Or

You may be offered an opportunity to work within an environment or establishment where you may come into contact with children or other vulnerable groups, or your profession/occupation may fall within certain excepted categories.  Where this is likely to apply, the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 requires us to ask you for additional information. A Disclosure and Barring Service (DBS) check will be required where this type of work is sought.

 
Signed by 
  on the 

Under regulation 4(1) of the Working Time Regulations 1998 or the Working Time Regulations (Northern Ireland) 1998 the average working time of a worker, including overtime, must not exceed 48 hours a week over a 17 week reference period unless the worker has previously agreed otherwise in writing.

You can sign below to confirm your agreement that this limit on your working hours will not apply, and that your average working time may therefore exceed 48 hours a week.

You may terminate this opt out agreement by giving three months’ written notice at any time.

You may choose whether to sign this opt out agreement and we will not subject you to any detriment if you do not sign it or if you exercise your right to terminate your opt out.

By signing this opt out you agree that the statutory maximum average working time of 48 hours a week shall not apply when working on a temporary basis and that average working time may therefore exceed 48 hours a week.

The company is a recruitment business which provides work-finding services to work-seekers/candidates. In order for us to perform our contract with you, the company must process personal data so that it can provide these services – in doing so, the company acts as a data controller.

We may use the personal information collected for the following purposes:

• To provide you with temporary and permanent recruitment, work finding and related services such as administration, payroll and employment

• In order to fulfil a contract with you

• To comply with legal or regulatory requirements

• To protect the legitimate interests of the company or third parties

We may use your personal information to pass on to clients, employers and payroll providers that we contract with to provide you with work-finding services. This may be by email notifications or other communications such as mail, telephone, SMS on the basis that such use is necessary for the purposes of the legitimate interests pursued by us, or in order for us to perform our contract with you. You may be contacted directly by these companies for the purpose of work-finding services, employment or payroll services.

We do not share personal information with third parties unrelated to the recruitment/work-finding services, employment or payroll services.

Full details of our Privacy Notice are available publicly on our company website.

Declaration

I understand that my details will remain on file to be considered for any current or future positions. I will inform the company if I wish this to change.

I declare that I have answered the questions honestly and fully. I realise that any false or incomplete statements on my part could result in my registration or temporary work being withdrawn. I acknowledge my personal data will be used as outlined above and in accordance with the company’s full Privacy Notice.

I confirm that the information I provided on this form and within my CV, if applicable, is both truthful and accurate. I have omitted no facts that could affect my future work placement. I understand that any engagement entered into is subject to documentary evidence of my right to work in the UK, verification of any professional qualifications and, in the case of temporary assignments, subject to satisfactory references. I understand that the Data contained in this document will be used in accordance with the Agreements and Privacy Notice of the Agency.

I will inform The Agency immediately of any circumstances that may affect my work, such as changes to health, personal details, subsequent pending prosecutions or convictions, which may arise whilst I am registered for permanent or temporary work. I understand that The Agency has the right to request a Disclosure and Barring Service check where they consider it necessary and that any details from this, or any other police checks provided, may be forwarded to a potential employer.

The Agency is committed to supporting all their workers, protecting them from any form of exploitation and operating in accordance with UK legislation.

As part of this commitment we inform all new recruits that it is against UK law to ask workers to pay anything in order to gain work in the UK. As of April 2009 this also extends to paying money to people outside of the UK to gain work in the UK. The Agency does not utilise or associate with companies in or outside the UK who charge workers to help gain employment.

For this reason we would ask workers who have been asked to pay any money to any individual, company or agency to enable them to find work with The Agency, to inform us below or if you prefer you can inform The Agency directly by calling our Workers Support Team on the office number. Please supply full details of any such payments and who you have paid monies to and leave your contact information.

I hereby confirm I have not paid any monies to The Agency or any company associated to The Agency to gain employment in the UK and agree to inform The Agency should I be approached by any person in the future asking for similar requests.