Employment and Benefits

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"*" indicates required fields

Name*

First Last

Email*

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Employment Form Received

Employment Form

What is your current employment status?*

Employer/Company Name*

Current Job Title*

When did you become employed/self-employed?*

DD slash MM slash YYYY

If you don't know the exact date, please estimate

When did you become unemployed?*

DD slash MM slash YYYY

If you don't know the exact date, please estimate

How many hours a week do you work?*

0 to 10

11 to 15

16 to 20

21 to 30

31+

Do you receive any state benefits?*

JSA

ESA

Universal Credit

Other

None

If other, please specify:*

Are you at risk of redundancy or have been made redundant within the last 3 months?*

Yes

No

What is the highest qualification you currently hold?*

If other, please specify your highest qualification*

What subject is your degree in?*

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New Application Process

Think Employment Ltd. Registered in England and Wales No. 04109488

Registered office: Provincial House, 140 Victoria Street, Grimsby, NE Lincolnshire, DN31 1NX

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