Application page

Pcash Recruitment Ltd. Park Street, Ashford, Kent, TN24 8DF Tel: +01233 624 835 / +07946 060 393 Email: info@pcashrecruitment.co.uk; Website: https://pcashrecruitment.co.uk

SPECIALISM (Nursing)

Please record below the details of your full employment history beginning with your current or most recent first. Any gaps must be explained. Use a separate attached sheet if required; please sign the sheet(s)

Have you been vaccinated or tested against the following?

If you do not have vaccination information, please provide details of where we can request them below. I certify the above information is correct and hereby give permission to Pcash Healthcare LTD to request a further report from my GP/Occupational Health/Hospital for clarification if required and for my health report.

What kind of Caring Work are you interested in? (Please, tick all that apply)

Because of the nature of the work for which you are applying, this post is exempt from the provisions of section 4.2 Rehabilitation of Offenders Act 1974 (Exemption Order 1975). Applicants are, therefore, entitled to withhold information about convictions, which for other purposes are 'spent' under the provision of the Act in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action. Information provided will be kept confidential and use in relationship to the post applied for.

I consent to Pcash healthcare ltd checking the details I have provided against the various data sources in order to verify my identity and process this application. These details may be used to assist other organisations such as CRB, NMC etc. In identity purposes.

Please, give the names and addresses of two of most recent employers who can comment on your work ability and experience, starting with your present to most recent employer if possible.

I have read and understood the Working Time Regulations and I hereby consent that the working time limit shall not apply to my assignments.

I authorise Pcash Healthcare to pay my weekly wages into the above bank account and I will notify Pcash Healthcare if changes occur to my details.

I declare that the information provided on this application is true to the best of my knowledge. I have read the terms and condition of engagement and agree to comply with the current Health and Safety at Work Act. I understand that my appointment is subject to the receipt of two satisfactory references, and it subjects to Enhanced CRB Disclosure. Pcash Healthcare LTD is free to make any other enquiries they may find necessary relating to my application. I agree to respect the confidentiality of patients and clients and any other information I may have access to.