Thank you for your interest in undertaking survey work with us.  Please enter your full details here and you will be added to our database and notified when we have work in your area.

Section 1
 
Title:
First Name(s):
Surname:
Address:
 
 
 
Postcode:
Telephone No:
Mobile Phone No:
Email Address:
   
Have you access to a car, and a valid driving licence? (tick box if you do)
   
Prepared to Travel: miles
   
First Aid Experience or Training: (tick box and give brief details if you do)
 
   
Other notes:
   
Where did you hear about us?  
   

While working for CTS, you may be asked to carry out work that requires standing or sitting for long periods of time. In order for us to accommodate your needs, please give details of any disabilities, impairments or ailments that may prevent you from carrying out such work:

 

Pay: you have the option of invoicing us as a self-employed person or joining our payroll system.

I would like to invoice                       
If you choose this option, you can go to Section 3.
 
I would like to join the CTS payroll   
If you choose this option, you must read and complete all sections below.

 

Section 2

Under Section 8 of the asylum and Immigration Act 1996 it is against the law to employ a person aged 16 or over who does not have permission to live and work in the UK. To prevent illegal working we ask all applicants for proof of their right to work in the UK. (See list for examples of acceptable documentation. You will only need to show these if you are offered the position)

Tick the box next to the category that best describes you

British Citizen  
EU Citizen from: Austria, Belgium, Denmark, Finland, France, Germany, Greece, Iceland, Ireland, Italy, Liechtenstein, Luxembourg, Netherlands, Norway, Portugal, Spain, Sweden, Switzerland  
EU Citizen from: Cyprus, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Malta, Poland, Slovakia, Slovenia  
Non EU Citizen  
   

Please provide the following information

  

National Insurance No
Date of Birth: eg. 17/01/55
  (this ensures we can pay you promptly after any work)   

 

Section 3 - Recruitment Monitoring

This information will be treated as strictly confidential and will only be used for monitoring purposes; details will not be available to members of the selection panel.

Gender

Male 

Female 

         

Please check the box which best describes your ethnic/cultural/racial origin

White Mixed
British
Irish
White & Black Caribbean
White & Black African
White and Asian
Any other White background Any other Mixed background
 
Asian or Asian British Black or Black British
Indian
Pakistani
Bangladeshi
Caribbean
African
Any other Asian background Any other Black background
 
Chinese or other ethnic group  
Chinese
 
Other (please write in)  
 

 

The Disability Discrimination Act 1995 defines a disabled person as: A person with a physical (including sensory) or mental impairment which has a substantial and long term effect on their ability to carry out day to day activities.' Or someone who has had such a disability but is now recovered. Or someone with a severe disfigurement.

Do you consider yourself to have a disability, or to be a deaf person as defined by the Disability Discrimination Act 1995?

Yes      No

Please note: this includes any disability or impairment that will prevent you from sitting or standing for long periods of time. This will not affect your prospects of employment with CTS, as all reasonable measures will be taken to accommodate your needs.
 

 

Data Protection Act 1998: The information you supply about yourself is handled according to the requirements of the Data Protection Act 1998 and will only be used for recruitment and employment purposes.
 

Declaration
You must tick this box to agree that the information provided in this application form is both true and correct to the best of your knowledge.