The personal information (data) collected on this form, and on the attachments, (which includes the collection of sensitive personal data) are collected for the purposes of recruitment, personnel administration (for new employees) and monitoring. Unless you direct otherwise (for example in a situation where you would like this Application kept on file for future vacancies) the Application Forms (and attachments) of unsuccessful applicants will be destroyed after 6 months. It is the policy of the Agency to protect, and keep secure, all personal data collected. All personal data is processed for the purposes of recruitment, and, in the case of successful Applicants, for the satisfactory administration of their employment, and for no other purpose. Which of the following applies to you? Registered Nurse Healthcare assistant Support Worker
Please tick appropriately:
Course of Study/Qualification(s) gained and year e.g. GCSE’s (2014), “A” levels (2014), NVQ (2014), Degree (2014) etc
Please type details of all your employment for a period of at least the last 5 years, to include all nursing agency memberships, starting with most present employment. Please include reasons for gaps.
Please select below:
Health & safety Fire Safety Infection control Manual handling Safeguarding Vulnerable Adults Lone Worker
You will be asked to proof of immunisation
Please supply the names of TWO referees. One of the references MUST be a professional referee.
Please provide us with the following information as soon as possible to ensure prompt payment