Raystra Healthcare Online Application Form Post Applying for: * Please Select Healthcare Assistant Support Worker Domestic Worker RGN RMN How did you hear about this job? Please Select Internet Search Job Centre Friend Newspaper Other Date available to start * Upload ID Photo Title * Please Select Mr. Mrs. Miss. Ms. Dr. Prof. Rev. Other First Name * Last Name * Middle Name Email * Phone Number * Date of Birth * National Insurance No: * NMC Pin No: (Nurses Only) Address * Town / City Postcode * Nationality * Gender * Please Select Male Female Religion * Please Select Christian Muslim Hindu Bhudist Jewish Sikh Other Race/Ethnicity * Please Select White British White Irish White (other) Mixed race Indian Pakistani Bangladeshi Other Asian (non-Chinese) Black Caribbean Black African Black (other) Chinese Other Sexual Orientation * Please Select Straight/Heterosexual Bisexual Gay Woman/Lesbian Gay Man Prefer not to answer Are you permitted to work in the United Kingdom? * Can you provide evidence to prove eligibility?: * What visa/permit/status do you currently hold?: * Please state what visa/permit you hold (If applicable): Permit/Document No (If applicable): Visa/Permit Expiry Date (If applicable): Do you have full Driving Licence that allows you to drive in the UK? * If yes, please enter your Driving Licence No: Other Languages Spoken: * First Name * Last Name * Relationship: * Email NOK Phone Number * NOK Address * Town / City NOK Postcode * Work History
We need up to 10yrs work history please with no gaps.
Previous Job Title / Position Held * Date Previous Job Started * Date Previous Job Ended * Previous Job Description (Please list all other work history below, including start and end dates) Education/Qualification History Institution * Course * Year * Grade * Education (Please list all other education history below, including Courses, Years and Grades) Upload CV if you have one. Ref Name 1 * Relationship * Ref 1 Email * Ref 1 Phone Number * Ref 1 Address * Town / City Ref 1 Postcode * Ref Name 2 * Relationship * Ref 2 Email * Ref 2 Phone Number * Ref 2 Address * Town / City Ref 2 Postcode * Skills Experience & Training Please click on which training you have completed and the date on the notes (certificates must be provided). Do you or have ever suffered from long term illness?: * Have you ever required sick leave for a back or neck injury?: * Do you suffer with any back or neck injuries?: * Have you been in contact with anyone who is suffering from a contagious illness within the last six weeks?: * Do you suffer with a communicable disease?: * If you have answered ‘yes’ to any of the above, please give details: Are you currently receiving active medical attention?: * Are you registered disabled?: * How many days have you been absent from work due to illness in the last 12 months?: State reason(s) for absence: GP Name: GP Surgery Name: GP Address Town / City GP’s Postcode GP’s Phone Number May we contact your Doctor for health check?: Please Note
The above information will be held in strict confidence. If you are aware of any health issue that you feel may affect your ability to undertake responsibilities of the post, it is your responsibility to inform the Care Manager immediately. Again any details discussed in the meeting will be held in strict confidence. Do you have a current DBS (Disclosure Barring Service) certificate?: * Please enter disclosure number Date of issue Reference Number (if applicable): Terms of employment
If any provision of this Agreement should be held to be invalid it shall to that extent be severed and the remaining provisions shall continue to have full force and effect. You may be required to use personal vehicle to and from work. No fuel reimbursement will be given. You are responsible for meeting the cost of DBS Disclosure. The employer, in some circumstances, may agree to advance the cost only if you agree it to be deducted from your pay. Carers will achieve NVQ Level 2 within 2 years of the start of employment. All care staff and trainees, including all staff under 18, will register on and successfully complete Skills for care certified training programme. The Company has written and published a formal policy/procedure document covering employee grievances which relate to your employment. The document is entitled “Employee Discipline” and is available for review at any reasonable time. Please contact your Manager for further information, or to request to review a copy. If you are dissatisfied with any disciplinary or dismissal decision relating to you then you should, in the first instance, apply in writing, to the Care Manager stating the grounds for your appeal. The person who will consider the appeal may vary according to individual circumstances. The Company has written and published a formal policy/procedure document covering employee grievances which relate to your employment. The document is entitled “Employee Grievances” and is available for review at any reasonable time. Please contact your Care Manager for further information, or to request to review a copy. If a grievance cannot be resolved informally then you must put your grievance, in writing to your Care Manager. A simple form has been designed for this purpose. Employees with reading or language difficulties should seek assistance, for example, from a work colleague. Subsequent steps, including the right of appeal, are explained in the formal document. The following documents form part of this statement: Employee handbook Policy and procedure manual Notices
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