Flexible working

Personal Details

So we can get in touch with any suitable roles as and when they become available.

Title

First name

Last name

Address

Postcode

Home telephone

Mobile telephone

Email address

Date of birth

Nationality

Who to contact in case of emergencies

Emergency contact telephone

Transportation

Valid driving licence held?

I have my own transport

Skills

Please tick the boxes for all relevant skills that you have.

Equipment / Uniform

Please tick the boxes indicating items of equipment / uniform you can provide.

Location

Please select your preferred area

Health & Safety

Environmental

What mode of transport do you use when travelling to and from work?

Car

Bicycle

Motorbike/Scooter

Public Transport

Tax declaration

You need to select only one of the following statements A, B or C

A – This is my first job since 6 April and I have not been receiving taxableJobseeker’s Allowance, Employment and Support Allowance, taxable IncapacityBenefit, State or Occupational Pension

B – This is now my only job but since last 6 April I have had another job, or received taxable Jobseeker’s Allowance, Employment and Support Allowance or taxableIncapacity Benefit. I do not receive a State or Occupational Pension

C – As well as my new job, I have another job or receive a State or Occupational Pension

Student Loan

Do you have a student loan to repay?

Yes

No

Employment details

Please detail your current and previous employment details.

Current Employer

Permission references

Company

Address

Email

Tel

Date from

Date to

Job Title

Name of Supervisor

Reason for leaving

Salary/Pay Rate

Recent Temporary Assignments

Temporary Assignment #1

Agency

Client

Contact Name

Job Type

Hourly Rate

Personal References

Please provide a personal reference

Personal Reference #1

Name

Address

Email

Tel

Employment Terms

Please agree to the employment terms

Show Terms

Flexi-Workers are engaged under a Contract for services, the terms of which are set out below and which apply to each and every assignment.
CSI agrees to offer to the Flexi-Worker opportunities to work where there is a suitable assignment with a Hirer (hereinafter called the ‘Client’) requiring such a worker.
CSI shall pay the Flexi-Worker remuneration calculated at an agreed hourly rate (to vary according to assignment). Remuneration shall be paid one week in arrears, provided fully completed, signed Timesheets have been submitted by the stated deadline. Payment shall meet or exceed National Minimum Wage.
At the end of each week the Flexi-Worker shall deliver to CSI his/her accurately completed original time sheet/s for each assignment, duly completed to indicate the number of hours worked. All time sheets must be signed by an authorised representative of the Client. Failure to comply with the above may result in delayed payment.
CSI shall be responsible for making all statutory deductions relating to Earnings Related Insurance and to Income Tax under Schedule E, in accordance with the Finance Act ( No.2 ) 1975 and transmitting these to the Inland Revenue.
Flexi-Workers are remunerated via direct transfer to a corresponding named account. CSI shall be at liberty to charge a nominal £3.00 charge per payment for any remuneration made by any other method. The charge amount stated is non-refundable.
Statutory Leave:
1. For the purpose of calculating Statutory entitlement to leave under this Clause, the leave year commences 1st April and ends 31st March.
2. Under the Working Time Regulations 1998, the Flexi-Worker is entitled to Statutory paid leave per leave year. Holiday entitlement is 28 days per annum (inclusive of bank holidays) on a pro rata basis. All entitlement to leave must be taken during the course of the leave year in which it accrues and none may be carried forward to the next year.
3. The right to paid leave only accrues once the Flexi-Worker has been engaged on Assignment through CSI Entitlement to leave accrues in proportion to the amount of time worked by the Flexi-Worker on Assignment during the leave year. The amount of the payment to which the Flexi-Worker is entitled in respect of such leave is calculated in accordance with and paid in proportion to the number of hours which the Flexi-Worker has worked on Assignment during the twelve weeks prior to their taking paid annual leave. Payments for annual leave will be calculated on the basis of standard rates paid during the Flexi-Workers normal working hours (I.e. those which do not attract enhanced rates of pay).
4. Where the Flexi-Worker wishes to take any leave to which he/she is entitled, he/she should notify his/her local CSI branch in writing of the dates of his/her intended absence. The amount of notice required by the Flexi-Worker should be at least twice the length (minimum five working days) of the period of leave that he/she wishes to take. Unless CSI informs the Flexi-Worker in writing that it is not possible for him/her to take leave on the specified dates, the Flexi-Worker shall be entitled to take up his/her notified leave entitlement.
5. In the course of any Assignment during the first leave year and thereafter at Company discretion the Flexi-Worker is entitled to request leave at the rate of one twelfth of the total holiday entitlement in each month of the leave year.
6. Where this contract is terminated by either party and a P45 is specifically requested by the Flexi-Worker within the leave year of the final Assignment the Flexi-Worker shall be entitled to a payment in lieu of any untaken leave whereupon the amount of leave taken is less than the amount accrued in accordance with Clause 7c. Similarly any overpayment of leave entitlement made to the Flexi-Worker may be deducted from any payment due to you at any time including upon termination of this Agreement.
You hereby consent to the collecting and processing of personal data from and about you (third parties) which may include sensitive personal data for the purpose of carrying out our business of supplying our clients with a view to source suitable assignments on your behalf.
The Flexi-Worker is under no obligation to accept an offer of an assignment, but if he/she does so, he/she shall comply with the following conditions:
1. Not to engage in any conduct detrimental to the interests of CSI or the Client.
2. To be present during the times, or for the total number of hours during each day and/or week as may be agreed.
3. To take all reasonable steps to safeguard his/her own safety and the safety of any other person who may be affected by his/her actions at work.
4. To comply with any disciplinary rules or obligations in force at the premises where services are performed to the extent that they are reasonably applicable.
5. To read the CSI staff handbook and to comply with all reasonable instructions and requests within the scope of the agreed services made by either CSI or the Client.
6. Not to discuss company procedure with any Client or Employees.
7. Not to discuss salaries with the Client, his/her employees or fellow CSI staff.
8. Not to discuss the Client’s business with other Clients.
9. To immediately notify CSI should there be an offer of, or interest in, a permanent position of employment with a Client.
CSI may instruct the Flexi-Worker to end an assignment with a client at any time. The Flexi-Worker may terminate employment at any time by informing the employment business.
CSI will remunerate the Flexi-Worker for all work undertaken whether or not payment is received from the hirer.
Flexi-Workers shall be notified in writing of any minor amendment to this Agreement and such amendment shall apply from the date of notification unless the Flexi-Worker submits written notification to inform us that the amendment is not agreed.

