Recruitment Form

Want to join us? Please fill out our Recruitment form and we will aim to get back to you shortly


Reference 1

  • Personal Details
  • Education/Employment
  • References
  • Medical Questions/ Equal Rights
  • Declaration And Submit

Personal Details

Please upload your CV

Max. size: 320.0 MB

Your Bank Details

NMC Registration Number (Nurses Only)

Right to Work

Next Of Kin Details

Education History

Employment History

Reference 1 (Current/Most recent employer)

Please give details of two referees (who should not be your relatives or friends), one of whom should be your previous or current employer. Please indicate against your present employer’s details if you DO NOT wish us to contact them prior to interview.

Do you wish us to contact them prior to the interview? Please choose as appropiate.

Reference 2

Medical Questions

Please answer the following questions by ticking (√) the relevant box:

Are you up to date with your immunisations (Hepatitis B, Polio, Rubella, etc) (Evidence of this will be required)

Please select one for each:

Equal Opportunities

Healing Hands Care Ltd is an Equal Opportunities employer and does not discriminate based on race, gender, disability or sexual orientation. In order to help us to monitor our recruitment in line with these values, please respond to the questions below.

Please tick as appropiate:

Do you have a disibility?


I declare that the information I have given on this form is correct and that any misrepresentation by me may be sufficient grounds for my dismissal if I am employed. I give my permission for my previous employer(s) and any reference given to be contacted.

Consent under the Data Protection Act 1998 – The information given to Healing Hands Care Ltd in this form will be processed only by us for the purpose of considering your application for employment. If you are successful in your application this form and the information in it will be retained in your HR file for such time as you are an employee of Healing Hands Care Ltd and for up to 6 years after the end of your employment. Otherwise this form will only be retained by Healing Hands Care Ltd for so long as it is required in connection with your application. By signing this consent you give us your express consent to retain and process all the information contained in this form and to transfer it to countries outside the European Economic area if required.

Please bring the following applicable documents to interview: 

> Proof of Eligibility to work: 
 > UK Citizen: Passport or full birth certificate with National Insurance Card 
 > Non UK Citizen: Passport or full birth certificate and National Insurance card and Visa/work permit documentation 
 > Name Change Document: if Surname has changed since birth i.e. Marriage Certificate/Deed Poll 

Photo ID: · Passport · Full Driving Licence (including the Counter Part)  Proof of Address: · You will need 2 proof of address that must be within the last 3 months, which can include utility bills, Bank Statement, Council Tax statement etc.  DBS (Formerly CRB) Details: · A current DBS must be dated within the last year.  Qualifications/training certificates  Passport size photo.

leslyicdigitalRecruitment Form