OFFER LETTER

Practice Name and Address*

Practice Phone Number*

Area CodePhone Number

New Candidate Name:*

First NameMiddle Name(s)Last Name

Position*

GOC/ CORU Number

As appropriate per role i.e. Optometrist, Dispensing Optician

Relevant Performers List Number

Start date: *

Date

PermanentTemporary

If Temporary, please confirm the end date of the contract

Full timePart time

Actual weekly hours worked:*

What are the standard full time working hours in your practice? *

e.g - 37.5, 39, or 40. - (please speak to the People Services team if you are unsure)

What would you like to calculate the salary based on?*

Please select an option then ONLY fill in the relevant field below. Make sure you have filled out all the working hours above.

Actual salary (this is the pro rata amount):*

Full Time Equivalent (FTE) salary*

Hourly Rate *

ZERO Hours

Working pattern WEEK 1

Rows	Mon	Tue	Wed	Thu	Fri	Sat	Sun
Hours
Start time
Finish time
Break

Working pattern WEEK 2

Rows	Mon	Tue	Wed	Thu	Fri	Sat	Sun
Hours
Start time
Finish time
Break

Working pattern WEEK 3

Rows	Mon	Tue	Wed	Thu	Fri	Sat	Sun
Hours
Start time
Finish time
Break

Working pattern WEEK 4

Rows	Mon	Tue	Wed	Thu	Fri	Sat	Sun
Hours
Start time
Finish time
Break

PaidUnpaid

Annual leave including bank holidays (please do not pro rata this - include the full year entitlement for the practice): *

YesNo

Name of Shark / FISH:*

Reporting to:*

(Reporting lines on PeopleHub)

Candidate Personal Email*

example@example.com

YesNo - please note that no offer will be sent out until this is received

Please attach a copy of the new starters right to work document?*

Please speak to the HR Team if you are unable to collect this information at the point of submission.

Yes - Clinical References (clinical roles only)Yes - Employment ReferencesNo - I will undertake my own references (if you select this option the People Team will not undertake references, you should also share them with the People Team once you receive them)

If your New Starter is an Optometrist , please indicate their last place of work . i.e. Multiple or another Independent

Are there any standard Hakim Group Terms/Benefits that you do not want included in the offer letter?

If your new starter requires access to Optix please click HERE and complete the Optix access request form

Additional Information