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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

    0141 255 1222

    Fax

    0141 255 1444

    Email us

    info@scotnursing.com

    Clinic
    Ground Floor
    Merchant’s House
    30 George Square
    Glasgow
    G2 1EG
    Clinic Opening Times:
    Mon-Fri 8-5
    Sat 8-3

    Clinic Direct Dial: 0141 473 4497

    Head Office
    4/1 Merchant’s House
    30 George Square
    Glasgow
    G2 1EG

    © ScotNursing 2021. Site by fatBuzz.

    Privacy Policy

    Aberdeen  |  01224 973076

    Ayr  |  01292 434589

    Dumfries  |  01387 403429

    Dundee  |  01382 767419

    Dunfermline  |  01383 660773

    Edinburgh  |  0131 357 8969

    Helensburgh  |  01436 648 816

    Inverness  |  01463 214952

    Perth  |  01738 503270

    PRIVATE COVID-19 TEST

    Book a test now at one of our new private testing facilities.

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

    Head office

    0141 255 1222

    Fax

    0141 255 1444

    Email us

    info@scotnursing.com

    Clinic
    Ground Floor
    Merchant’s House
    30 George Square
    Glasgow
    G2 1EG
    Clinic Opening Times:
    Mon-Fri 8-5
    Sat 8-3

    Clinic Direct Dial: 0141 473 4497

    Head Office
    4/1 Merchant’s House
    30 George Square
    Glasgow
    G2 1EG

    Regional Offices


    Aberdeen  |  01224 973076

    Ayr  |  01292 434589

    Dumfries  |  01387 403429

    Dundee  |  01382 767419

    Dunfermline  |  01383 660773

    Edinburgh  |  0131 357 8969

    Helensburgh  |  01436 648 816

    Inverness  |  01463 214952

    Perth  |  01738 503270

    PRIVATE COVID-19 TEST

    Book a test now at one of our new private testing facilities.

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

    © ScotNursing 2021. Site by fatBuzz.