Employment Application Form

Sub-Contractor Application

Application for work with LMAS as a Subcontractor - all Application are required to undergo screening and vetting before any offer of work can be made. If you have any questions about the process please e-mail hr@localmedics.co.uk
Name*

First NameLast Name
Birth Date*

DayMonthYear
Phone Number*
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityCounty

Post Code

ID Documents
Photo ID*

Driving Licence or Passport (If you have both please upload both)
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Right to Work

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Do you have an Enhanced DBS (with Adult & Child Baring Lists)*

YesNo
As you selected that you do not have an Enhanced DBS with Adults & Child Baring - we will need to put you through one before you can work under us. This will be done at cost through a recognised DBS Checking Company called uCheck. We will send you the link for this to the e-mail address you have provided assuming that all other necessary checks can be completed.
DBS: Enhanced With Adult & Child Baring Lists *

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Is your DBS on the Update Service*

YesNoUnsure
Permission to Check your DBS on the Update Service*

YesNo
Proof of Address

Bank Statement, Council Tax Bill, Utility Bill
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Proof of National Insurance Number

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Medical Qualifications
Grade*
Base Medical Qualification*

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BLS, ILS or ALS Certificate

We require all staff to hold an in person BLS, ILS or ALS certificate dated within the last 12-months
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CERAD Qualification (Required for ECA role)

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Safeguarding: Adults Level 2

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Safeguarding: Children Level 2

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Cover Letter*
Please give us a little bit about your experience and why you feel you would be a good fit for us.
Any Additional Training or Certifications which we may find useful to know about

Please use the checkbox below to confirm you are not a manager, owner, or in a relationship with the manager or owner of, or have a business interest in another Event Medical Company in the UK.

I confirm this to be true: I am not involved with any other company as a manager, owner of another Event Medical Company in the UK.
Declaration: I declare that the information given in this form is complete and accurate. I understand that any false information or deliberate omissions will disqualify me from employment or may render me liable to summary dismissal. I understand this

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How were you referred to us?

Facebook GroupFriend/ColleagueOther (please specify)WhatsApp Group
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Sub-Contractor Application