Applicants Clinical Grade
Full Name
Previous Name's
Email Address
Phone Number
Address
Emergency Contact
National Insurance Number (NI)
Visa Status/Passport Orgin/Nationality
Are you currently bound over, or do you have any convictions, cautions, reprimands, or final warnings which would not be protected (i.e., filtered) as defined by the Exemptions Order 2013 that have been issued by a Court or Court-Martial in the United Kingdom or in any other Country? YES or NO
Are you currently bound by any barring decision made by the Disclosure Barring Service (DBS) from working with adults or children? YES or NO
If yes to the convictions, please add information here YES or NO
I am aware of a health condition or disability that might impair my ability to undertake effectively the duties of the position that I have applied for? Agree or Disagree
If yes to the questions about fitness to practice, please explain here.
Confidentiality Agreement. I will not, during any engagement with the company, or at any time thereafter, discuss or disclose to any unauthorised person, or make use of, any trade secrets or other information of a confidential nature relating to the company or any associated company or any of their customers, which was acquired during such engagement with the company. Yes or No to agree to retain confidentiality
Number of years experience in the medical sector
Copy of ID
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CV/Resume
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DBS/UDS
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Certificates and qualifications upload
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Certificates and qualifications upload
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Certificates and qualifications upload
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Certificates and qualifications upload
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Certificates and qualifications upload
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Teaching Certificates
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Other documents
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Other documents
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Contact information for professional references (name, email & phone number)
Organisation name and dates
Contact information for Personal reference (name, email & phone number) No Family, or Family Friends.
Relationship with applicant, referee name and known for how long
Avicenna Emergency Assistance Ltd pay rates. You can work any shift below than your grade. Lead Roles will pay extra £10 per shift. Please agree or disagree to accept the pay amounts
Avicenna Emergency Assistance Ltd pay rates below. Here is a breakdown of the pay rates based on job title and qualifications: Events are minimum 5 hours First Aiders (FAW 3 day): £13.00 per hour = £65.00 First Responders (FREC 3): £14.50 per hour = ££72.50 First Responders (FREC 4): £16.00 per hour = £80.00 ECA (FREC 4 with BL/Trust): £17.50 per hour = £87.50 Technician (IHCD Tech, FREC 5, AAP): £18.50 per hour = £92.50 Paramedic : £25.00 per hour = £250 Instructors (Various Roles) (EFAW/FAW/FREC & ETC): starting from £100+ onwards. For Events, If you have your own equipment/kit let us know, we pay extra for this if required. T&C Apply
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