Candidate Application Form | Infermiera Group

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Personal details

Tell us who you are and how to reach you.

Title *

First name *

Surname *

Mobile telephone number *

Email *

Date of birth *

Current job title

Address *

Town or city *

Postcode *

Notice period

Right to work and compliance

Required for all roles in children's services and housing.

Do you hold a Disclosure and Barring Service (DBS) check or an overseas police check issued within the last 3 years? *

Yes No

Have you ever been convicted of a criminal offence which is not spent under the Rehabilitation of Offenders Act 1974? *

Yes No

Do you have any convictions, cautions, reprimands, or final warnings that are not protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)? *

Yes No

Education and qualifications

Start with your highest qualification, then add school subjects below.

Professional qualification

Institution of study

Course or subject

Grade

Secondary or high school

Employment history

List your recent roles, most recent first. Add a referee for each where you can.

Health

Do you have any health issues or a disability relevant which may make it difficult for you to carry out functions which are essential for the role you seek? *

Yes No

If yes, please give brief details

Next of kin

An emergency contact we can reach if needed.

Name *

Relationship *

Phone *

Declaration

Please read and confirm before submitting.

Upload your CV (optional) PDF or Word, up to 5MB, if you have one to hand.

I confirm that the information provided on this form and within my CV, if applicable, is both truthful and accurate. I have omitted no facts that could affect my future employment. I understand that any engagement entered into is subject to documentary evidence of my right to work in the UK, verification of any professional qualifications and, in the case of temporary assignments, subject to satisfactory reference. I expressly consent to any sensitive or personal data, disclosed as part of my application, being used in connection with the search for work, subject to the relevant Data Protection legislation. I will inform Infermiera Group Ltd immediately of any circumstances that may affect my work, such as changes to health, subsequent pending prosecutions or convictions, which may arise whilst I am registered for permanent or temporary work.

Full name *

Today's date *

Your application is sent securely to our team. We typically respond within one working day.

Application received

Thank you for registering with Infermiera Group. A member of the team will review your application and be in touch, usually within one working day. You can close this page now.