Careers - Platinum Healthcare

Dear Applicant! Our application form is quite extensive. If you need to stop midway through it, you can click the "Save and Continue Later" button at the bottom of the form! This will give you 30 days to come back and pick up where you left off!

Platinum Healthcare Solutions operates a committed equal opportunities policy where all employees will be judged on their capabilities rather than gender, sexual orientation, marital status, age, colour, disability, race, religion or political beliefs. This is aimed at avoiding unlawful or undesirable discrimination. Platinum healthcare staffing takes seriously complaints or allegations of discrimination in any form against any of our staff or clients. Therefore, it is also an obligation upon all staff to respect and act in accordance with the policy.

The questions designed below will be used to help us in monitoring and obtaining a deeper understanding of our workforce since you are our ambassadors out in the community.

Please take a few moments to fill in the information required below. Remember you can save and continue later should you run out of time to complete the entire form.

Section One: About You

Title (Mr./Miss/ Mrs./ etc.):(Required)

Name:(Required)

Surname:(Required)

Gender:(Required)

Nationality:(Required)

Address:(Required)

Post Code:(Required)

Home Telephone Number:

Mobile Number:(Required)

Email Address:(Required)

Confirm Email Address:(Required)

NI Number:

Next of Kin name:(Required)

Relationship(Required)

Contact Number:(Required)

Job Title you are applying for:(Required)

Do you have a UK driving License?

Yes

No

Car Owner?(Required)

Any other languages spoken:

How did you hear about us?(Required)

Section Two: Education and Employment History

It is important you give us all details of your education background and three years of employment History to include verification of any dates and gaps within that whole timeframe. Due to our strict safeguarding policy this part of the application form is a necessity, so please complete this in full detail. We need this in addition to any CV you may have already provided.

Education History

1.

To(Date)

From(Date)

Educational Establishment

Course Title

Qualification Achieved

2.

From(Date)

To(Date)

Educational Establishment

Course Title

Qualification Achieved

3.

From(Date)

To(Date)

Educational Establishment

Course Title

Qualification Achieved

Employment History

1.

From(Date)

To(Date)

Name of Organisation

Position Held

Reason for Leaving

2.

From(Date)

To(Date)

Name of Organisation

Position Held

Reason for Leaving

3.

From(Date)

To(Date)

Name of Organisation

Position Held

Reason for Leaving

4.

From(Date)

To(Date)

Name of Organisation

Position Held

Reason for Leaving

5.

From(Date)

To(Date)

Name of Organisation

Position Held

Reason for Leaving

Section Three: Referees

Please provide details of 2 referees who may be contacted with regards to this Job Application. These referees must not be members of your family, one must be your previous or most recent employer and another a character referee person who knows you well for a minimum of three years.

1. Name:(Required)

Company & Address:(Required)

Telephone:(Required)

Email Address:(Required)

Professional Relationship:(Required)

2. Name:(Required)

Company & Address:(Required)

Telephone:(Required)

Email Address:(Required)

Relationship:(Required)

Section Four: Permission to Work in the UK

If you are to be engaged by Platinum healthcare staffing for temporary employment in the UK, then we will need to verify and take a copy of your original ID documentation as evidence of your right to work in the UK.

Do you have a valid UK or EU passport?

Yes

No

Do you have immigration permission to work in the UK?

Yes

No

For Non-British/ EU Nationals – Type of Visa/ Immigration Authorisation Held:

Section Five: Working Time Directive

Working hours are set by the European Union in the Time Directive of 1993. The current limit for an average working week is 48 hours and no one is under any obligation to accept to work more than the stipulated hours, and under any circumstances will anyone be compelled to do this unless they wish to do so.

Please could you sign below as of.
Please indicate your preference below by ticking the appropriate box.

I do wish to work more than 48 hours per week

I do not wish to work more than 48 hours per week

Section Seven: Criminal Convictions

Platinum healthcare staffing provides temporary job roles which are not exempt from the rehabilitation of offenders Act 1974 (Working with children and Vulnerable Adults). Therefore, details of all criminal convictions must be given whether spent or unspent. Details of this information will be treated as confidential and only acted on where there is a reasonable opinion of Platinum healthcare staffing that the offence is related to the current job role you are applying for. Failure to disclose a conviction on time and later surfaces, may lead to the termination of your application for job roles with Platinum healthcare staffing.

