Civils & Construction Application Step 1 of 9 11% Your Personal DetailsPlease provide your personal contact details.Name(Required) First Last Email(Required) Enter Email Confirm Email Phone(Required)Address(Required) Street Address Address Line 2 City Postcode Date of birth(Required)Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Where did you hear about us?(Required)GoogleFacebookInstagramLinkedInYoutubeFriendOtherWhat is their name Please give detailsNationality(Required)BritishAfghanAlbanianAlgerianAmericanAndorranAngolanAnguillanArgentineArmenianAustralianAustrianAzerbaijaniBahamianBahrainiBangladeshiBarbadianBelarusianBelgianBelizeanBenineseBermudianBhutaneseBolivianBotswananBrazilianBritish Virgin IslanderBruneianBulgarianBurkinanBurmeseBurundianCambodianCameroonianCanadianCape VerdeanCayman IslanderCentral AfricanChadianChileanChineseCitizen of Antigua and BarbudaCitizen of Bosnia and HerzegovinaCitizen of Guinea-BissauCitizen of KiribatiCitizen of SeychellesCitizen of the Dominican RepublicCitizen of VanuatuColombianComoranCongolese (Congo)Congolese (DRC)Cook IslanderCosta RicanCroatianCubanCymraesCymroCypriotCzechDanishDjiboutianDominicanDutchEast TimoreseEcuadoreanEgyptianEmiratiEnglishEquatorial GuineanEritreanEstonianEthiopianFaroeseFijianFilipinoFinnishFrenchGaboneseGambianGeorgianGermanGhanaianGibraltarianGreekGreenlandicGrenadianGuamanianGuatemalanGuineanGuyaneseHaitianHonduranHong KongerHungarianIcelandicIndianIndonesianIranianIraqiIrishIsraeliItalianIvorianJamaicanJapaneseJordanianKazakhKenyanKittitianKosovanKuwaitiKyrgyzLaoLatvianLebaneseLiberianLibyanLiechtenstein citizenLithuanianLuxembourgerMacaneseMacedonianMalagasyMalawianMalaysianMaldivianMalianMalteseMarshalleseMartiniquaisMauritanianMauritianMexicanMicronesianMoldovanMonegasqueMongolianMontenegrinMontserratianMoroccanMosothoMozambicanNamibianNauruanNepaleseNew ZealanderNicaraguanNigerianNigerienNiueanNorth KoreanNorthern IrishNorwegianOmaniPakistaniPalauanPalestinianPanamanianPapua New GuineanParaguayanPeruvianPitcairn IslanderPolishPortuguesePrydeinigPuerto RicanQatariRomanianRussianRwandanSalvadoreanSammarineseSamoanSao TomeanSaudi ArabianScottishSenegaleseSerbianSierra LeoneanSingaporeanSlovakSlovenianSolomon IslanderSomaliSouth AfricanSouth KoreanSouth SudaneseSpanishSri LankanSt HelenianSt LucianStatelessSudaneseSurinameseSwaziSwedishSwissSyrianTaiwaneseTajikTanzanianThaiTogoleseTonganTrinidadianTristanianTunisianTurkishTurkmenTurks and Caicos IslanderTuvaluanUgandanUkrainianUruguayanUzbekVatican citizenVenezuelanVietnameseVincentianWallisianWelshYemeniZambianZimbabweanRight To Work SharcodePlease provide your right to work share code from https://www.gov.uk/prove-right-to-work and upload copies of all documentation you hold . Do you hold a current UK passport?(Required) Yes No Please provide copies of your Birth Certificate & Proof of Address at the end of this applicationPlease upload a copy of your passport at the end of this applicationNational Insurance Number(Required) Do you have a valid UK Driving Licence?(Required) Yes No Do you have your own transport?(Required) Yes No Your Emergency ContactName(Required) First Last Phone Number(Required)Relationship to you?(Required) Your CompentenciesAwarding bodies:Please select all the awarding bodies you have qualifications with ALMI CABWI CIWM CPCS CSCS EUSR IOSH Lantra Neebosh NOCN NPORS NRSWA Smart Awards Site Safety Plus SQA ALLMI Number: ALLMI Lorry Loader CABWI: Bituminous materials CIWM: Treatment - Non hazardous waste CPCS Number: CPCS Tickets held: Forward Tipper Dumper Rear Tipping Dumper Tracked 360 Excavator above 10 tonne Tracked 360 Excavator below 10 tonne Wheeled 360 Excavator above 10 tonne Wheeled 360 Excavator below 10 tonne Wheeled 180 Excavator above 10 tonne Wheeled 180 Excavator below 10 tonne Ride on Roller Telescopic Handler Loader Compressor Tarmac Paver Dozer Loading Shovel Lorry Loader - Clamshell Bucket MEWPS Boom MEWPS Scissor Plant Loader Securer Quick Hitch Awareness Road Sweeper Counterbalance Forklift Truck CSCS Number: CSCS Card held: Apprentice Red Card Labourer Green Card Skilled Worker Blue Card Supervisor Gold Card Managers Black Card EUSR Number: EUSR Tickets held: EUSR Card SHEA Core Continuing Competence IOSH Number: IOSH Tickets held: Workforce involvement for health & safety representatives Managing safely LANTRA Number: LANTRA Tickets held: Traffic Management NEEBOSH Number: NEEBOSH Qualifications? Level 3 Construction and Health & Safety NOCN Qualifications held? Safe us of Petrol Driven Cut Off Saw NVQ Level 2 in Construction Operations NVQ Level 2 in Plant operations NVQ Level 3 Occupational work supervision NPORS Number: NPORS Tickets held: Forward Tipping Dumper Rear Tipping Dumper Tracked 360 Excavator above 10 tonne Tracked 360 Excavator below 10 tonne Wheeled 360 Excavator above 10 tonne Wheeled 360 Excavator below 10 tonne Wheeled 180 Excavator above 10 tonne Wheeled 180 Excavator below 10 tonne Ride on Roller Telescopic Handler Material Re-handler Loader compressor Lorry Loader - Clamshell bucket Tarmac Paver Dozer Vibratory Hammer