Fast Track Application

Name(Required)

First Last

Previous Name(s) (if applicable)

Email(Required)

Phone(Required)

Address(Required)

Post Code(Required)

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Address

Street Address Address Line 2 City County / Region Post Code Country

Covering Letter (Optional)

CV Upload. Please upload supported file format: docx, pdf, jpg, tif, png, and compressed zip files.(Required)

Drop files here or

Max. file size: 128 MB, Max. files: 2.

Postion Applied for(Required)

National Insurance Number(Required)

Availability(Required)

Full Time

Part Time

Do you hold a valid driving license?(Required)

Yes

No

Do you have access to a vehicle?(Required)

Yes

No

Please indicate highest level of education within Health and Social Care(Required)

Please list professional training completed:

Eligibility to work in the UK(Required)

Please upload evidence of your eligibility to work. Please upload supported file format: docx, pdf, jpg, tif, png, and compressed zip files.

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Max. file size: 64 MB, Max. files: 1.

Applications for positions working within healthcare are exempt from the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013). You are required to declare prosecution or convictions, including those considered ‘spent’ under this Act. Have you ever been convicted of a criminal offence, been bound over or cautioned, or you are currently the subject of a police investigation, which might lead to a conviction, an order binding you over, or a conviction in the UK or any other country?(Required)

Yes

No

If yes please provide details of the criminal offence, the order binding you over, the caution or details of any current proceedings which might lead to a criminal conviction, an order binding you over or a caution, including approximate date, the offence and the authority and country that dealt with the offence. If applicable, include details of ‘Spent Convictions’ in a separate envelope addressed to the manager marked Private & Confidential.

Have you ever been suspended from duty or are you currently under investigation at any organisation, professional body or any other association?(Required)

Yes

No

If you answered ‘yes’ to the above, please provide details of the nature of the proceedings undertaken, or contemplated, including approximate date of the proceedings, country where proceedings were undertaken, and the name and address of the licensing or regulatory body concerned.

I understand that a criminal record will not necessarily be a bar to obtaining a position, and I am willing for Halo Staffing Limited to apply for an enhanced disclosure and, if requested, forward confirmation of such to any customer where I may be assigned.(Required)

Yes - I understand

Are you signed up to the up to the DBS Update Service?(Required)

Yes

No

If yes, please provide a copy of the relevant DBS certificate. Please upload supported file format: docx, pdf, jpg, tif, png, and compressed zip files.

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Max. file size: 64 MB, Max. files: 1.

Have you spent 6 months or more outside of the United Kingdom within the last 5 years?(Required)

Yes

No

If yes, please provide details of this here:

As a Disability Confident Leader, are there any reasonable adjustments you require to the recruitment process; such as hard copy documentation produced in large print?(Required)

Yes

No

If yes, what are they?

The Working Time Regulations 1998 (Amendment) Regulations 2004 (Northern Ireland 2002) now requires that the average working time must not exceed 48 hours per week unless you agree in writing to exceed the limit. If you are prepared to work more than 48 hours per week, please indicate below:

Yes - I may wish to work more than 48 hours per week

I declare that all information provided in my application form and any supporting documentation is true and correct, and that should any of this information change I will notify Halo Staffing immediately. I understand that any offer of appointment may be subsequently withdrawn if I knowingly withhold information, or provide false or misleading information. I give consent to Halo Staffing to contact referees regarding the information I have provided unless specified otherwise.(Required)

Yes

By submitting your application, you are happy for Halo Staffing Limited to contact you.(Required)

Yes, I agree

Opt-In(Required)

Yes -I will inform Halo Staffing Limited immediately of any changes to any of the above information

By submitting my details to Halo Staffing that they will be used in accordance with; accept and consent to the practices described in the Privacy Statement and Privacy Policy.(Required)

I understand

I consent to Halo Staffing sharing my details and information to fulfil contractual obligations such as to third parties for auditing and regulatory purposes.(Required)

I understand

Apply to work with Halo Staffing