Registration Form

Fill out the form to get registered with us. Or, if preferred, download the PDF version to print, scan and resend back to us either on karen@mikarecruitment.co.uk or michelle@mikarecruitment.co.uk.

Your Details

Name * *

Email * *

Telephone - Mobile * *

Telephone - Landline

Address * *

Upload your CV

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CURRENT EMPLOYMENT

Do you have any holidays booked? If so, please provide dates

Current salary

Notice period for current role, if applicable

CRIMINAL CONVICTIONS

Do you have any unspent criminal convictions under the Rehabilitation of Offenders Act 1974? *NoYes

If yes, please provide details

RIGHT TO WORK IN THE UK

Are you eligible to work in the UK? Please state what evidence you can provide to prove eligibility * *

Please upload additional documentation of identification. Accepted documents: Passport, Drivers License, PASS card * *

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HEALTH AND DISABILITY

Do you have any health issues or a disability which may make it difficult for you to carry out functions essential to the role that you are seeking? *NoYes

Do you require any reasonable adjustments to be made in order to access / attend interviews or assessments? *NoYes

If yes, please provide details

REFERENCES

Name

Role

Company

Telephone number

Email address

Are you happy for us to contact?

Additional comments

EMERGENCY DETAILS

Please provide details of who we could contact in case of an emergency

Name

Telephone number

Relationship

DATA PROTECTION

The information that you provide on this form and on your CV will be used by us to provide recruitment services. In providing this information, you consent to your personal data being held on our computer systems and passed to our clients as required.

CANDIDATE DECLARATION

By checking this box, I hereby confirm that the information I have given is true and correct. I consent to my information being used as stated above and my details being forwarded to potential employers.

I have read and accept the Privacy Policy and consent to Mika Recruitment contacting me about my enquiry.

I consent to Mika Recruitment contacting me with future updates.