Career Application Form

Career Application Form

Career Application Form

  • Personal Details

  • Checklist

    In order to process your application smoothly, please ensure you enclose ALL documents/information as detailed below, where applicable with your application. - Last 3 years’ worth of references or 2 most recent and relevant. 1 must be most recent employer - Qualifications and Certificates (Professional Registration Certificate, Degree and BLS/ALS/PALS certificate as appropriate) - Immunisation history - Current DBS Disclosure *Must be registered on the Update Service - Overseas Police Check/Certificate of Good Conduct (if you have been outside the UK for more than 3 months over the past 5 years) - Proof of National Insurance Number - 2x Proof of current address - Eligibility to work in the UK *For information regarding right to work documents in the UK please visit www.gov.uk or contact your consultant - Professional Medical Indemnity Certificate *Nurse Only - 2x Passport photographs (For ID Badge, once fully registered)
  • Next of Kin Details:

  • Payment Information

    Payment Frequency: Monthly
  • Professional Registration

    Nurse/Midwife Only
  • Revalidation is the new process that all nurses and midwives in the UK will need to follow to maintain their registration with the NMC. Taking effect from April 2016, revalidation is straightforward and will help you as a nurse or midwife demonstrate that you practise safely and effectively. It will encourage you to reflect on the role of the Code in your practice and demonstrate that you are 'living' the standards set out within it. Please confirm that you are aware and are putting plans in place.
  • Medical Indemnity Insurance

    Nurse/Midwife Only
  • Reference Details

    Please disclose last 3 years’ worth of referee details or 2 recent and relevant references - 1 from most recent employer. All referee details must be from a person in a more senior/managerial position. (We reserve the right to contact all previous employees)
  • Fitness to Work

  • Qualifications/Mandatory Training

  • Safeguarding

    Disqualification from Caring for Children Regulations 2002
  • In order to protect certain vulnerable groups with society, there are a number of posts and professions that are exempt from the provisions of the Rehabilitation of Offenders Act 1974. These include posts where in the normal course of duty, employees have access to persons requiring care. Under the Exceptions Order (1975), applicants are obliged to disclose information about any convictions which for other purposes would be regarded as ‘spent’. Failure to disclose such convictions could result in dismissal or disciplinary action by the employing organisation. Any information given will be confidential and will be considered only in relation to any posts to which the conviction applies.
  • Please note: If you are not subscribed to the DBS Update Service or do not have a current DBS we will require you to complete a DBS in our name upon commencement of employment through us. For details on how to complete a DBS in our name please contact our office.
  • Equal Opportunities Monitoring

    524 Jobs Limited is an Equal Opportunity Recruitment Agency. We ensure all applicants are submitted for vacancies based solely on the basis of merit irrespective of any characteristics that may place an applicant in any minority or disadvantage group or groups. In order for us to measure the effectiveness of this policy and continue to develop relevant personnel policies, please complete the following questions. Information given is confidential and will only be used for statistical monitoring. It does not form any part of your job application.
  • Referrals

  • Declaration

    The information in this form is true and complete. I understand that any deliberate omission, falsification or misrepresentation in the application form will be grounds for rejecting this application form or subsequent dismissal if employed by the organisation. I acknowledge that my personal details will be stored and handled by 524 Jobs Limited in accordance with the Data Protection Act 1998. I agree that the company may forward my details to prospective employers in capacity as an agency. I am happy for 524 Jobs Limited to contact me from time to time regarding market research and new opportunities. I authorise 524 Jobs Limited to obtain any relevant references and verification of qualifications on my behalf. I confirm that I am not currently disqualified from working with children or vulnerable adults, or subject to any sanctions imposed by a regulatory or professional body and if these circumstances were to change, I understand I must inform 524 Jobs Limited immediately. Any changes to information on my current DBS that has not already been disclosed will also be disclosed to 524 Jobs Limited immediately. 524 Jobs Limited is able to upload the applicant’s copy of your DBS onto the Vendor Managed Systems (VMS) that currently holds a number of contracts Nationwide in order to gain new employment. I agree for 524 Jobs Limited to conduct Update Service checks against my DBS regularly as part of the safeguarding process. (If applicable) I agree for 524 Jobs Limited to share my application documents for audit purposes.