Loading Shovel MEWPS Boom MEWPS Scissor Plant Loader Securer Quick Hitch Awareness Road Planer Road Sweeper Vehicle Marshall Safety Awareness Counterbalance Forklift Truck SMART AWARDS Number: SMART AWARDS Tickets held: SA001 SA001a SA002 SA002a SA006 SITE SAFETY PLUS Number: SITE SAFETY PLUS Tickets held: Health and Safety Awareness SSSTS SMSTS SQA Number: SQA Tickets held: Streetworks Confined Spaces Medium Risk Please provide any other competencies not listed above Our PoliciesPlease download and read the belowHealth & Safety Policy StatementEnvironmental Policy StatementQuality Policy StatementDrugs & Alcohol PolicyFatigue Management PolicyRefusal to Work (Worksafe) PolicyEDI Policy StatementLone Working Policy StatementCSR Policy StatementData Protection PolicyModern Slavery PolicyAnti-bribery PolicyEthics and Conduct PolicyEthics and Conduct PolicyConsent(Required) I confirm i have read and understood all the policies and procedures above(Required)Sign Medical Self CertificationAlertness and reasonable physical fitness are essential for duties which may interact with moving trains. It is, therefore, important to be accurate with your answers to this questionnaire, although trivial matters should be ignored (e.g. transient dizziness while gardening two years ago). When you declare NO, you are accepting a degree of responsibility for your safety . Please study this list and sign the declaration at the bottom: Do you suffer from blood pressure problems (high or low) that are not controlled by medication?(Required) Yes No Do you presently suffer depression, anxiety, panic attacks or other stress related illness requiring medication or other form of treatment?(Required) Yes No Do you suffer from diabetes controlled by insulin or sulphonylureas tablets?(Required) Yes No Do you suffer from epilepsy or fits?(Required) Yes No Have you ever suffered blackouts, unsteadiness, recurrent dizziness or any condition which may cause sudden collapse, impairment of balance or co-ordination or incapacity?(Required) Yes No Are you taking any medication that is giving you dizziness or drowsiness?(Required) Yes No Do you get discomfort or paint in the chest (such as angina) or shortness of breath on exercise (e.g. climbing a single flight of stairs)?(Required) Yes No Do you suffer any health problems that would render difficulty in moving rapidly over short distances on foot, includes on slopes, steps or rough ground?(Required) Yes No Would you have difficulty in looking over either shoulder?(Required) Yes No Do you have difficulty with your eyesight or difficulty correctly identifying colours? (other than wearing glasses or contact lenses where required)?(Required) Yes No Do you wear glasses or contact lenses?(Required) Yes No Do you have difficulty hearing normal conversation?(Required) Yes No Are you taking any medication that is causing you dizziness or drowsiness?(Required) Yes No Have you had any illness related to alcohol during the last 12 months?(Required) Yes No Have you used any drug of abuse (not alcohol or tobacco) within the last 12 months?(Required) Yes No Do you have vibration white finger?(Required) Yes No Have you worked with lead / asbestos?(Required) Yes No Have you had any chest related illness in the last 12 months?(Required) Yes No Have you had any back injuries in the last 12 months?(Required) Yes No Declaration(Required) I declare that the information I have provided above is true and accurate & I will inform my employer of any change to my health which may affect my ability to perform my duties:(Required)Sign(Required)Date DD slash MM slash YYYY Compliance manager Date DD slash MM slash YYYY Eyesight DeclarationALL EMPLOYEES ARE REQUIRED TO RETURN A COMPLETED/SIGNED COPY OF THIS Declaration. • Part of the medical examination involves an eyesight test. If you needed to wear contact lenses or glasses to pass this test then you must always wear them when on or near the track or the lineside. • In addition, people who wear contact lenses must carry a pair of spectacles with them at all times when on site. Audits will be carried out on site to ensure compliance. • If you are in any doubt as to the requirements of this memo/policy please contact Training Lives for clarification. Do You Wear Glasses?(Required) Yes No Do You Need To Wear Glasses To Reach The Required Standard?(Required) Yes No Do You Wear Contact Lenses?(Required) Yes No Do You Carry A Spare Pair Of Glasses At All Times When On Site?(Required) Yes No Sign(Required)Date DD slash MM slash YYYY Compliance manager Date DD slash MM slash YYYY Consent(Required) I acknowledge receipt of this memo regarding medical standards and confirm that I understand and will comply with this policy.(Required) Declarations continuedI confirm that the information disclosed in this registration form is relevant and correct and can be verified by references from previous employers and/or any professional bodies or character reference specified. I also undertake to inform Training Lives of the outcome of all introductions/interviews to companies or agents. I understand that information I have disclosed may be held within a computer database. I hereby give my permission for information I have disclosed to be divulged to companies or agents as deemed necessary by Training Lives in relation to my application for work.Pursuant to the Rehabilitation of Offenders ActDo you have any unspent or pending convictions at this time?