Form Test

Ref No:

Job Title *

Department *

Service *

Normal Work Location *

Temp / Perm (duration if temp) *

Cost Centre *

Location Code *

CHRIS Position No:

Grade: *

Contracted Allowance *

Hours of Work *

Work Pattern *

Interview Panel Recommendation (Chair of Panel to complete)

Name of Successful Candidate *

Address *

Postcode *

Reports To *

Commencement Date *

Recommended Salary Placing *

Spinal Point *

Name of Chair *

Designation of Chair *

To Be Completed by HR Representative

PVG/Disclosure Required? Tick applicable *

Disclosure
PVG Application
PVG Scheme Record

Details of documentation provided to prove applicant authorised to work in the UK

NI Number

Date of Birth

PVG type *

Protected Adults
Children
Both Groups

Qualifications where appropriate

Registration Details where appropriate

Detail if Driver, HAV or Night Workers questionnaire is required

Name of HR Rep

Designation of HR Rep *