Application Form

PERSONAL INFORMATION
Name*
Forenames Surname
Email*
Enter Email Confirm Email
Mobile*
Date of Birth*
Address*
Street Address Address Line 2 City Post Code
Upload proof of address (optional)
Accepted file types: jpeg, jpg, png, pdf.
Upload your passport size photo (optional)
Accepted file types: jpeg, jpg, png, pdf.
Marital Status*
- Single
- Married
Next of Kin
Relationship
Mobile
Do you live in the same address with your next of kin?
- YES
- NO
Next of Kin Address
Street Address Address Line 2 City Post Code

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Do you have Permission to work in the United Kingdom ?*
- YES
- NO
Upload Proof permission to work in the UK (optional)
Drop files here or

Accepted file types: jpg, png, pdf.

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MOBILITY:
Do you hold a full UK Driving License?
- YES
- NO
Do you have access to a car which can be used for work purposes?
- YES
- NO
Where did you first hear about Tender365 Limited ?
- Ad on the internet
- Ad on published media
- Referral

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QUALIFICATIONS/TRAINING
Qualifications School/college Grade/Result Dates: From-To Relevant training/qualifications in healthcare certificates
- Manual Handling
- Health and Safety
- Basic Food Hygiene
- First Aid
- NVQ Levels
- POVA/SOVA
- Others
Tick where applicable
Other Qualifications School/college Grade/Result Dates: From-To Relevant training/qualifications in healthcare certificates
List them comma separated e.g health, pharmacist
Upload relevant Training Certificate / Proof of training (optional)
Drop files here or

Accepted file types: jpeg, jpg, png, pdf.

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EMPLOYMENT HISTORY / WORK EXPERIENCE
Upload your employment history / CV
Drop files here or

Accepted file types: jpeg, jpg, png, pdf.
optional
EMPLOYMENT HISTORY
Name and address of previous employer(s) starting with most recent From (Month/ Year) To (Month/ Year) Position held and salary / hourly rate of pay Reason for leaving

Optional
Please provide details of your National Insurance Number
NIN
Referee 1 Do not contact before interview
REFEREES One must be your present/most recent employer. Character testimonials from professionals are only acceptable in exceptional circumstances, where you have no, or limited, employment history. NB WE WILL VERIFY REFERENCES RECEIVED BEFORE CONFIRMING EMPLOYMENT
Company
Name
Position Held
Telephone
Email
Address
Street Address City Post Code
Referee 2: Do not contact before interview
One must be your present/most recent employer. Character testimonials from professionals are only acceptable in exceptional circumstances, where you have no, or limited, employment history. NB WE WILL VERIFY REFERENCES RECEIVED BEFORE CONFIRMING EMPLOYMENT
Company
Name
Position Held
Telephone
Email
Address
Street Address City Post Code

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REHABILITATION OF OFFENDERS ACT 1974
You are advised that you are not entitled to withhold information about convictions, which are regarded as spent under the Act’. This is due to the nature of the work involved renders the post exempt from sec. 4(2) of the Act in accordance with the Rehabilitation of Offenders Act 974 (Exceptions) Order 1975. You are therefore required to give details of all convictions and cautions including ‘spent’ convictions. Any information, which you may give, will be strictly confidential and will be considered only in relation to this or a similar position for which you may be considered with Tender365 Ltd.
Have you ever been convicted of a criminal offence?
- YES
- NO
If yes, please give details of all convictions and cautions, including spent convictions and cautions:

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Disclosure and Barring Service form (DBS) notice
You are required to complete the Disclosure and Barring Service form. All health professionals registered with Tender365 Ltd are subject to this disclosure process in the interests of all parties concerned.
Upload DBS (optional)
Accepted file types: jpeg, jpg, png, pdf.

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WORKING TIME REGULATIONS 1998 OPT – OUT
1. Definitions 1.1 In this Agreement the following definitions apply: 'Employee' means the temporary worker 'The Employer' is Tender365 Ltd 'Working Week; means an average of 48 hours each week over a 17 week period 1.2 Unless the context require otherwise, references to the singular include the plural and references to the masculine include the feminine and vice versa. 1.3 The heading contained in these Terms are for convenience only and do not affect their interpretation 2. Restrictions The Working Time Regulations 1998 provide that an Employee shall not work in excess of the Working Week unless he/she agrees in writing that this limit should not apply. 3. Consent The Employee hereby agrees that the Working Week limit shall not apply to his contract of employment with his employer 4. Withdrawal of consent 4.1 The employee may end this agreement by giving the Employer three months notice in writing 4.2 For the avoidance of doubt, any notice bringing this agreement to an end shall not be construed as termination by the Employee of this contract of employment with the Employer 4.3 Upon the expiry of the notice period set out in clause 4.1 the working Week limit shall apply with immediate effect. 5. The law 5.1 These terms are governed by the law of England & Wales and are subject to the exclusive jurisdiction of the courts of England & Wales

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Bank Details (confidential)
Wages are paid direct into your account.
Name of Bank or Building Society
Bank/ Building Society Address
Street Address City Post Code
Name of Account Holder
Surname Forename
Type of Account (Current, Deposit etc)
Account Number
Sort Code
Reference number if Building Society
I hereby request and authorise you to remit all amounts due to me for the Credit of account detailed above.
- YES
DECLARATION
All information given is true in every respect. I have read and understood the Terms and Conditions and I agree to comply with the current Health and safety at work Act. I declare that I consider myself to be physically and mentally fit to perform the duties of post I have applied for. I have been issued with a staff handbook and informed of the importance of reading and understanding it. I consent to the Company checking any information provided on this form, and I understand that giving false information may lead to any job offer being withdrawn, or to formal action up to and including termination of my employment. I understand that the hourly pay rate includes holiday pay.

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PERSONAL INFORMATION