Welcome
Personal Details
Bank Details
Emergency Contact Details
Employment Details
Employee Statement
Student Loans
Confidential Medical Questions
Uniform Requirements
Working Time Directive
Photo and Declaration
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This form will ask you a series of questions relating to your employment, you will need bank details, national insurance numbers and other personal details to hand to complete the form.
Please note once you have started the form you will not be able to save your progress so any changes may be lost if you close or refresh your browser.
Once you have finished press submit, if the form is successful you will be presented with a thank you message, if you have made an error you will be returned to the start and you can progress back through the form to correct any mistakes.
You can track your progress on the progress bar below, the form should only take 15 minutes to complete. If you are unsure of any answers please use your best guess and contact us on the details contained in your correspondence to discuss.
Firstly please tell us the site you are employed at:
—Please choose an option—Waterside Hotel and Leisure ClubBigBox HuddersfieldBrooklands Health Club
You will be employed directly with the company you are employed at.
Please note fields marked with an * are required.
Title:*—Please choose an option—MrMrsMissMs
First Name(s) - include any middle names:*
Surname:*
Known As:
Address:*
Town/County:*
City:*
Postcode:*
Telephone Number (home):
Mobile Number:*
Date of Birth:*
Personal Email:*
Gender:*—Please choose an option—MaleFemaleNon-BinaryPrefer not to say
National Insurance Number:*
Vehicle Registration Number:
Marital Status:* —Please choose an option—MarriedDivorcedSingleWidowedSeparatedCivil Partnership
Nationality:
Ethnicity:
Please provide the details of the bank where you would like your monthly salary to be paid into. Please note all fields are required.
Account Name:*
Account Number:*
Sort Code:*
Bank Name:*
Address of Branch:*
Please provide details of who we should contact in an emergency. Please note all fields are required.
Name:*
Relationship to you:*—Please choose an option—AuntBrotherDaughterFatherFriendMotherPartnerSisterSonSpouceUncle
Daytime Contact Number:*
Evening Contact Number:*
Please provide your employment details as detailed on your offer letter received in the post or in email. All fields are required.
Position:*
Department:*—Please choose an option—Food and BeverageLeisure ClubHousekeepingFront of HouseFacilities CleaningDirectorsMembership SalesSales and EventsAccountsFacilities MaintenanceReservations
Start Date:*
Salary / Hourly Rate:*
Per:*—Please choose an option—AnnumHour
Contracted Weekly Hours:*
Please read the following statements then select the one that applies to you.
Do not choose this statement if you are in receipt of a State, Works or Private Pension.
Choose this statement if the following applies.
This is my first job since 6 April and I have not been receiving payments from any of the following:
• Jobseeker’s Allowance • Employment and Support Allowance • Incapacity Benefit
Do not choose this statement if you are in receipt of a State, Works or Private Pension
Since 6 April I have had another job but do not have a P45. And /or since the 6 April I have received payments from any of the following:
Choose this statement if:
• you have another job and/or • you’re in receipt of a State, Works or Private Pension
What statement applies to you?:*Statement AStatement BStatement C
Tell us if any of the following statements apply to you:
you do not have any Student or Postgraduate Loans
you’re still studying full-time on a course that your Student Loan relates to
you completed or left your full-time course after the start of the current tax year, which started on 6 April
you’re already making regular direct debit repayments from your bank, as agreed with the Student Loans Company
Do any of the above statements apply to you?*
Yes (skip question two and move to the next page)No (answer question two)
To avoid repaying more that you need to, tick the correct Student Loans that you have – use the guidance below to help you.
Please tick all that apply
Plan 1Plan 2Plan 4Postgraduate Loan (England and Wales Only)
Types of Student Loan
You have Plan 1 if any of the following apply: you lived in Northern Ireland when you started your course you lived in England or Wales and started your course before 1 September 2012
You have Plan 2 if: You lived in England or Wales and started your course on or after 1 September 2012
You have Plan 4 if: You lived in Scotland and applied through the Students Award Agency Scotland (SAAS) when you started your course
You have a Postgraduate Loan if any of the following apply: you lived in England and started your Postgraduate Master’s course on or after 1 August 2016 you lived in Wales and started you Postgraduate Master’s course on or after 1 August 2017 you lived in England or Wales and started your Postgraduate Doctoral course on or after 1 August 2018
Please complete the medical questionnaire. The information is required with your interests in mind. As a result of the information you may be referred to a doctor appointed by the company so that a medical examination may be carried out.
