Jobs for Unemployed Jobseekers

Title Please Select Mr Mrs Miss Ms Dr Rev Sir

First Name *

Last Name *

Email *

Phone *

Mobile

Property name and number *

Street *

District

City or town *

Postcode *

Which projects are you most interested in? * Library of Birmingham New St Station Development Birmingham Energy Savers Other

How long unemployed? * Please Select Less than 3 months 3 to 6 months 6 to 12 months 1 to 2 years 2 to 3 years 3 years and over Employed

What benefits do you claim? * Please Select None Job Seekers Allowance Income Support Incapacity Benefit Employment Support Allowance Other Carers Allowance Disability Living Allowance

What trade sector are you interested in? Please Select Accounting Admin and Office Arts and Media Bar and Food Construction Factory and Process Finance Hairdressing Health and Care Horticulture Hotel and Reception Human Resources Information Technology Legal Leisure and Tourism Management Manufacturing Motor Mechanics Not Applicable Project Management Professional Retail and Sales Security and Safety Skilled Trades Transport and Vehicles Teaching Unskilled

Do you have a specific job in mind?

Do you have a disability affecting your ability to work? * Please Select None Mental Health Physical Disability Learning Disability Sensory Disability other

Which construction sector are you interested in? Please Select Bricklaying Carpentry and Joinery Demolition Electrical Engineering Electrician Mechanical Engineering Painting and Decorating Plastering Plumbing Roofer Other

If other please specify below

What valid skill cards do you have?

Name of organisation who referred you (If applicable)

Job Title

Briefly describe any relevant experience you have

Briefly describe any relevant qualifications you have

National Insurance Number
(No spaces or formatting please e.g AA999999A)

Date of Birth
(dd/mm/yyyy)

Gender

Ethnicity Please Select White - British White - Irish White - Other Mixed - White and Black Caribbean Mixed - White and Black African Mixed - White and Asian Mixed - Other Black or Black British - Caribbean Black or Black British - African Black or Black British - Other Asian or Asian British - Indian Asian or Asian British - Pakistani Asian or Asian British - Bangladeshi Asian or Asian British - Other Chinese Other Ethnic Groups

Are you a lone parent? No Yes

If so, how old is your youngest child?
(in years)

Do you require a work permit? No Yes

Have you been convicted of any criminal offences, which are not yet spent under rehibilitation (Offender Act 1974) No Yes