Submit Your Info


Full Name (required)

Date of Birth (required)

Gender (Required)

NI (National Insurance) Number (required)

My ID (required)

Work History / CV


If you have a CV, please attach it here. Alternatively if you do not have a CV, please use the boxes below to provide your work history.

If you've supplied a CV, please ignore these areas. If however you haven't attached a CV above, please ensure to fill all of the boxes in the grey area.

Last Employment


Company Name

Name of Reference

Reference Contact Number

Job Title

Start Date > End Date

Roles & Responsibilities

Reason for Leaving

Employment Before Last


Company Name

Name of Reference

Reference Contact Number

Job Title

Start Date > End Date

Roles & Responsibilities

Reason for Leaving

Further Employment History


Company Name

Name of Reference

Reference Contact Number

Job Title

Start Date > End Date

Roles & Responsibilities

Reason for Leaving

Contact Information


Your Email Address (required)

Mobile Phone Number (required)

Landline Phone Number

House Number & Street Address (required)

Town (required)

Postcode (required)

Preferred Payment Method


 Tick this box to use your own LTD Company for contract assignments Tick this box for Kingsley to arrange one of their umbrella services partners to contact you to discuss payroll options prior to commencing any assignment for Kingsley Consulting. Tick this box if you are unsure of which box to choose above and someone from the Kingsley team will contact you to discuss the above options.

Equal Opportunities


Do you consider yourself to have a disability?

Do you require or would want any reasonable adjustments of any sort?

Question above applies to any stage during the application, recruitment or interview process, throughout your employment or contract, when working through Kingsley Consulting or the end employer?

Criminal Convictions


Do you hold a current CBS check that is no more than 12 months old? (Required)

Do you have any unspent criminal convictions? (Required)

If yes, please specify convictions and dates (Optional)

Permission To Work in the UK


Do you hold a UK or EU passport, or have current immigration permission to work in the UK? (Required)

Next of Kin


Name & Relationship (Required)

Contact Number (Required)

Address (Required)

Medical Questionaire


Circulatory problems such as varicose veins, phlebitis, thrombosis (Required)

Heart problems such as angina, high blood pressure, heart attack (Required)

Chest Problems such as Asthma (Required)

Diabetes (Required)

Epilepsy or fainting attacks (Required)

Skin disorders (Required)

Recent operations or fractures (Required)

Any current medication (Required)

Back trouble, Arthritis, Rheumatism (Required)

Injury to bones, joints, tendons, including wrist tendons (Required)

A claim for industrial injury (Required)

Any other significant health problems (eyes, hearing, skin .etc)(Required)

Are you able to conduct work at heights - Including the usage of ladders (Required)

Are you able to conduct work in confined spaces (Required)

Additional details (Optional)

I Agree


 By ticking this box you agree to Kingsley Consulting holding your details on their database in accordance with GDPR regulations and representing your personal information to their clients