PRS People Application Form

PRS People Application Form

Please complete the form below to apply for a position with us.
Name*

First NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

PostcodeCountry
Date of Birth *

DayMonthYear
Email Address*
Phone Number*

Area CodePhone Number
National Insurance Number
Do you hold a valid driving licence?*

YesNo
Are you permitted to work in the UK?*

YesNo
Do you hold a valid CSCS card? *(if yes, please upload a photo of this below)

YesNo
Browse Files

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Employment History
What is your current trade or Profession?
How many years experience do you hold in the above Trade or Profession?
Upload Resume

Upload a File

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Reference

Please provide us with details of 2 references who are able to provide a professional reference for yourself
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number

Area CodePhone Number
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number

Area CodePhone Number
Emergency Contact Details

Please provide details of your Next of Kin
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email
example@example.com
Medical Questionnaire

Have you ever suffered from the following:*

	Yes	No	Prefer not to say
Asthma or Hayfever
Back, Neck or Joint Problems
Chest/Respiratory Problems
Epilepsy, Faints, Fits or Blackouts
Skin Conditions
Heart Disease or Blood Pressure
Mental Health Problems
Kidney or Bladder Problems
Hernia/Rupture
Vascular Problmes
Varicose Veins
Allergies or Intolerance
Do you suffer or have previously suffered from any visual impairments *(excluding the need for glasses)
Do you suffer from any hearing impairments* (if so, please provide details of how these are managed e.g. hearing aids)
Are you currently taking any prescribed medication? *(if so, please provide details of these)
Do you suffer from any other medical conditions other then those listed above?
Have you been of work for 2 weeks or longer due to sickness or ill health within the last 12 months?

*If answered yes please provide any further information here
Working Time Regulations - Opt out from 48 Hours rulling

I wish to exercise my right to opt out of the 48 hour ruling contained within the Working Time Regulations and understand that in normal circumstances I will be required to give one weeks notice in the event that I wish to withdraw from this arrangement.
I wish to exercise my right to opt out of the 48 hour rule*

YesNo
Declaration
I declare that all the information i have provided above is true to the best of my knowledge.*

YesNo
I am happy for PRS People to store my details for job seeking purposes only.*

YesNo
I give my consent for PRS People to contact my references for job seeking purposes only.*

YesNo
Should be Empty:

Employment History