(Required) Yes No If you answered yes to the above please provide detail belowConsent(Required) I confirm i will inform Training Lives of any prosecution that may occur whilst they hold my details.(Required)Equal OpportunitiesDo you consider yourself to have a disability within the terms of the Equality Act 2010?(Required) Yes No If yes, please state belowTraining Lives is dedicated to offering equal opportunities for all work seekers and shall adhere to such a policy at all times and will review on an on-going basis on all aspects of recruitment to avoid unlawful or illegal undesirable discrimination. We will treat everyone equally irrespective sex, sexual orientation, gender reassignment, marital or civil partnership status, age, disability, colour, race, nationality, ethnic or national origin, religion or belief, political beliefs or membership or non-membership of a Trade Union and we place an obligation upon all staff to respect and act in accordance with this policy. Training Lives shall not discriminate unlawfully when deciding which candidate is submitted for a vacancy or assignment, or in any terms of engagement for workers. Training Lives will ensure that each candidate is assessed only in accordance with the candidate’s merits, qualifications, ability and experience to perform the relevant duties required by the particular vacancy. Repayment of training costsFrom time to time the company may pay for you to attend training courses. In consideration of this, you agree that if your employment terminates after the Company has incurred liability for the cost OR If you terminate your employment within 6 months of the last day of the training course, you will be liable to repay some or all of the fees, expenses and other costs associated with such training courses. Data ProtectionTraining Lives would like consent to hold personal and special data about you in order that we can process your employment. You are entirely in control of your decision to give consent to my use of your data as requested in this form. There will be no repercussions if you choose to withhold consent. However without some data I may not be able to make a decision on your suitability for employment or comply with the law and therefore I may not be able to make an offer of employment or. We may also need to share your data with third party outside agencies such as clients and various health services. I hereby freely give my employer consent to use and process my personal data relating to my employment (examples of which are listed above). I understand that I can ask to see this data to check its accuracy at any time via a subject access request. I understand that I can ask for a copy of the personal data held about me at any time, and that this request is free of charge I understand that I can request that data that is no longer required to be held can be removed from my file and destroyed.I understand that you are the Data Controller for my employment and I can contact you directly if I have any questions or concerns about my data. I understand that if I am dissatisfied with how you use my data, I can make a complaint to the government body in charge (Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF or online at (www.ICO.org.uk) Signature(Required)Date DD dash MM dash YYYY Working time regulations declaration(Required)Maximum weekly working time: (1) Subject to regulation 5, a worker’s working time, including overtime, in any reference period which is applicable in his case shall not exceed an average of 48 hours for each seven days. (2) An employer shall take all reasonable steps, in keeping with the need to protect the health and safety of workers, to ensure that the limit specified in paragraph (1) is complied with in the case of each worker employed by him in relation to whom it applies. Opt in: Can only work 48 hours a week Opt out: Can work more than 48 hours a week Declaration(Required) I have read and understood the working time regulations.Name(Required) First Last Sign(Required)Date DD dash MM dash YYYY Compliance manager Michael RichardsDate DD dash MM dash YYYY Documents requiredPlease upload the following documents. Driving licence Drop files here or Select files Max. file size: 64 MB. Birth Certificate Drop files here or Select files Max. file size: 64 MB. Proof of address Drop files here or Select files Max. file size: 64 MB. Passport Drop files here or Select files Max. file size: 64 MB. curriculum vitae (C.V) Drop files here or Select files Max. file size: 64 MB. UK Residence Permit Drop files here or Select files Max. file size: 64 MB. VISA Drop files here or Select files Max. file size: 64 MB. CommentsThis field is for validation purposes and should be left unchanged.