Do you have a current Enhanced DBS?

Yes

No

**Please provide the original during the interview.

Are you subscribed to the online DBS update service?

Yes

No

Please provide a copy or details for the update Service:

File

Max. file size: 80 MB.

Are you subject to any prohibition, limitation or restrictions that prevent you from working with children and vulnerable adults?

Yes

No

Please provide details below:

Section Eight: Equal Opportunities

Platinum Healthcare Solutions operates an equal opportunities policy. This policy is included on the first page of this application. You are requested to complete this section to enable us to monitor the effectiveness of this policy.

Ethnic Category.

Please choose the ethnic group which best describes you:

Disability (Please note: This information is important to the recruitment manager)

The disability discrimination Act 1995 defines disability as a physical or mental impairment which has a substantial adverse effect on a person’s ability to carry out normal day to day activities.

a) Please state if you have any long-term physical or mental condition that affects your ability to carry out day to day activities.

Yes

No

b) Are you registered disabled?

Yes

No

c) What is your registration number?

Yes

No

Religious Belief/Faith

Please state your religion below (if you prefer not to say, please state it)

Sexual orientation

Please state your sexual orientation (if you prefer not to say, please state it)

Date of birth:

Data protection

Platinum Healthcare Staffings complies with all Codes of Conduct set aside by the Government and all other relevant organizations, we also adhere to the Data Protection Act of 1998 and the release of any personal details concerning you, client or any work related matter without the consent of the relevant individuals is strictly prohibited. The data provided on this form will be stored in compliance with the Data Protection Act 1998.

Declaration

I confirm that all the information and statements l have provided above are all true to the best of my knowledge and do understand that any intentional misrepresentation by myself on any part of the application will result in it being invalid and hence dismissal. I give my consent to the Agency to carry out any checks necessary including;

Giving permission for Platinum Healthcare Staffings to apply for an Enhanced DBS Check/Disclosure or verify my existing DBS certificate via the Update Service, when I register with the agency and on an ongoing annual basis. I give permission for my personal data to be shared with U-Check to process my check.

Giving my permission for Platinum Healthcare Staffings to contact and share my personal data with the UKBA/ Home Office / Embassy to perform any necessary eligibility checks (including but not limited to Biometric Residence Permit / ECS checks) on my right to work in the UK.

Giving my permission for Platinum Healthcare Staffings to contact and share my personal data with any organisation where I have worked in the last three years for the purpose of obtaining or validating a reference and give permission for references to be released to Platinum Healthcare Staffings .

Giving permission for Platinum Healthcare Staffings to contact and share my personal data with any organisation where I have worked in the last three years for the purpose of obtaining or validating a reference and give permission for references to be released to Platinum Healthcare Staffings .

Giving permission for Platinum Healthcare Staffings to share my documentation which holds my personal data to verify and validate my occupational health results, qualifications and training certificates where necessary.

I expressly consent to all the data contained in my personal file being made available to both internal and external auditors and organisations where I have been placed and any prospective clients for audit, review and inspection purposes.

If, during the course of my temporary assignment and a client wishes to employ me directly, I acknowledge that Platinum Healthcare Staffings will be entitled to charge the client a transfer fee.

Name (AS printed on ID):

Signature

Date(Required)

Refer a friend or Friends
Platinum Healthcare Staffings has a referral scheme which gives you an opportunity to make extra income throughout the year. We offer £150 referral bonus for each healthcare professional referred to us by candidates. The bonus is applicable when the referee completes a minimum of 250 hours of work from the date, he/she commences work via Platinum Healthcare Staffings . If you would like to join our scheme, please refer a friend or friends, by providing their details below.

First Name:

Surname:

Job Tittle:

Contact number:

Preferred work Location:

Fist Name:

Surname:

Job Tittle:

Contact number:

Preferred work Location:

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Tips

Candidate Registration Form

Section One: About You

Section Two: Education and Employment History

Section Three: Referees

Section Four: Permission to Work in the UK

Section Five: Working Time Directive

Section Six: Health and Disability

Section Seven: Criminal Convictions

Section Eight: Equal Opportunities

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