Uncategorized – Astrix Waterside Medical

Personal Information

Position Applied For

Name *

Date Of Birth *

Email Address *

Phone *

Address Line 1 *

Address Line 2

City *

County *

Post Code *

Country

HCPC / NMC / GMC Registration Number If Registered

DBS Certificate

Have you had a DBS within the last 3 years? *YesNo

Enter DBS Certificate Number

Enter The Date DBS Check Was Done

Are Subscribed to the DBS Update Service? *YesNo

Do you give us permission to check your DBS on the update service?YesNo

Please upload a picture of your certificate

No file chosen

Background

Education

Qualification Title *

Date Achieved *

Institution Name

Upload Certificate

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Work Experience

Company Name

Employment Period Start Date

Employment End Date (leave blank if current)

Job Responsibilities

Please Add Any Further Relevant Experience .

CV Upload if you have one.

No file chosen

Driving

Do you hold a full driving UK license? *YesNo

Please enter your Driving License Number

Do you have a C1 entitlement ? *YesNo

Do you have a blue light qualification? *YesNo

Upload A Copy Of Your Blue Light Certificate

No file chosen

Personal Statement

Please give a personal statement below, detailing how you feel you are suitable for the role applied for. Please include any relevant previous experience and aspirations for the future.

References Please Give Details of 2 Referees ( One Referee Should be your current or most recent employer)

Referee Name *

Employer *

Contact Details (Telephone Number or Email Address) *

Employment Options

We offer the option to join our PAYE system where we organise your Tax and National insurance payments for you. . Or you can work as a self employed subcontractor (certain requirements will need to be met ) please select which option you would prefer, or request further information explaining the differences. *PAYESubcontractorMore details required

Category: Uncategorized

New Starter Application Form

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