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JOB APPLICATION
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Vacancy Title
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Event Medical Staff (Clinical)
PERSONAL DETAILS
Name
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First
Last
Address
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City
State
Zip Code
Country
Main Contact No.
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Home Phone No.
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Email
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National Insurance No.
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Do you hold a full, clean driving licence valid in the UK?
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Yes
No
PREFERRED HOURS
Morning
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Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Afternoon
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Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Evening
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Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
EDUCATION
Qualifications
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Please list all qualifications including the study dates, the qualification type and grade
Training courses
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Please use this space to give details of any training or non-qualification based development which is relevant to the post and supports your application. Please include the length of the course and the nature of the training
Current Membership of any Professional Body/Organisation (HCPC/NMC/GMC etc.)
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EMPLOYMENT HISTORY
CURRENT OR MOST RECENT EMPLOYER
Name of Employer
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Address of Employer
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City
State
Zip Code
Country
Position Held
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Date Started
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Leaving Date (if applicable)
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Reason for Leaving (if applicable)
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Salary on leaving this post
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Contact Name of Line Manager for reference
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First
Last
Brief description of duties
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INFORMATION IN SUPPORT OF YOUR APPLICATION
Skills, abilities and experience
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Please use this section to demonstrate why you think you would be suitable for the post by reference of the Event Medical Sector. Please include all relevant information, whether obtained through formal employment or voluntary/leisure activities.
CONVICTIONS/ DISQUALIFICATIONS
TO ENSURE THE SAFETY OF OUR CLIENTS/MEMBERS EVIDENCE OF A DBS CHECK MUST BE PRODUCED FOR ALL POSITIONS. A CRIMINAL RECORD WILL NOT NECESSARILY BE A BAR TO OBTAINING A POSITION AT UK EVENT MEDIX LTD. IF A CHECK IS RETURNED AND REVEALS ANY INFORMATION, THIS WILL BE DISCUSSED WITH THE APPLICANT. THE COMPANY DIRECTOR WILL MAKE A DECISION AS TO WHETHER THE OFFER OF EMPLOYMENT SHOULD BE WITHDRAWN.
REHABILITATION OF OFFENDERS ACT 1974 (EXCEPTIONS)(AMENDMENT) ORDER 1986
WE WOULD DRAW YOUR ATTENTION TO THE FOLLOWING STATEMENT:-
“BECAUSE OF THE NATURE OF THE WORK FOR WHICH YOU ARE APPLYING, THIS POST IS EXEMPT FROM THE PROVISIONS OF SECTION 4(2) OF THE REHABILITATION OF OFFENDERS ACT, 1974, BY VIRTUE OF THE REHABILITATION OF OFFENDERS ACT 1974 (EXCEPTIONS) ORDER 1975 AND THE REHABILITATION OF OFFENDERS ACT 1974 (EXCEPTIONS) (AMENDMENT) ORDER 1986. APPLICANTS ARE, THEREFORE, NOT ENTITLED TO WITHHOLD INFORMATION ABOUT CONVICTIONS WHICH FOR OTHER PURPOSES ARE ‘SPENT’ UNDER THE PROVISIONS OF THE ACT”.
Please provide details below if you have been convicted of a criminal offence or been the subject of a conditional discharge or probation order
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Past criminal proceedings are not necessarily an obstacle to taking up a post. This occurs only where the offence/s is/are deemed relevant. Any details will be discussed with you should you be the successful candidate based on your supporting statement, interview and tests
REFERENCES
PLEASE GIVE THE DETAIL OF TWO REFERENCES
Name of Referee and relationship to you
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Address
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City
State
Zip Code
Country
Email
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Phone Number
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Name of Referee and relationship to you
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Phone Number
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DECLARATION
By selecting Agree, I agree that UK Event Medix Ltd can create and maintain computer and paper records of my personal data and that this will be processed and stored in accordance with the General Data Protection Regulations 2018.
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AGREE
By selecting Agree I confirm that all the information given by me on this form is correct and accurate and I understand that if any of the information I have provided is later found to be false or misleading, any offer of contractual employment may be withdrawn or terminated.
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AGREE
Application Date
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Home
Services
About
Contact
RECRUITMENT
>
Emergency 24/7 Cover: 07368532845