number of individuals engaged by the company
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101
Do you subcontract any of the services that you supply/intend to supply to us to self-employed individuals?* This field is required
YESNO
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102
Are all workers that you employ paid at least the National Living Wage / National Minimum Wage?* This field is required
YESNO
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Enter
103
Does your company provide services within CIS?* This field is requiredCIS - Construction Industry Scheme
YESNO
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Enter
104
Provide the company's UTR number so that we can verify the appropriate deduction rate* This field is requiredThe UTR number can be found on your Government Gateway dashboard
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105
Where self-employed labour is engaged by the company, does the company ensure that appropriate deductions are made from payments to these individuals? E.g. IR35/Agency Legislation* This field is required
YESNO
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106
Where self-employed operatives are used – please provide evidence of the company’s policy on establishing whether the agency legislation applies
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107
Do you pay any expenses to any of your employees – e.g. travel expenses?* This field is required
YESNO
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108
Can you confirm that you pay these expenses in line with HM Revenue and Customs guidance? * This field is required
YESNO
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109
Limited Company DocumentsPlease upload a clear copy of your Passport or Driving licence along with your Certificate of Incorporation showing your business name and number and a clear copy of your LTD company bank statement showing your company bank details. Payments maybe delayed if we do not have copies of these documents in full.
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110
Contract For Services* This field is requiredPlease view and accept our Contract For Services that will be populated with your credentials automatically. N.B. You will receive a copy of these terms upon completion of the application.
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111
Declaration & Agreement (Limited Company)* This field is requiredI confirm that the details contained in this form are accurate and true.
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112
Pre-booked holidays or days you're unable to workPlease enter below any pre-booked holidays you have arranged or any days you are unable to work within the next six months.
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113
Identification & legal documents - please read carefullyPlease upload 1) a clear copy of your passport PICTURE PAGE and 2) Please upload a clear copy of your passport FRONT cover (usually a red cover for UK passports). If you do not have a passport please upload 1) a clear copy of your FULL SIZE birth certificate OR Resident's card AND 2) a clear copy of your National Insurance Number. Please also upload your proof of address (For Example: Utility Bill | Bank Statement | HMRC Letter).
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114
Any other supporting documentsIf you have any other supporting documents you would like to send to us for example working visa's, FLT certificates, Degree Certificates, NVQ or equivalent educational awards or diplomas, please attach them below.
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115
Declaration & Agreement (Breathe Management)* This field is requiredI confirm, to the best of my knowledge, that the details contained on this form are accurate and true, and confirm that each assignment will not last longer than 24 months, and that is my intention to carry out multiple assignments during my employment.I instruct Breathe Management Limited to make all necessary enquiries regarding the information for the purposes of verifying my identity. These checks can be made for data protection, money laundering, working visa requirements and all other reasonable requests. I likewise authorise Breathe Management Limited to contact my agency / end user client and authorise them to disclose any information relating to me and my assignment/s. I likewise understand and agree to the particulars of employment in conjunction with all relevant policies and procedures of Breathe Management Limited.
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116
Declaration & Agreement (Prism Payroll / Prism Accounts)* This field is requiredI confirm, to the best of my knowledge, that the details contained on this form are accurate and true, and confirm that each assignment will not last longer than 24 months, and that is my intention to carry out multiple assignments during my employment.I instruct Prism Payroll Ltd / Prism Accounts Ltd to make all necessary enquiries regarding the information for the purposes of verifying my identity. These checks can be made for data protection, money laundering, working visa requirements and all other reasonable requests. I likewise authorise Prism Payroll Ltd / Prism Accounts Ltd to contact my agency / end user client and authorise them to disclose any information relating to me and my assignment/s. I likewise understand and agree to the particulars of employment in conjunction with all relevant policies and procedures of Prism Payroll Ltd / Prism Accounts Ltd.
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117
Worker Terms & Conditions* This field is requiredPlease view and accept our terms & conditions that will be populated with your credentials automatically. N.B. You will receive a copy of these terms upon completion of the application.
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118
Legal Declaration* This field is requiredPlease view and accept our Legal Declaration and download a copy for your records.
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119
Signature* This field is requiredPlease sign to confirm you agree to the Terms & Conditions, Contract of Services and Legal Declaration.
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120
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121
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