Untitled Document

I declare the information submitted on this form is true and complete. I confirm that I give permission for ASL Personnel Selection to forward this information to prospective employers.
I undertake to keep ASL Personnel Selection informed of any changes to the above whilst in your employment. ASL take your privacy seriously and are registered under the data Protection Law. All personal information collected is used and retained by ASL as well as prospective employers for the sole purpose of recruitment and employment in compliance with the Law.

PERSONAL DETAILS
If you are completing this form as a non-Jersey resident, please use this alternative form
Title:
First Name:
Surname:
Address:
Postcode:
Email Address:
Telephone Home:
Telephone Work:
Telephone Mobile:
Date of Birth:
Age:
Place of Birth:
Nationality:
Marital Status:
Have you residential qualifications?:	Yes No
State no. of continuous years lived in Island:
Social Security no. JY:
Red / Blue:
Date of arrival in Island:
Which area of the finance industry do you require:
Notice period:
Times available for interview:
If Part Time, days/hours required:
Driving licence:	Yes No
Transport:	Yes No
How did you hear about ASL?:
REFERENCES - TEMPS ONLY
Please provide details of referees (ideally email addresses) who you consent to being contacted by ASL. (To cover previous 5 years)
Reference 1:
Address:
Email Address:
Reference 2:
Address:
Email Address:
Languages:
IT skills:
HEALTH
How many days sickness have you had in the last 12 months:
Reason for sickness:
Do you suffer from any ongoing medical condition or take regular medication that an employer should be aware of?:	Yes No
If so, what is the condition?:
Will it affect your performance in the workplace?:	Yes No
Next of kin:
Daytime contact no:
SUPPLEMENTARY APPLICATION DETAILS
The following questions are required for the Agency to satisfy their clients’ regulations.
Have you been a member of any recognised self-regulating organisation or any recognised professional body (currently or previously)?:	Yes No
Have you been refused membership of any professional body, if so, which body or bodies?:	Yes No
Are you aware of any disciplinary procedures being or having been taken against you?:	Yes No
Do you have any convictions which under the terms of the Rehabilitation of Offenders (Jersey) Law 2001 are not considered ‘spent’?:	Yes No
Have you, in connection with the formation or management of any undertaking, been adjudged by a court to be liable for any fraud, misfeasance, wrongful trading or other misconduct (bankruptcy)?:	Yes No
CV file:
I declare the information submitted on this form is true and complete. I confirm that I give permission for ASL Personnel Selection to forward this information to prospective employers. I undertake to keep ASL Personnel Selection informed of any changes to the above whilst in your employment. ASL take your privacy seriously and are registered under the data Protection Law. All personal information collected is used and retained by ASL as well as prospective employers for the sole purpose of recruitment and employment in compliance with the Law.