Registration Form

Langley seek to offer equal opportunities in recruitment and career development to all work-seekers, and registers vacancies and interview applicants solely on the basis of skills and qualifications.

Personal Information

Full Name *
E-Mail *
Current Salary / Rate*	per year / month / week / day / hour
Where did you hear about us*

Benefits

Car
Bonus
Pension
Other
Notice Period

Desired Role *
Type of Employment	Permanent
	Temporary / Contract
Upload resume *

Preferred Locations

Willing to relocate	Yes No
Do you have permission to work in the UK	Yes No
Passport Number

Criminal Convictions

Do you have any unspent criminal convictions	Yes No
Note – certain types of employment and certain professions are exempt from the Rehabilitation of Offenders Act 1974 and in those cases, particularly where the employment is sought in relation to positions involving working with children or vulnerable adults, details of all criminal convictions must be given.

If yes please list your criminal convictions and their dates below:



This information given will be treated in confidence and only taken into account where, in reasonable opinion of Langley Search & Selection and in light of current legislation, the offence is relevant to the post for which you are applying. Failure to declare a conviction may require us to exclude you from our register, or terminate an assignment if the offence is not declared but later comes to light.

Your expectations of us

At Langley Search & Selection we strive to provide excellent customer service at all times to candidates and clients; what do you look for in a recruitment company?

Referrals…..

Do you have any friends or colleagues who we can also assist?

Name	Job Title	Contact Details

Disclaimer

I accept that Langley Search & Selection may contact any third party I divulge to obtain reference information or details on my previous work history. I also grant permission to Langley Search & Selection to contact any company in the UK on my behalf in order to proactively find me a new position . If during the course of a Temporary Assignment or within 6 months after the end of a Temporary Assignment the Client wishes to employ me directly, I acknowledge that Langley Search & Selection will be entitled to charge the Client an introduction fee or to agree an extension of the hiring period with the Client. It is my responsibility to inform Langley Search & Selection of any changes in circumstances that could legally effect my ability to perform any assignments or attend any interviews. With my permission, Langley may submit CV, package and other equal opportunities information to clients.

EQUAL OPPORTUNITIES

Langley Search & Selection are committed to Equal Opportunities and as such wishes to ensure that all candidates are treated fairly and without discrimination whatever their race, colour, ethnic background, marital status, age or disability.

To help us monitor this we would appreciate if you would complete this questionnaire.

For each of the following please indicate your answer by placing a tick in the appropriate box:
My Gender is	Male Female
My Marital status is	Single Married Widowed Other
Others
My Ethnic origin is	Black (Including UK born and settled) Afro Caribbean African Others
Black others

	Asia (Including UK born and settled) Indian Pakistani Bangladeshi Chinese Others
Asian others

	White (Including UK born and settled) Irish Others
White others
Ethnic others
Do you consider yourself to have a disability	Yes No
Are you registered as a person with a disability	Yes No
Date

Thank you for registering with Langley Search & Selection

* marked fields are mandatory