Nova Care Staffing & Recruitment Limited

Which of the following applies to you?

Registered Nurse

Support Worker

Healthcare assistant

Title

First Name

Last Name

Gender

Date Of Birth

NIN

Home Address

Country

Postcode

City

Mobile Num

Email Address

Previous Adressess

if less than 5 years in your current address, please state previous addresses, including the time spent

Documents

Upload Resume and other relevant doc
Select multiple doc at once of not more than 2mb each

Eligibity to work

Do you hold a Bristish passport ?

Yes

Are you a member of the EU ?

Yes

If you do not have any of the above, kindly state if you have any of the following :Settlement, Student visa, work permit or other(please specify in the box below)

Employment History

Why do you want to work here ?

Reference

Please supply the names of TWO referees. One of the references MUST be a professional referee.

Full Name

Position

Please state how long this person has know you and in what capacity

Address

Full Name

Position

Please state how long this person has know you and in what capacity

Address

Rehabilitation of Offenders Act

As a general rule, no-one need answer questions about spent convictions. However this general rule does not apply to specified professions, employments and occupations. By virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Orders, the exemption rule does not apply to

a) any employment or other work which is concerned with the provision of health services and which is of such a kind as to enable the holder of that employment or the person engaged in that work to have access to persons in receipt of such services in the course of his normal duties, or

b) any employment or other work which is concerned with the provision of care services to vulnerable adults and which is of such a kind as to enable the holder of that employment or the person engaged in that work to have access to vulnerable adults in receipt of such services in the course of his normal duties

One or both of the above apply to work with the Agency, and covers all occupations.

You are therefore requested to provide details of all convictions, including those which would otherwise be considered as “spent”. All employment applications will be considered carefully, and the disclosure of a conviction does not imply that this employment application will be rejected. Layout

Do you have any Criminal Conviction(s)

yes
no

If yes to question A above, Please provide details below of the Criminal Conviction(s), including the dates of the conviction(s).

Vaccancies

THIS FORM IS TO BE COMPLETED ON OR BEFORE THE FIRST DAY OF EMPLOYMENT

Data Protection Statement

REGISTER HERE