Employee Questionnaire

Employee Questionnaire

For Certificate of Sponsorship – Tier 2 (General)

Title

First Name

Last Name

Any other names that you have been known by (including maiden name)

Gender

Date of Birth

Place of birth

Nationality

Any other nationalities held

Passport Details

Residential Information

Current Residential Address

How long have you lived at this address?

What is the ownership status of your home? (E.g own / rent / live with family etc)

Contact Telephone Number

Have you ever worked in the UK before?

Yes

(If Yes, please provide national insurance number and a copy of your previous UK visa / work permit)

Will you be travelling outside of the country that you currently reside prior to starting work in the UK?

Yes

If Yes, please provide details

Have you previously taken an English language test?

Yes

If yes, please send a copy of the certificate.

Choose Certificate

Do you have any adverse immigration history, including previous visa refusals for any country?

Yes

If Yes, please provide full details

Have you ever been charged or convicted of a criminal offence in any country, including any traffic offences, civil penalties and any offences for which you have not yet been tried in court?

Yes

If Yes, please provide full details of the offence, the dates and the sentence

Other than your current country of residence, have you lived in any other country for at least 12 months in the past 10 years?

Yes

Employment History

Current Employer Information

Name of current employer

Job title

Start date

End date

Any breaks in this employment in the last 12 months?

Previous Employer Information

Name and Address of previous employer

End date

Job title

Start date

Academic Qualifications

Qualification	Subject	Awarding Institution	Date From	Date To

Was your qualification taught in English?

Yes

UK Employment

UK Job Title

Name of your employer

What date will you be available to start work in the UK?

When do you plan to travel to the UK?

What specific skills and experience do you have for this role?

If you are required to be registered or regulated by a governing body for your role, please provide details of any memberships / registrations and include details of any exams etc still to take. Please include name of governing body and dates registered.

Family Details

Please list the details of any dependant family members (spouse, partner or children) who will live with you in the UK

Family Member Details

First Name	Surname	Nationality	Date of Birth	Relationship to you	Will they travel with you?

Agency Overview

Alas Healthcare covers Southampton and surrounding areas and offers a comprehensive range of personal and practical agency to provide carers and nursing staff for organisations providing service to people who need assistance due to illness to enable them to continue living in their own home, in accordance with their own lifestyle, and with independence, safety, and respect.