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Supporting Students 

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Registration Form - register your interest in becoming a support worker:

Please complete as fully as possible:

Your Personal information:
Your Contact Details:
Or / and  
The Support Roles you are interested in:- Please tell us which role(s) you wish to be considered for by ticking the boxes below; please refer to the Support Worker Role descriptions for role details and minimum qualifications and experience required:
Personal Support / Mobility Assistant:

Reader:
Note Taker:
Key Worker:


Study Coach:
Your Experience and Qualifications:  
Please list all your qualifications - starting with the most recent and with dates:
Your specialist area or subject

Your previous experience of working in a support / FE/HE environment
Your Referees:- Please supply the names and contact details of 2 people from we can obtain references:
Referee 1:
Telephone / email contact details for Referee 1
How do you know this person?
Referee 2:  
Name
Telephone / email contact details for Referee 2
How do you know this person?
Other  
Preferred locations:- Access SUMMIT supplies support to a wide range of students attending Greater Manchester Universities. Please indicate your preferred locations: Manchester - Oxford Road Campus area -
MMU - Hollings Campus - Fallowfield -
MMU - Didsbury Campus -
Crewe and Alsager -
Salford Campuses-
Availability:- please give us some indication about your current availability - days, times, number of hours etc
Are there any times when you are not able to work or any limitations on you availability?
Any other relevant information?  
Would you like to tell us anything else which you feel is relevant to your application?
Disability Discrimination Act:- have you, to your knowledge, any physical or mental impairment?
If "Yes", please give details and any reasonable adjustments, which could be made in order for you to carry out the job you have applied for.
Rehabilitation of offenders act
Do you have any unspent criminal convictions? If "Yes", please list your criminal convictions and dates below. (If "No" state ‘None’)

The information you give will be treated in confidence and only taken into account where, in our reasonable opinion, the offence is relevant to the job applied for. Failure to declare a conviction may lead to exclusion from our register or termination of assignment if an offence is not declared but later comes to light.

Data Protection:-

Randstad HR Solutions which is the Employment Agency used by Access SUMMIT to employ and payroll our support workers.

In accordance with UK Data Protection legislation, Access SUMMIT / Randstad HR Solutions will hold, process and use your data exclusively to enable us to consider you for support work positions with Access SUMMIT and should you be suitable for a support work position we will use the data and other documentation requested to make appropriate support matches.

Access SUMMIT and Randstad HR Solutions assure you that the data you make available will not be made public or made available to any other people, companies or institutions in any way.

Access SUMMIT and Randstad HR Solutions may keep your information for a reasonable period of time and, from time to time, may contact you to make further offers to you or for the purposes of monitoring and evaluating our services.

Consent - Completing our Registration Form signifies your consent to us collecting personal information. It also confirms your agreement that Access SUMMIT and Randstad HR Solutions can pass on relevant information to those involved in the organisation of support work including

What information do we use? The information we use is given to us by you on The Registration Form and other documentation requested by ourselves.

How do we use your information? We gather this information to help us to determine your suitability for a support worker role, if you are suitable to help us to place you in work with student, so that we can keep in contact with you and to assist with payroll functions. Your details are used by and passed to relevant people only, on a 'need to know' basis.

Is information passed to third parties? It is Access SUMMIT/Randstad's policy to only disclose information to third parties if explicitly required to do so by United Kingdom Law. Access SUMMIT/Randstad do not collect or compile personally identifying information for dissemination or sale to external parties for marketing purposes or host mailings on behalf of third parties.

Removing your information from our database - If you want us to remove any or all of the information we hold on you in our database, at any time, for whatever reason, please contact us and we will remove your information as soon as possible.

Questions If you have a question about The Access SUMMIT Support Service, this data protection statement or the way in which Access SUMMIT and Randstad HR Solutions will use the information you have given to us please Simon Bloor / 0161 275 0992.
Please confirm that you have read The Data Protection Statement by clicking the box:
Alternatively, print off this completed form and post to
Gill Shaw
Access SUMMIT - Support Service Co-ordinator
St Peters House
Oxford Road
Manchester
M13 9GH

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