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Agency Colleague Information Form

"*" indicates required fields

Please complete as much information as possible and submit, if you have any issues please contact the Agency team at Agency@topsandaspire.co.uk. Please also complete the other returnable documents that have been requested.

Personal Details

Setting*

Title*

First Name*

Last Name*

Preferred Name

Date of Birth*

DD slash MM slash YYYY

Legal Gender*

Gender Identity*

Pronouns*

If you are set up with a company email address, would you like us to add your pronouns to your email signature?

Marital Status*

Address*

Postcode*

Personal email address

Mobile Number*

Home Number

National Insurance Number

Email*

Hadland Group Employee Trust - The Hadland Group Employee Trust was established in order for colleagues to support each other in financial hardship, life-changing circumstances, times of need, support a charity or trust close to a colleagues heart, compassionate payment, bereavement/funeral costs, life threatening health issue, equipment for disabled child/partner, outing or trip for a family suffering, emergency costs such as housing, car, injury, additional training costs, or a break/distraction from work or food parcel are some examples of how the trust funds can be allocated. All colleagues are given the opportunity to support the employee trust fund by agreeing to donate £1 each month from their wages, to help fellow colleagues who at times may be less fortunate than themselves. Unfortunately apprentices or colleagues on the national minimum wage are unable to have deductions from earnings made due to the legal implications of then falling under the NMW requirements. Please tick the box below to contribute to the trust.

I agree to have £1 deducted each month from my wages starting from my first months pay to be re-directed into the Hadland Group Employee Trust, until further notice at which point I will give 1 months’ notice to peopleteam@topsandaspire.co.uk or in the event my employment dis-continues with Hadland Care Group.

Next of Kin Information

Next of Kin 1 name

Relationship to you

Phone number

Next of Kin 2 name

Relationship to you

Phone number

Nationality*

Ethnic Origin*

Religion*

Cultural Preferences

First Language

Details of Dependents (name and D.O.B)

Do you have any dietary requirements?

Do you have a disability? If yes, what is your disability reg no?

Additional Learning Needs

Additional Social Needs

Promotional Material

At Tops and Aspire we use a variety of interactive mediums to communicate and publicise the services we provide. We like to use photographs on our websites as well as in newsletters, brochures and other mediums such as sending photos to the media for news stories. We respect everyone’s choice for privacy and would only share photos of you if permission is granted. Please select the boxes below to let us know that you are happy for us to include photos of yourself for corporate publicity and promotional purposes:

Promotional Material

Published content (Tops website, newsletters, brochures, leaflets, posters)

Social Networking (Facebook, Twitter, GooglePlus, LinkedIn)

Press Releases (Newspaper, Magazine, Television, online news, community websites)

Promotional Material (Letters, e-shots, event flyers, event posters, advertising)

Photos and observations of you may be included in the portfolios of trainee and developing staff on the understanding real names will not be used

Please upload a photo for your staff profile

Max. file size: 256 MB.

Do you provide consent for us to use your uploaded photo for our welcome post on our closed, private colleague Facebook group?

Celebrations (The company sends Birthday and Christmas cards to all colleagues, please tick the box if you wish to opt out from receiving a card)

Christmas cards

Birthday cards

Bank Details

Please ensure these are filled out fully and correctly as this is the information that will be used to pay you

Bank Company Name*

Account Name*

As this appears on your card - initials for first and middle names followed by surname i.e. Mrs. JA Smith (single account) or Mr. PI Smith and Mrs. JA Smith (joint account)

Account Number*

Sort Code*

Personal Data + Data Protection

Please note - It is a requirement from Local boroughs/Authority, Ofsted and CQC that we share information about you in regards to your employment such as references, DBS, qualifications, continuous training and supervisions, or any matter in regards to your performance or conduct. Please click here to view our Data Protection policy

https://www.topsandaspirecareers.co.uk/data-protection-fair-processing-notice-employment/

Name

Signed

Date

DD slash MM slash YYYY

Phone

This field is for validation purposes and should be left unchanged.

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Please complete as much information as possible and submit, if you have any issues please contact the Agency team at Agency@topsandaspire.co.uk. Please also complete the other returnable documents that have been requested.

Personal Details

Next of Kin Information

Promotional Material

Bank Details

Personal Data + Data Protection

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