Please fill out the form below with some of your basic information to register with Resilient Recruitment.
All information collected by Resilient Recruitment is for our own internal uses, your personal information will not be used to market to you or sold to third parties.
All fields marked with a * is a required field and must be filled out in order to submit your registration form.
Street Address Line 2
Date of Birth*
This is your first job since last 6th April and you have not been receiving taxable Jobseekers Allowance, Employment and Support Allowance, taxable Incapacity Benefit, State Pension or Occupational Pension.This is now your only job, but since last 6th April you have had another job, or have received taxable Jobseekers Allowance, Employment and Support Allowance or taxable Incapacity Benefit. You do not receive State or Occupational Pension.You have another job or receive a State or Occupational Pension.
Your P45/P60 (If You Have One)
What is your Nationality?*
Are you Eligible to Work in the UK? YesNo
Attach your CV if you have one.
Please Note - all Right to Work documents will be physically checked when you start so it is important that you have the original.
Help Us To Find You The Right Role.
What Shifts Are You Looking For?
Example: 'Days' or '2pm - 10pm' etc...
How Are You Looking To Travel To Your New Assignment?
Example: 'Own Car', 'Train' or 'Bus' etc...
Why Do You Think You Are The Right Candidate For The Role You're Applying For?
When Are You Available To Start?*
Do You Have Any Of The Following?
Have You Paid, Or Will You Have To Pay Someone To Obtain The Work In Question?*
If You Are A Newly Arrived Migrant Have You Had To Pay Someone To Get To The UK?*
How Did You Hear About Resilient Recruitment?*
This is how we will pay you each week.
Key Information Document (For Direct Payments)
Key Information Document (For Payments Via A Payroll Company)
I Have Been Issued With, Have Read & Understood The Key Information Document (For Direct Payments) & The Key Information Document (For Payments Via A Payroll Company)*
Account Holders Name*
Bank Account Declaration:
I confirm that I wish to be paid my weekly wages & any other monies directly to the account details above.
Should the bank account details not be my own account I confirm my authority to pay any remuneration to this account.
I Confirm That The Statement Above Is True (This Is the Digital Equivalent To A Signature)
Let us know if you need any assistance at work.
Do You Have Any Illness/Impairment/Disability (Physical Or Psychological) Which May Affect You Work?*
Have You Ever Had Any Illness/Impairment/Disability Which May Have Been Caused or Made Worse By Your Work?*
Do You Think You May Need Any Adjustments Or Assistance To Help You Do The Job?*
If You Answered Yes To Any Of The Above Questions, Please Provide Details
Declare any unspent convictions
In Accordance With 'The Rehabilitation Of Offenders Act 1974' Please Indicate If You Have Any Unspent Convictions*
Let us know who to contact in the case off an emergency
Emergency Contact Name*
Please read & answer the below questions carefully
Have You Returned From Abroad In The Last 2 Months?*
If You Answered Yes, Please Tell Us Which Country You Have Visited
Do You Have Any of the Following Symptoms?
Fever/High TemperatureCoughDifficulty Breathing
Have You Been In Contact With Anybody With The Above Symptoms Or Anybody Who Has Been Exposed To Any Illnesses?*
Please Give Us Details Of Any Holidays You Have Booked (Including Dates & The Country You Will Be Visiting)
This agreement is made between Resilient Recruitment Limited and the Worker.
AGREEMENT: The Working Time Regulations 1998 provide the the average working week, including overtime, shall not exceed 48 hours. by signing this agreement the Company and the Worker agree the the limit to working hours shall not apply to the Worker. This agreement will remain in force indefinitely or until such time as the Company or the Worker terminate the agreement. Written notification must be given to terminate this agreement.
Working Time Directive Confirmation*
I Confirm AgreementI Do Not Confirm
AGREEMENT: I hereby authorise Resilient Recruitment Limited to deduct any expenses arising from the supply of transport and work wear from any monies owing to me, where Resilient Recruitment Limited have provided such goods and/or services.
Supply of Goods and Services Confirmation*
I Confirm Agreement
AGREEMENT: I hereby certify the the information I have provided in the document is true and to the best of my knowledge. I authorise Resilient Recruitment Limited to use any or all of this information in conjunction with my application for work placements. I confirm I have received and understood a Resilient Recruitment Registration Pack.
Final Declaration Confirmation*