Workplace E-Registration(2) 1 Newham Resident2 Your Details3 Employment4 Workplace Declaration Newham Resident Are you a Newham resident?*YesNoUnfortunately, Workplace is only available to residents of the London Borough of Newham. Please contact your local council and inquire about their job brokerage services or speak to Job Centre Plus on 0845 606 0234.How long have you lived in Newham (months)?*0-66-1212+ Personal DetailsTitle*Select...MrMrsMissMsDrOtherFirst Name*Last Name*Date of Birth* Date Format: DD slash MM slash YYYY National Insurance Number*Marital Status*SingleMarriedCivil PartneredDivorcedWidowedPlease make sure that you enter a correct email address, as we will use it to send you information about your Registration. Please enter an email address and phone number.Email Address* Enter Email Confirm Email Password* Enter Password Confirm Password Strength indicator You can create strong passwords using this password generatorPhone Number*Your Newham AddressPlease enter the Newham property's full postcode and door number.Address* Door Number Full Postcode Candidate Assessment FormHave you previously registered for Workplace?YesNoAre you currently employed?* Yes No Never Worked When was your last working day?* Date Format: DD slash MM slash YYYY When did you last attend education?* Date Format: DD slash MM slash YYYY Are you available to start work with immediate effect?* Yes No Are you able to use a computer?* Yes No Do you require any specific training?* Yes No Please Specify*Are you in education?*Full TimePart TimeNoWhat is your highest level of qualification?*Do you have a disability or health condition?* Yes No Please Specify*Are you in need of financial support?Do you require any of the below? Select those that apply:NoLoanBudgeting AdviceFinancial/Debt AdviceEmergency Financial SupportMoney Management AdviceArrears/Council TaxOther...Please Specify*Are you claiming any benefits?Please select if anyNoJob Seekers AllowanceHousing BenefitEmployment Support AllowanceUniversal CreditChild Benefit/Child Tax CreditPersonal Independent Allowance (PIP)Income SupportTax CreditCarers AllowanceDo you require any support/advice on this? Yes No Do you require Housing Support/advice?Please select if anyNoBenefitsRent ArrearsHomelessnessOther...Please Specify*Are you facing any legal issues?* Yes No Please Specify*In which industries would you be interested in finding work?* Administration/Office Apprenticeship Caretakers & Janitors Cleaner General Cleaning Construction Creative/Digital Customer Services Health and Safety Officer Health/Social Care Hospitality/Catering Retail Retail Food Security Transport Warehouse/Driving/Distribution How did you hear about us?*Newham Council WebsiteWorkplace WebsiteWork ColleagueNewspaperJCP AdvisorWalked InNewham MagReferralFamily / Friend / NeighbourProof of ID*Accepted file types: jpeg, png, jpg, pdf.Please upload your Proof of ID here. This can be a current photo driving licence or a passport from the United KingdomProof of Address*Accepted file types: doc, odt, pdf, jpg, jpeg, png.Please upload your Proof of Address here. This can be one of the following : Current EU/EEA photo driving licence. Benefits entitlement letter. HMRC Tax Notification. Local authority tax bill for the current year. Utility bill (such as gas or landline phone bill) dated within the last six months. Bank, building society or UK credit union statement. UK, EU/EEA mortgage statement. Current UK provisional driver’s licence. UK credit card statement. Tenancy agreement issued by a solicitor, housing association, local council or reputable letting agency.Proof of National Insurance Number*Accepted file types: doc, odt, pdf, jpeg, jpg, png.Please upload your Proof of National Insurance Number here Data Protection Enrolment Declaration* All the information I have provided or shall provide is or will be accurate to the best of my knowledge. I understand that information about me may be kept and used as described above in order to deliver the service Workplace provides to me. Newham Workplace is funded by the London Borough of Newham and works with local residents to support them in finding and sustaining employment suited to their needs. This form represents a contract between you and Workplace, the London Borough of Newham’s job brokerage. By signing this form you agree to provide personal data so that Workplace can provide services and benefits to you as described on this form. What Workplace will do with your personal data This may include: • Your Personal Advisor will use your personal data to: o Keep in contact with you o Provide job search, CV support, interview preparation and other support o Inform you of vacancies via email or telephone call available through Workplace o Inform you of suitable training and other support which may be available • Workplace may pass your personal data to a Training provider where you have been placed on a training course through Workplace • Workplace may pass your personal data to an Employer where you have been put forward for a vacancy through Workplace • Workplace may, in discussion with you, refer you to third party organisations where we feel you may benefit from their services and we may pass your details to them when we do this • Workplace will include your data to produce, reports, statistics and external funding submissions relating to Workplace activities • Workplace may occasionally (maximum of once per year) pass your personal data to a third party organisation commissioned to evaluate the Workplace service. This organisation may then contact you to seek your opinion of the quality and value of the service. The evaluation report will be in either an anonymised report or a report containing some identifying characteristics. • Workplace will keep your data for ten years to comply with contractual obligations with our external funders. Provision of Employment Evidence As a participant in the Workplace Programme you will be required to provide evidence when you find employment and may be asked to provide evidence of continued employment at 13, 26 and 52 weeks. This may be in the form of a payslip or written evidence from your employer. Alternatively, if you are unable to provide the evidence, you are agreeing for Workplace to contact your employer to obtain the evidence which may include providing them with personal information such as Name, NI number and/or Date of Birth.Information and Invitations I give permission for Workplace to email me general information or invitations I do not give permission for Workplace to email me general information or invitations Signature*EmailThis field is for validation purposes and should be left unchanged.