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Application Form

    Candidate Identification Number (for Office Use Only):


    Registered NurseTrained Carer

    PERSONAL DETAILS











    PhoneEmail




    WORK PERMIT


    YesNo

    WORKING in the UK


    YesNo

    Higher/Further Education

    Are you currently working towards a qualification? If yes, complete below:

    Membership of Professional or Regulatory Boards (e.g NMC, SSSC)



    YesNo



    PRESENT OR MOST RECENT POST









    Employement History

    Start with your most recent employment first, and work down the page, providing the last ten years’ employment history. If a job supports the position applied for, please say more about it in your application statement.

    Referees

    Your referees will include your current (or most recent) employer. Please identify below the person in your organisation (e.g. your direct line manager) who is authorised to confirm your employment and the details given in your application. Please identify a second referee who may have closer knowledge of your skills, knowledge, and abilities, and who may offer
    opinion on your suitability for the post. You should not use family members or friends. You should use referees from two separate employers. Our pre-employment screening also includes, where appropriate, health and fitness for work, criminal records, qualifications, and professional registration.













    Disability

    The Disability Discrimination Act 1995 and Amended Regulations 2005 defines disability as follows: “any physical or mental impairment which has a substantial adverse effect on a person’s ability to carry out normal day to day activities.” ScotNursing is “Positive About Disabled People”, and as such we provide job opportunities for people with disabilities people.


    Driving Licence


    YesNo


    STATEMENT IN SUPPORT OF APPLICATION – Please tell us your personal qualities and attributes, experience, and any major achievements and show how they match thoseneeded for working with us:

    Immunisation

    Hep B Mandatory

    You will require to provide evidence of viral titre above 100.

    Rubella

    You will require to provide evidence of antibibodies.

    Tuberculosis

    You will require to provide certification of BCG Star Check or Heaf/Mantoux result of 2-4.

    Varicella

    You can self declare having chicken pox or shingles. If not you require to provide evidence of blood results.

    Our Occupational Health team can assist with the above if required.

    Bank Details for Wages







    Please read the following statements. You will be asked to sign a declaration if you areappointed.

    • I have completed parts A to E of this application form and the details I have supplied are, to the best of my knowledge, true and complete;

    • I understand that, if successful, the information on this form will be kept as part of my personal file record;

    • I authorise you to obtain references to support this application if I am identified as a suitable candidate;

    • I understand that details of educational qualifications, membership of professional bodies, and referee reports may be verified through the establishments and individuals I have indicated;

    • I understand that the information that I provide on this form and on any CV given will be used by ScotNursing Limited to provide you work finding services. In providing this service to you, you consent to your personal data being included on a computerised database and consent to us transferring your personal details to our clients.

    • I understand that ScotNursing Limited may check the information collected, with third parties or with other information held by us.

    • I undserstand that ScotNursing Limited may also use or pass to certain third parties information to prevent or detect crime, to protect public funds, or in other way permitted or required by law.

    • I consent to my details being kept confidentially and used for specific and lawful purposes as specified in the Data Protection Act 1998;

    • I have read, understand and hereby consent to the attached “Privacy Notice” issued to me with this Application Form;

    • I declare that I have no previous convictions, or will identify I have on the PVG Declaration form to be completed alongside this application form.


    EQUAL OPPORTUNITIES MONITORING

    We want to ensure that our job opportunities are open to all. The only way that we can ensure that there is an equal opportunity is to monitor applications we receive and compare the profile of people who apply with those appointed. Therefore this form asks you for your ethnic origin, gender, disability, religion, sexuality, and age. The information you provide in this form is confidential and is not used in the selection process.


    MaleFemale



    SingleMarriedDivorcedWidowed

    Do you have a physical or mental health condition or disability that:


    YesNoPrefer not to say


    YesNoPrefer not to say


    Learning DisabilityPhysical ImpairmentLong Standing IllnessSensory ImpairmentMental Health Condition


    What is your ethnic group?

    Choose one from sections A to F then tick the appropriate box to indicate your cultural background.


    ScottishIrishOther BritishAny Other White Background


    Any mixed background


    PakistaniIndianChineseBangladeshiAny other Asian background


    CaribbeanAfricanAny other Black background


    Any other background


    Prefer Not to Answer


    BuddhismChristianity (Other)Church of Scotland (Christianity)HinduismIslamJudaismNo religionOther faith/beliefRoman Catholic (Christianity)SikhismOtherPrefer not to answer

    Head office

    0330 056 8877

    Email us -

    General Enquiries

    info@scotnursing.com

    Occupational Health

    occhealth@scotnursing.com

    Home Care

    careathome@scotnursing.com

    Recruitment

    recruitment@scotnursing.com

    Testing

    testing@scotnursing.com


    For our latest news and career updates, why not join us on:

    Glasgow Clinic

    Ground Floor

    Merchant’s House

    30 George Square

    Glasgow

    G2 1EG


    Clinic Opening Times:

    Mon-Fri 8-5

    Sat 8-3

    Closed Sunday

    Head Office

    4/1 Merchant’s House

    30 George Square

    Glasgow

    G2 1EG

    © ScotNursing 2023. Powered by mtc.

    Privacy Policy

    Cookies

    Modern Slavery Policy

    Terms & Conditions

    Head office

    0330 056 8877

    Email us -

    General Enquiries

    info@scotnursing.com

    Occupational Health

    occhealth@scotnursing.com

    Home Care

    careathome@scotnursing.com

    Recruitment

    recruitment@scotnursing.com

    Testing

    testing@scotnursing.com


    For our latest news and career updates, why not join us on:

    Glasgow Clinic

    Ground Floor

    Merchant’s House

    30 George Square

    Glasgow

    G2 1EG


    Clinic Opening Times:

    Mon-Fri 8-5

    Sat 8-3

    Closed Sunday

    Head Office

    4/1 Merchant’s House

    30 George Square

    Glasgow

    G2 1EG

    © ScotNursing 2023. Powered by mtc.

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    Cookies

    Modern Slavery Policy

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