Council Employee Registration
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IMPORTANT NOTE:
Thank you for completing the Council Employee registration form to support the needs of the service in this unprecedented time. Please read the following notes before completing the form. If you require assistance with this form, please contact 01274 437 373

Read ALL enclosed information, particularly COVID 19 advice & DBS guidance

Title
First Name*
Surname(s)*
Home phone number
Mobile number
Email address*
Are you currently working*
Preferred hours of work



I'm willing to work in the following critical areas*
Department in which you are currently employed
Job Title
Do You Hold a Current DBS


Do you own your own vehicle
Are you able to claim for mileage whilst at work
Relevant experience in











Any other skills that would be helpful (e.g. language skills)
Any Other Comments