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Eligibility to Work Next of Kin / Emergency Contact Address
Country Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic of The Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-bissau Guyana Haiti Heard Island and Mcdonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and The South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Professional Registration Rehabilitation of Offenders Act (Exceptions Order) 1975 In order to protect certain vulnerable groups within society, there are a number of posts and professions that are exempt from the provisions of the Rehabilitation Offenders Act 1974. These include posts where in the normal course of duty, employees have access to persons requiring care.
Under the Exceptions Order (1975), applicants are therefore obliged to disclose information about any convictions which for other purposes would be regarded as “spent”. Failure to disclose such convictions could result in dismissal or disciplinary action by the employing organization. Any information given will be confidential and will be considered only in relation to any posts to which the conviction applies.
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Signature Signature
*Please ensure that your signature can be verified against your identity documents.
Criminal Record Checks An enhanced DBS/PVG/Access NI check must be carried out for all relevant temporary workers.
To be employed on a locum contract, many contracts require that you have a disclosure in the name of the agency through which you are applying. Holding a previous disclosure rather than one from your current agency or employer may render you ineligible for the position you are applying for.
Parkingpersonnel is committed to finding you the best positions as quickly as possible. Unlike most other agencies, Parkingpersonnel operates its own Online DBS service to process fast online DBS disclosures so that our candidates can be in-post sooner. PVG/Access NI are applied for via paper application.
Please liaise with your consultant regarding payment. This will be refunded to you when you start working for us.
Once you return your application form, we will provide details of how to apply for the relevant criminal record check. You will be expected to take your Applicant Copy of your relevant disclosure to any interview arranged by us.
When a DBS is processed we encourage you to register with the update service to save completing a new application every year and ensure you are always covered, details of how to do this will be provided to you and we will send you annual reminders whilst you are employed with us.
Disqualification from Caring for Children Regulations 2002 Working Time Regulations The Working Time Regulations 1998 state that you are unable to work in excess of an average of 48 hours per week (calculated over a 17-week period) unless agreed with Parkingpersonnel that this limit should not apply.
Parkingpersonnel wishes to have an agreement with you, which will apply until terminated by notice:
i. The average 48-hour work limit will not apply to you
ii. This agreement may be terminated by yourself by giving Parkingpersonnel 4 weeks written notice
This section of the application form will then be the record of this agreement between you and Parkingpersonnel Limited.
Signature
*Please ensure that your signature can be verified against your identity documents.
Declaration The information in this entire form (and all additional sheets used) is true and complete. I understand that any deliberate omission, falsification or misrepresentation in the application form will be grounds for rejecting this application or subsequent dismissal if employed by the organisation.
If, whilst working with Parkingpersonnel, any information provided as part of my application changes, I agree that I will notify Parkingpersonnel immediately in writing.
I acknowledge that my personal details will be stored and processed by Parkingpersonnel in their capacity as an employment business/ employment agency.
Processing will include some or all the following:
Parkingpersonnel contacting me regarding new opportunities
Parkingpersonnel contacting my previous employers, education establishments and given referees on my behalf
Parkingpersonnel applying for and/or verifying immunisation records on my behalf
Further details on what personal data we collect and how we process it is available in the Parkingpersonnel privacy policy at www.parkingpersonnel.com/privacy-policy.
I confirm that I will ensure that all time limited documents are renewed prior to expiry.
I confirm that I am not currently disqualified from working with children or vulnerable adults, or subject to any sanctions imposed by a regulatory or professional body.
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Parking Personnel Terms & Conditions
Signature
*Please ensure that your signature can be verified against your identity documents.