Register Job Online:

Please fill the form below to register your job requirement.

Personal Details
Forename: * Surname: *
Title: * No. Of Dependent Children:
Permanent Address: * Date Of Birth: *
National Insurance No.: * Work Permit Required: *
Yes No
Work Permits Valid Until: * If No, do you have or do you require any other
special permission to work in the UK
(if you do please provide documents).
Post Code: * Tel (Home): *
E-mail: * Mobile: *
CRB Disclosure No.: CRB Issue Date:
CRB Applied For Date: Country Of Passport: *
Passport No: Passport Expiry Date: *
Nationality: * Sex: *
Male Female
Job Sector (Please tick which area you are currently seeking work in )
Admin & Secretarial Building Services
Catering & Hospitality Construction
Customer Service Education
Engineering Executive
Finance Health
Housing Human Resources
ICT Industrial & Environmental
Legal Logistics & Transport
Maintenance Media & Marketing
Office Oil & Gas / Energy
Project Management Sales
Social Care / Support
Type Of Work: Method Of Transport used for travel to and from work
Temporary Contract Permanent Both Bicycle Bus Car Motorcycle Train
Nearest Station: Full Driving Licence
Yes No
Prefered Location to work in: Organisation you want to work with
Please complete the following three boxes or attach an up to date CV
Attach CV:
Employment History (Please start with most recent)
Sr. Start Date Leaving Date Employer's Name and Address Position Held Salary on Leaving
Education (Secondary School/College/University)
Sr. Name and Address of Institution Courses Taken/Subjects Dates (From-To) Full/Part-Time Qualifications/Grade
Any other relevant Qualification/Training/Information
WORKING TIME DIRECTIVE 1998 Opt Out Of Maximum Hours
WTD 1998 says that you the Temporary Worker do not have to work on an Assignment with the Client in excess of the 48 hour Working Week unless you agree in writing that this limit should not apply.
Yes I consent to opting out of Maximum hrs No I don't want to work more than 48 hrs
Emergency Contact Details
Name: * Relationship: *
Country: * Telephone (Home): *
Address: * Postcode: *
Mobile: *
REFERENCES - Please give the name of present employer and provide previous recent employers covering the last 5 Years, This must reflect what is stated on your CV College leavers give name of lecturers/tutors/professors. If not possible, give names of persons best able to write a reference in support of your application. We cannot accept friends and relatives as referees.
Sr. Name Organisation Address/Tel/Mobile Email From/To
If you are short listed, references may be taken up before interview. If you are not willing for this to be done please tick the no box:  No
Employment Terms and Conditions & Confidentiality Agreement
I have read and understood the professional Code of Conduct and have been issued with a copy. I will at all times adhere to the Code.
I agree that during the time I am engaged by Zen Personnel to work in any capacity of Work
a) I will not disclose to any person, any information obtained whilst attending an assignment which is confidential
b) I will hold in trust and confidence for Zen Personnel, all such information and never use it other than for the benefit of Zen Personnel.
Print Name: * Date:
Personal Health Questionnaire and Health and Safety Declaration
Fainting Attacks Yes No
Fits or Blackouts Yes No
Giddiness Yes No
Mental Illness Yes No
Recurring Headaches Yes No
Ear trouble or Deafness Yes No
Eye trouble or defective vision Yes No
Not corrected by glasses Yes No
Recurring Chest Disease Yes No
Asthma Yes No
Hay Fever Yes No
Heart Trouble Yes No
High blood Pressure Yes No
Varicose Vein Trouble Yes No
Back Trouble Yes No
Other Muscle or Joint Trouble Yes No
Skin Trouble Yes No
Diabetes Yes No
Recurring Stomach Trouble Yes No
Recurring Bowel Trouble Yes No
Have you any Disability Affecting Yes No
Standing Yes No
Walking Yes No
Stair Climbing Yes No
Lifting Yes No
Use of Hands Yes No
Work at Heights on Ladders/Staging Yes No
Ability to Drive a Motor Vehicle Yes No
Personal Health Declaration
I declare that all the foregoing statements are true and complete to the best of my knowledge. I know of no medical reason why I should not work. Should the situation change whilst I am engaged on a temporary assignment by Zen Personnel or in between assignments from Zen Personnel I will immediately notify Zen Personnel and ,if appropriate, the company where I am working.
I understand that I must at all times, avoid moving and handling any persons or object which may put my physical health, or the clients well-being at risk. I will attend the next available training course through Zen Personnel if I require it.
Print Name: * Date:
Equal Opportunities Monitoring Form
Please Tick the box below which best describes the ethnic category to which you belong
White and Black Caribbean
White and Black African
White and Asian

Any other mixed background-please write in below


Any other white background-please write in below

Chinese or other ethnic group

Any other ethnic background

Asian or Asian British

Any other Asian background-please write in below

Black or Black British
Black Caribbean
Black African

Any other Black background-please write in below

I declare that to the best of my knowledge the information I have given on this form is correct and that I have not omitted any facts. I understand that falsification of qualification or information may lead to removal without notice from Zen Personnel.
Print Name: * Date:
Criminal Convictions
Have you any convictions (Including spent convictions under the Rehabilitation of Offenders Act 1974)? Yes / No If Yes, please give full details
Yes No
Print Name: * Date: