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Online Application Form

    Step 1 of 8

    Step 1: What are you looking for?


    Job Reference


    Location of work


    Type of work


    What position you are applying for?*


    Nurse Registration


    Pin No.


    Pin Expiry

    Personal details


    Title


    First Name*


    Surname*


    DOB (dd/mm/yyyy)


    Male/Female


    Nationality


    NI Number


    Address


    Postcode*


    Mobile*


    Landline


    Email address*


    Do you have the right to work in the UK?*

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    Step 2 of 8

    Step 2: Key Information


    Where did you hear about VP Forensic Ltd?


    Do you have your own transport?


    How far are you willing to travel?*


    Have you ever previously worked for VP Forensic Ltd?*

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    Step 3 of 8

    Step 3: Training and Professional Qualifications

    Please provide dates below of training that has been completed within the last 12 months


    MVA/PMVA/MAPA Training


    Date completed


    Control and Restraint Training


    Basic Life Support Training


    First Aid Training


    Moving and Handling Training


    Any other relevant Training e.g. Epilepsy, Autism etc

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    Step 4 of 8

    Step 4: Education


    Name of Secondary School


    Dates From and To


    Name of College


    Dates From and To


    Name of University


    Dates From and To


    Name of Training Provider


    Dates From and To

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    Step 5 of 8

    Step 5: Employment History

    Please provide a ten year employment history below, including any voluntary experience. Please ensure any gaps in employment of over three months in duration are explained. If necessary please attach a separate sheet if required.


    Upload CV


    Organisation Name*


    Your position*


    Dates From and To*


    Reason for leaving*


    Organisation Name


    Position


    Dates From and To


    Reason for leaving


    Organisation Name


    Position


    Dates From and To


    Reason for leaving


    Organisation Name


    Position


    Dates From and To


    Reason for leaving


    Organisation Name


    Position


    Dates From and To


    Reason for leaving

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    Step 6 of 8

    Step 6: Support Statement



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    Step 7 of 8

    Step 7: Employer References

    Please supply full details of three professional referees, one of which must be your current employer. It is essential that all referees are of a management level and are included on your employment history already given.

    Referee 1 (most recent employer)


    Organisation Name*


    Referee Name*


    Referee Position*


    Address*


    Mobile*


    Landline*


    Email*


    Can we contact this referee prior to interview?*

    Referee 2


    Organisation Name*


    Referee Name*


    Referee Position*


    Organisation Address*


    Contact Number*


    Email Address*


    Can we contact this referee prior to interview?*

    Referee 3


    Organisation Name*


    Referee Name*


    Referee Position*


    Organisation Address*


    Contact Number*


    Email Address*


    Can we contact this referee prior to interview?*

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    Step 8 of 8

    Step 8: Declarations

    Please complete all declarations listed below in full detail.

    DBS

    All candidates will be asked to present a valid Enhanced DBS Certificate which is registered with the DBS Update Service. If applicants do not hold a current certificate they will be asked to complete an application at a cost of £50. Having a criminal conviction will not necessarily exclude you from appointment. Direct Care applicants are exempt from Rehabilitation of Offenders Act 1974.


    Do you have a DBS certificate registered to the update service*


    Do you have any criminal/cautions?*


    Are there any current proceedings being investigated?*

    Disciplinary Action

    Please give details of any disciplinary action taken against you, both with your current and previous employers. Please state reasons and outcomes.


    Have you previously undergone any disciplinary action?*


    Are there any current proceedings being investigated?*

    Professional Confidentiality

    I agree that during the time I am engaged by VP Forensic Ltd to work in any capacity of work. - I will not disclose to any person, any information obtained whilst attending an assignment, which is confidential. - I will hold trust and confidence in VP, all such information and never use it other than for the benefit of VP. Please sign below to confirm.


    Sign Here*


    Date*

    Personal Information

    There may be circumstances when we may have to divulge your information to third parties such as clients. This will also be held in confidence when required. Please sign below to accept forwarding of this information, if required.


    Sign Here*


    Date*

    Declaration of Health

    I confirm that I do not have any known health problems that would affect my ability to undertake this position. Please sign below to confirm.


    Sign Here


    Date


    Please state how many day off work due to sickness you have taken over the past 2 years:


    If you do have any health conditions please provide us with more information

    Acknowledgment

    I certify that to the best of my knowledge all the information I have given is correct. I understand that deliberately giving false, misleading or incomplete answers would disqualify me from consideration or in the event of my appointment, make be liable to dismissal without notice. Should any situation change whilst I am engaged on a temporary assignment for VP Forensic Ltd or in between assignments, I will immediately notify VP Forensic Ltd. Please sign below to confirm.


    Sign Here*


    Date*

    Thank you for taking the time to complete the application.