I Agree

DBS

Do you consent to a DBS (data and barring service) check to enable you to work within schools, care homes, hospitals or sectors housing vulnerable people?

I give consent

Working Time Limits (48-Hour Week) Exemption

The Working Time Regulations 1998 state that the Flexi-Worker shall not work in excess of, on average, 48 hours per week over a 17 week period. The Flexi-Worker hereby agrees that the Working Time Limit shall not apply. The Flexi-Worker may end their agreement by giving 3 months notice in writing. On completion of the notice period the Working Week Limit shall apply with immediate effect.

I opt out of the working time limits exemption

Declaration

I declare that all the foregoing statements are true and complete to the best of my knowledge. I know of no medical reason why I should not work in a food environment. Should the situation change whilst I am either engaged on or between assignments on behalf of CSI I will immediately notify the relevant CSI Branch and, if appropriate, the establishment where I am working. Whilst employed as a Flexi-Worker for CSI

I will

(a) not use any machinery unless experienced and able
(b) not work on a dangerous machine (e.g. Meat slicer) unless 18 and supervised or experienced in the use of machinery

I will ensure that at all times I will take every precaution to

(a) avoid injury to either myself or others
(b) prevent damage to any equipment/machinery

I further declare that I have no current criminal convictions (other than those that are spent) under the Rehabilitation of Offenders Act 1974.

I agree

Flexible working

Personal Details

Transportation

Skills

Equipment / Uniform

Location

Health & Safety

Environmental

Tax declaration

Student Loan

Employment details

Current Employer

Previous Employer prefix

Recent Temporary Assignments

Temporary Assignment #1

Temporary Assignment #prefix1

Personal References

Personal Reference #1

Personal Reference #prefix1

Employment Terms

DBS

Working Time Limits (48-Hour Week) Exemption

Declaration

Flexible working

Personal Details

Transportation

Skills

Equipment / Uniform

Location

Health & Safety

Environmental

Tax declaration

Student Loan

Employment details

Current Employer

Previous Employer __prefix__

Recent Temporary Assignments

Temporary Assignment #1

Temporary Assignment #__prefix1__

Personal References

Personal Reference #1

Personal Reference #__prefix1__

Employment Terms

DBS

Working Time Limits (48-Hour Week) Exemption

Declaration

Previous Employer prefix

Temporary Assignment #prefix1

Personal Reference #prefix1