Contractor Application Form | Umbrella Supermarket

1

Personal
Information

2

Role
Information

1

Personal Information

As your employer, we need to know who you are:

Title*

First Name*

Surname*

Postcode*

FIND ADDRESS

Address*

Address2

Town / City*

Country*

Gender

Date of Birth*

Nationality* UK EEA OTHER If ‘OTHER’ you will need to provide valid
proof of entitlement to work in the UK.

Mobile Phone Number*

Email Address*

STEP 2: ROLE INFORMATION

2

Role Information

In order to send out invoices for your work, we need to know who we're sending the invoice to, the role your performing and when you'll be working.

Job Role*

Agency (or client if direct)*

Start Date*

End Date

Agency Email*

Agency Contact*

SUBMIT MY APPLICATION

Speak to an expert

Application Form

1

2

1

Personal Information

2

Role Information

Please select your correct address

Application Form

1

2

1

Personal Information

2

Role Information

Please select your correct address

Cookie Use