Have you ever?
Had an operation?:* —Please choose an option—YesNo
Been seriously ill?:* —Please choose an option—YesNo
Received in-patient treatment for a physical or mental condition?:* —Please choose an option—YesNo
Been refused or dismissed from employment because of ill health?:* —Please choose an option—YesNo
Received a disability pension?:* —Please choose an option—YesNo
Been made ill by work?:* —Please choose an option—YesNo
Been refused a driver's license because of ill health?:*—Please choose an option—YesNo
If you have answered yes to any of the above, please give details:
Do you have or ever suffered from:
Diabetes: —Please choose an option—YesNo
Chest Trouble: —Please choose an option—YesNo
High Blood Pressure: —Please choose an option—YesNo
Fainting / Dizziness: —Please choose an option—YesNo
Asthma: —Please choose an option—YesNo
Hey Fever: —Please choose an option—YesNo
Cough (frequent): —Please choose an option—YesNo
Jaundice: —Please choose an option—YesNo
Rheumatic Fever: —Please choose an option—YesNo
Swelling of Legs / Ankles: —Please choose an option—YesNo
Arthritis: —Please choose an option—YesNo
Period or Prostate Problems: —Please choose an option—YesNo
Epilepsy / Fits: —Please choose an option—YesNo
Varicose Veins: —Please choose an option—YesNo
Shortness of Breath: —Please choose an option—YesNo
Back Trouble: —Please choose an option—YesNo
Skin Rashes / Eczema: —Please choose an option—YesNo
Ear Trouble: —Please choose an option—YesNo
Anemia: —Please choose an option—YesNo
Eye Trouble: —Please choose an option—YesNo
Headaches (frequent): —Please choose an option—YesNo
Nerve Trouble: —Please choose an option—YesNo
Hearing Trouble: —Please choose an option—YesNo
Rupture: —Please choose an option—YesNo
Final Questions:
Do you need to take medicine regularly?:*—Please choose an option—YesNo
Do you need glasses to read?:*—Please choose an option—YesNo
Have you ever worked in a dusty trade?:*—Please choose an option—YesNo
Have you ever had a head injury?:*—Please choose an option—YesNo
Do you suffer from any other ailments:*—Please choose an option—YesNo
Doctors Name:*
Surgery name and address:*
Telephone Number:*
Please detail all sizes, your uniform will be issued according to your department and job title and site.
Collar Size (male) or Blouse Size (female):
*
T-Shirt Size (male use S/M/L/XL etc) (female use sizes 6/8/12 etc)
Trouser Waist (male) or Skirt / Trouser Size (female):
Inside Leg Length (male):
Waistcoat and Jacket Size (in inches for male and size for female):
This agreement is between the company you will be employed at and the employee below and is effective from the start date.
I understand the working regulations, with regard to Daily Rest Periods and have chosen to continue ‘Industry normal working patterns. I fully understand that this goes against the directives as our shift patterns mean less than 11 hours rest before the next working day. I wish to continue the late/early pattern of work, for example, a late finishing at 11pm and an early shift starting at 6am the next day.
I understand the working time regulations, with regard to Working Time Limits and have chosen to maintain the right to work over 48hrs as and when necessary. I understand that at times the business may dictate the need to work over my normal hours and I wish to keep the option to do overtime.
I understand that I can bring this agreement to an end at any time, and three months’ notice of this must be given in writing.
By ticking the below box, I have read and understood the contents of this declaration and I agree to the terms.
Employee Name:
We require a scan or photo of your passport plus details from this, an example is below:
Upload your passport here*:
*file limit is 1mb - accepted file formats are png or jpg.
Passport Number:*
We require a headshot picture, this is best taken on a smart phone and must match the example given below.
Upload your photo here*:
I agree all the information is true and accurate to the best of my knowledge.
Example head shot image:
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