Construction Application Form

Graft Construction Application Form

Personal Information

Step 1 of 10

10%

Personal Information

Your Name(Required)

Title First Name Middle Names Surname

Your phone number(Required)

Best time to call you

When is the best time for us to reach you via telephone?

Your Email Address(Required)

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Next of kin/Emergency contact phone number:(Required)

Next of kin/Emergency contact name:(Required)

Qualifications

Desired Job Title(Required)

Qualifications(CSCS/CPCS/NPORS):(Required)

CSCS/CPCS/NPORS Reg No:(Required)

CSCS/CPCS/NPORS Expiry Date:(Required)

Transport

Do you hold a valid Driving Licence?(Required)

Yes

Do you have the use of a car?(Required)

Yes

Additional details

Driving Licence Number

Are you willing to work away from home staying in accommodation?

Payroll Option

How Do You Wish To Be Paid?(Required)

UTR Number(Required)

(If CIS):

National Insurance Number(Required)

Bank Details

Account in the name of:(Required)

Sort Code:(Required)

Account Number:(Required)

Bank/Building Society name:(Required)

Consent(Required)

I authorise Graft Group to pay me weekly into the above bank/building society

Are you a British Citizen/EU National?(Required)

Yes

If no, please give details:

Are there any work permit provisions on your Passport to prohibit you working in the Uk?(Required)

Yes

Are you subject to any work permit provisions?(Required)

Yes

Health

Are you aware of any physical or mental medical condition or disability which will, or may affect your working capacity?(Required)

Are you currently taking any prescription medication?(Required)

Yes

If yes, please provide details:

Previous Employers

Previous Employer details:(Required)

Please list your previous employers, the dates you worked and the position you held

Company Name

Job Title

Employment Start & Finish

Reference Name:

Reference Contact Number:

PPE Details

Steel toe cap boots with metatarsal protection:

Long sleeve Hi-Vis top:

Long sleeve Hi-Vis top colour:

Yellow

Orange

Hi-Vis trousers:

Hi-Vis trousers colour:

Yellow

Orange

Hard hat:

Safety glasses/goggles:

Gloves:

Working Time Directive

The Working time Regulation 1998 (as amended) require The Company to limit your average weekly working time to 48 hours unless you agree with The Company that this shall not apply to you. To signify whether you wish to apply, opt in to the appropriate box below. Should you elect to ‘opt out’ and work over and above the average weekly working time limit of 48 hours, you are entitled to reinstate the working time limit upon giving The Company three months written notice.

I wish to 'opt out' and have the choice to work MORE than the 48 hour working time limit:

Opt In

I wish to 'opt in' and only work LESS than the 48 hour working time limit:

Opt In

Completion

Rehabilitation of Offenders Act 1974: By virtue, the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 the provisions of Section 4.2 of the Rehabilitation of Offenders Act 1974 do not apply to any employment which is concerned with the provision of health services and which is of such a kind as to enable the holder to have access to persons in respect of such services in the course of his normal duties. Your answer to the following questions should include ‘spent’ convictions.

Have you ever been convicted of a criminal offence?(Required)

Yes

If yes, please give details:

Declaration

Declaration(Required)

I declare that I have answered the above questions honestly. I realise that any false or incomplete statement on my part will render me liable to disciplinary action or dismissal.

I Declare.

In submitting this form, I agree to my details being used for the purposes of registration with The Company and for recruitment and work placements. The information will only be accessed by the necessary The Company’s staff. I understand my data will be held securely and I give my consent for it to be shared with appropriate affiliated parties. I have the right to change or access this information. I understand that when this information is no longer required for this purpose, official Company procedure will follow to dispose of my data.

Signature

Your Name
Your Name
Your Name

We are committed to being a trusted partner for the rail and civil industries

Get in touch to learn more about how we can help you.

Get in Touch

Please don’t hesitate to get in touch if
you would like to know more.

Address
148 High Street, Merthyr Tydfil
South Wales, CF47 8DP

Contact Number
01685 816755

Our Email
enquiries@graftrail.com

Graft Construction Application Form

Personal Information

Qualifications

Transport

Payroll Option

Bank Details

Health

Previous Employers

PPE Details

Working Time Directive

Completion

Declaration

We are committed to being a trusted partner for the rail and civil industries

Get in Touch

Let's talk about how we can help you