APPLICATION FORM 

Dear Candidate, 
 
Thank you for choosing to register with Hands-On Healthcare Recruitment Ltd. 
 
Along with your completed application forms, the documents below are also required to process your registration. 
 
Please ensure that you are able to provide original documents for inspection at your in-person interview. 
 
If you are unable to bring any of the listed items, you must notify us ahead of your interview. Failure to bring all of the above documents may result in the interview being rearranged or cancelled. 
Your right to work in the UK documents and paperwork 
2 x documents showing proof of address, dated within 3 months 
Proof of your national insurance number 
Your driving licence if applicable 
Any relevant qualification certificates 
Any relevant (recent) training certificates 
Your current DBS certificate and update service information if applicable 
2 x passport-sized photographs 
Certificates of immunisation(s) if applicable 
Ltd Companies only: Your certificate of incorporation, proof of matching business bank account details and evidence of professional indemnities 
Nurses only: Evidence of NMC Pin (statement of Entry) 
SECTION 1: PERSONAL DETAILS 
SECTION 2: SECURITY AND RIGHT TO WORK IN THE UK 
SECTION 3: PROFESSIONAL INDEMNITY – Limited Company workers only 
By practicing as a Limited Company, you are required to maintain appropriate insurance to cover medical malpractice risks. The insurance may be provided as part of your membership to a relevant Organisation or Union. Please provide details below with evidence of your insurance. 
SECTION 4: EDUCATION, QUALIFICATIONS AND TRAINING 
If you have included this information in a full CV, please ignore the below fields. 
EDUCATION 
TRAINING 
PROFESSIONAL REGISTRATIONS 
All professional memberships will be verified with the relevant professional body. 
EMPLOYMENT 
Start with your first job since leaving Secondary Education. All employment gaps should be explained. If you have submitted a full CV, then please ignore. 
SECTION 5: REFERENCES 
Please supply the names and contact details for a minimum of two referees. One of these must be from your current or most recent place of employment. References will only be accepted from your direct line manager or HR department. 
 
By providing details below you are granting permission for us to apply for you references. 
Reference 1 
Reference 2 
Reference 3 
SECTION 6: EQUAL OPPORTUNITIES 
Hands-On Healthcare Recruitment is committed to a policy of equal opportunities for all work seekers and shall adhere to such a policy at all times. We will review on an on-going basis on all aspects of recruitment to unlawful or undesirable discrimination. 
DISABILITY 
The Disability Discrimination Act 1995 defines a person as having a disability if he/she has a Physical or Mental impairment which has a substantial and long-term adverse effect on his/her ability to carry out normal day-to-day activities. 
SECTION 7: MISCONDUCT/DISCIPLINARIES/INVESTIGATIONS 
SECTION 8: HEALTH QUESTIONNAIRE 
All the information you provide will be kept confidential. 
If you have answered ‘Yes’ to any of the questions, you may be asked to see a doctor or nurse. 
48 Hour Opt-in Agreement 
SECTION 9: BANK DETAILS 
SECTION 10: UPLOAD DOCUMENTATION 
Original copies of Right to Work, DBS and Training Certificates will need to be brought into the office with you. 
SECTION 11: DECLARATION 
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