Template · Staffing agency documents
Candidate registration form
In short
A candidate registration form is the intake form a staffing or recruiting agency uses to sign up a job seeker before matching them to jobs. It captures contact details, availability, shifts, skills, certifications, pay expectations, work authorization and consent for the agency to store their data and represent them. This template is built for agencies placing temp and permanent workers.
Candidate Registration Form template
Candidate Registration Form
Thank you for registering with [Agency Name]. We use this information only to match you with jobs and contact you about them. Fields marked optional can be left blank. Do not include your date of birth, Social Security number or bank details on this form; we collect those securely only if you are hired. Questions: [Branch Phone / Email].
Contact details
- First name
- Last name
- Preferred name (optional)
- Mobile phone
- City, state and ZIP code
- Preferred contact method
- Text messagePhone callEmailWhatsApp
- I agree to receive text messages about jobs and assignments (message and data rates may apply; reply STOP to opt out)
- Preferred language for communication (optional)
Work you are looking for
- Type of work
- TemporaryTemp-to-hirePermanent / direct hireAny
- Job types or titles you want (list up to 3)
- Industries or settings you prefer or want to avoid
- Date you can start
- Hours per week wanted
- Full-time (35+)Part-time (under 35)Flexible / as available
- Shifts you can work
- DaysEveningsNights / overnightWeekendsRotatingAny
- Days or times you cannot work
- Minimum pay you would accept (hourly or annual)
- How far you can travel to work (miles or minutes)
- Transportation
- Own vehiclePublic transitRideshare / carpoolNeed a site on a transit route
Experience and skills
- Most recent job: employer, title, dates
- Previous job: employer, title, dates
- Previous job: employer, title, dates
- Skills and equipment you can use (for example forklift, POS, Excel, EHR systems, pallet jack, call center software)
- Licenses and certifications with expiry dates (for example forklift certification, CNA, CDL class, food handler, OSHA 10)
- Languages spoken and level
- Typing speed (if known, for office roles)
- Highest education or training completed (optional)
- Resume attached
Work authorization
- Are you legally authorized to work in the United States?
- YesNo
- Will you now or in the future require visa sponsorship to work in the United States?
- NoYes
- If hired, you will complete Form I-9 and show original documents of your choice from the lists of acceptable documents. Do not attach documents to this form.
Job requirements
- Are you willing to complete a background check and/or drug test if a client requires it for a specific job? (You will receive separate disclosure and consent forms first.)
- YesDepends on the jobNo
- Can you perform the essential functions of the jobs you are applying for, with or without reasonable accommodation? (For example lifting up to [50] lbs, standing for a full shift.)
- YesI would like to discuss an accommodation
How you found us
- Source
- Job boardOur websiteSocial mediaReferred by a friend or current workerWalk-inHiring eventText or email from usOther
- If referred: name of person who referred you
Consent and representation
- I confirm the information I have given is true and complete. I understand false information may lead to removal from consideration.
- I agree that [Agency Name] may store and use my information to find me work, and may share my profile with clients for specific jobs. I have read the privacy notice at [Privacy Notice URL].
- I understand [Agency Name] will ask my permission before submitting me to a specific client for a permanent or direct-hire role.
- I understand registering does not guarantee a job or assignment, and I will never be charged a fee for being placed.
- Signature
- Date
Agency use only
- Recruiter
- Branch
- Registration interview completed
- In personPhoneVideoNot yet
- Skills checks completed and results
- Status
- Active: ready to placeActive: needs credentialsOn assignmentNot suitable at this timeDo not contact
- Matched job orders
- Notes (job-related only)
How to use this template
- Send the form as a mobile link, not a PDF: most hourly job seekers register from a phone.
- Ask the candidate to complete contact, availability, skills and consent sections before the registration interview.
- Review the answers in a short screening call or in-branch interview, confirm shifts, pay floor and travel, and run any skills checks the job types need.
- Record certifications with expiry dates and set reminders to request renewals.
- Mark the candidate's status and tag them to job orders they fit, then confirm registration by text or email.
- Get specific written permission before submitting the candidate to each client for permanent roles, and record it on the profile.
