Staff Recruitment in Uk:Zintra Staffing

Personal Details - Step 1 of 4

Step 1 of 4

Job title you are applying for? *

NMC PIN

Only if you are a registered nurse

NMC PIN Renewal Date

Title

Name *

Date of birth *

Address *

Address Line1

Address Line2

City *

County *

Post Code *

Nationality *

Email *

Phone Number *

National Insurance Number

Do you hold a full & valid driving license for the UK? *

Are you eligible to work in the UK? *

Please describe your eligibility to work in the UK. Include what applies to you: settlement status details, BRP number, visa etc. *

Settlement Status Details

BRP Number

Visa Details

Upload Document

Emergency Contact

First Name *

Last Name

Phone Number *

Email *

Current & Previous Employement History - Step 2 of 4

Step 2 of 4

Employer 1 - Date from

Employer 1 - Date to

Name of Employer

Job Title

Main Responsibility

Reason for Leaving

Address Line1

Address Line2

City

Post Code

Country

Would you like to add a second employer?

Employer 2 - Date from

Employer 2 - Date to

Name of Employer

Job Title

Main Responsibility

Reason for Leaving

Address Line1

Address Line2

City

Post Code

Country

Would you like to add a third employer?

Employer 3 - Date from

Employer 3 - Date to

Name of Employer

Job Title

Main Responsibility

Reason for Leaving

Address Line1

Address Line2

City

Post Code

Country

Training Layout

Please tick the ones that you have completed and you can provide a certificate for.

COSHH
Diversity, Equality and Inclusion
Food Hygiene
Health and Safety
Infection Prevention and Control
Safeguarding of Vulnerable Adults
Safeguarding of Children
Moving and Handling
First Aid
GDPR
Basic Life Support
Fire Safety

Lone worker training
Handling violence and aggression
Caldicott protocols
RIDDOR
Intermediate life support
Conflict resolution
Mental capacity act and deprivation of liberty safeguards
Autism awareness
Dementia
End of life care
Falls prevention
NVQ Level 1 – food preparation

Upload Certificates

Click or drag files to this area to upload. You can upload up to 15 files. Please enclose copies of your training certificates.

Drop files here or click to upload.

Add More:

Education

Establishment

Date Completed

Qualification Obtained

Grade

Would you like to add another Education Establishment?

Establishment

Date Completed

Qualification Obtained

Grade

DBS status. Have you subscribed for the DBS Update Service? *

If you selected "Yes", please enter the number of the DBS certificate you subscribe with. Please note this is the DBS certificate number, not your subscription number. *

Upload DBS Certificates

Drop files here or click to upload.

Previous Convictions *

Please give details of any convictions in this country or abroad you currently or have previously had. If none, please write the word “NONE” in this box. Please be aware that it is an offence to withhold this information.

References *

Please give details of two people that would be prepared to give you a reference. One must be from a current/previous employer; the other should be a character reference, from someone other than a family member. Any offer of employment will be subject to satisfactory references. By entering their details here, you give Zintra Staffing Ltd. permission to contact these people. Please include Name, Position, Organisation, Address, Email and Phone Number.

Personal Details - Step 3 of 4

Step 3 of 4

Health and Safety - Do you have a disability of any kind that may affect your work? Please select.*

If you selected "Yes", please give details on how we can support you during the interview or at work.*

How would you like to be paid?*

Online data - we keep a lot of your records securely online. In addition, clients may ask that these are uploaded and shared online with their own client base (e.g. nursing & care homes), prior to the commencement of your first shift with them. Do you authorise that these details can be shared with them online? *

Working time regulations - the maximum working week is currently limited to 48 hours. As you are under no obligation to accept any work offered, you will not be compelled to work more than 48 hours per week. However, you may choose to do so. Please select. *

Documents

Data Protection. Our records, including any copies of documents and pictures supplied are kept securely in line with GDPR regulations. You understand & give permission for these to be made available from time to time to authorized personnel or inspectors, Home Office Immigration Check. If applicable, you understand & give permission for Zintra Staffing Ltd. to contact the appropriate authority in order to verify your current immigration status. Please tick. Yes

Upload 1 (one) Category A supportive documents: • Current and valid UK Passport • UK driving license photo card • UK Original Birth Certificate • A UK biometric residence permit card.*

Drop files here or click to upload.

Upload 2 (two) Category B supportive documents: • A Bank or Building Society statement - less than 3 month old • Utility Bill less than 3 month old • A Current Council Tax statement • A mortgage statement • A letter from: HMRC, Department of Work and Pensions, or any other employment service •A P45 or P60 statement, a pension or endowment statement. *

Drop files here or click to upload.

Add More:

Upload a Passport Style photograph. It must be clear, full face, no hats and against a white background.*

Drop files here or click to upload.

Upload your CV

Drop files here or click to upload.

Immunisation

Hep B

Yes

Varicella

Yes

Measles

Yes

Rubella

Yes

Hep C

No proof

Negative

Positive

Hep B Antigen

No proof

Negative

Positive

HIV

No proof

Negative

Positive

Upload any proof of immunisation

Drop files here or click to upload.

Declarations - Step 4 of 4

Step 4 of 4

HEALTH AND SAFETY *

Each agency worker has a responsibility at the start of their first shift to become familiar with the Client’s general policies.

Declaration *

I confirm that I have read and understood the above and confirm my answers to be accurate and correct. Additionally, I understand that it is my responsibility to update Zintra Staffing Ltd. in the event any of these details change in the future. Any job offer made to me is based on a zero-hours contract with no guarantee of work or working hours. Any job offer made to me is subject to satisfactory references being obtained from the individuals offered above. I give permission for Zintra Staffing Ltd. to contact the referees given. Upon acceptance, if I do not subscribe to the DBS Update Service, Zintra Staffing Ltd. will arrange a Disclosure and Barring Service (DBS) check now, and at intervals thereafter. I also understand that Zintra Staffing Ltd. may contact the Home Office/UK immigration in order to verify my eligibility to work in the UK. If information given on this application form is found to be false it may result in disciplinary action, or dismissal.

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Why Choose Us!

Competitive Compensation

Continuous Learning

Flexible Scheduling

READY TO ENROLL?

Join-us Our Team

Address *

Emergency Contact

Training Layout

Upload Certificates

Education

Upload DBS Certificates

Documents

Immunisation

Upload any proof of immunisation

HEALTH AND SAFETY *

Declaration *

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