What registration is for
A staffing agency's database is its inventory. Registration turns a job seeker into a searchable, contactable profile that a recruiter can match to a job order in minutes, often months after they first signed up. That means the most useful fields are the ones that filter: shifts, start date, pay floor, travel distance, certifications and job types. A recruiter filling 12 night-shift picker roles by Monday needs to search 'nights, own transport, within 20 miles, forklift certified' and get a call list.
This is different from an employment application form, which an employer uses to apply for one specific job and often includes full employment history and attestations for that role. Agencies typically collect the full application, I-9 and payroll forms only once someone accepts an assignment.
Questions to leave off an agency registration form
Agencies are covered by Title VII, the ADA and the ADEA as employment agencies, and they cannot screen candidates on protected characteristics even if a client asks. Keep these off the form:
- Date of birth, age or graduation years used to infer age.
- Marital status, children, pregnancy or childcare arrangements. Ask about available shifts instead.
- Health conditions or disabilities. Ask whether the person can perform essential functions with or without accommodation.
- Citizenship or national origin. Ask about work authorization and sponsorship only.
- Salary history, which is banned in a growing list of states and cities. Ask for expected or minimum pay instead.
- Criminal history, in jurisdictions with ban-the-box or fair chance laws. Many require the question to wait until after a conditional offer.
If you collect voluntary demographic data for reporting, use a separate EEO self-identification form kept apart from the profile recruiters search.
Consent, privacy and representation
Registration usually includes three different permissions, and they should not be bundled into one tick box. Consent to store and use the data. Consent to receive texts, which for automated job alerts should be clear, express written consent with an easy opt-out to stay safe under the TCPA. And permission to represent the candidate to specific clients. Most agencies take a general permission at registration for temp work, then a specific right to represent for each permanent submission, because sending a resume without it is the fastest way into a fee dispute and an unhappy candidate.
California's CCPA as amended by the CPRA requires a notice at collection for job applicants, and other states are adding similar laws. Link your privacy notice on the form and set a retention period. Keeping inactive profiles indefinitely creates risk and very little value.
Common mistakes
- Asking for Social Security numbers and bank details at registration, before anyone is hired. Collect them in onboarding through a secure channel.
- Long forms that lose candidates. Every extra screen costs completions on mobile; 8 to 12 minutes is the upper limit for hourly candidates.
- Free-text availability that nobody can search. Use fixed choices for shifts and job types.
- Certifications without expiry dates, so a lapsed forklift card is only discovered at the client site.
- No status field, so recruiters keep calling people who already found work.
Registration at high volume
During peak seasons a single branch can register 150 or more people a week. Treat the form as the first step of a flow: a short mobile form with knockout questions on shifts and transport, an automatic text confirming registration and inviting the candidate to book a slot, a short structured screen, then matching. A candidate registration confirmation email sets expectations about next steps and timing. Keep profiles in a searchable candidate directory rather than a folder of PDFs, and build the form once in your forms tool so every branch asks the same questions. When a candidate is ready for a client, the registration data feeds the candidate submittal template.
Frequently asked questions
What is an agency registration form?
It is the form a staffing or recruiting agency uses to sign up a job seeker to its database so recruiters can match them to current and future jobs. It records contact details, job preferences, availability, skills, credentials, work authorization and consent.
What should a candidate profile form include?
Contact details, job types wanted, start date, shifts and hours, minimum pay, travel range, recent work history, skills and certifications with expiry dates, work authorization, source, and consent for data use and texts.
Can a job seeker registration form ask for date of birth?
It should not. Age is protected under the ADEA for workers 40 and over, and asking for date of birth before hire invites a discrimination claim. Ask whether the person meets any legal minimum age for the job instead.
Is a candidate registration form the same as a job application?
No. Registration puts someone in the agency's pool for many possible jobs. A job application is for one specific position and usually collects more detail and formal attestations.
How long should a staffing agency keep candidate registration data?
Keep it as long as the person is actively looking or you have a legal reason to, and follow privacy law and record-keeping rules for applicants. Many agencies purge or re-confirm consent for profiles inactive for two years.