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  • APPLICATION FORM

    LYRIQ HEALTHCARE is committed to a policy of equal opportunities for all employment seekers and shall always adhere to such policy on an ongoing basis on all aspects of recruitment to avoid unlawful or undesirable discrimination. We shall treat everyone equally irrespective of gender reassignment, marital or civil partnership, status, age, disability, race, ethnic or national origin, religious belief, political beliefs, or membership of a trade union. We also place an obligation upon all agency workers to respect and act in accordance with the policy. LYRIQ HEALTHCARE shall not discriminate unlawfully when deciding which agency worker is submitted for a vacancy or assignment, or in any terms of employment or terms of engagement for agency workers. LYRIQ HEALTHCARE will ensure that each agency worker is assessed only in accordance with their merits, qualification, and ability to perform relevant duties required by the vacancy.
  • PERSONAL INFORMATION:

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  • CRIMINAL RECORDS CHECK-DBS:

  • Employment Desired:

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  • EDUCATION:




  • CLINICAL SKILLS/QUALIFICATIONS/EXPERIENCE:

    PLEASE LIST AREAS YOU HAVE EXPERIENCE IN AND PROFESSIONAL QUALIFICATIONS.
  • PROFESIONAL INVESTIGATIONS

    It is the responsibility of the applicant to inform LYRIQ HEALTHCARE of any changes to their registration and if there is any ongoing professional Investigation.
  • COVID VACCINATION:

  • EMPLOYMENT HISTORY:

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  • PREVIOUS EMPLOYMENT:

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  • PROFESSIONAL REFERENCES:

    Please provide 2 References from your current and previous Employers. 1 Reference must come from your clinical leader (BAND 6 or above) for Care Assistants and support workers (BAND 5 or above).


  • CV UPLOAD (Optional):

    PLEASE UPLOAD YOUR RECENT CV
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  • WORKING TIME REGULATIONS (WTR)

    THE WORKING TIMES REGULATIONS 1998(''THE REGULATIONS'') REQUIRE LYRIQ HEALTHCARE TO LIMIT YOUR AVERAGE WEEKLY WORKING TIME TO 48HOURS UNLESS YOU AGREE WITH US THAT THIS LIMIT SHOULD NOT APPLY TO YOU. LYRIQ HEALTHCARE PROPOSES TO HAVE AN AGREEMENT WITH YOU,WHICH WILL APPLY UNTIL TERMINATED BY NOTICE, ON THE BASIS OF THAT: (A)THE 48 HOUR WEEKLY AVERAGE WORKING TIME LIMIT WILL NOT APPLY TO YOU. (B)YOU MAY TERMINATE THIS AGREEMENT SO THAT THE 48-HOUR WORKING TIME LIMIT WOULD APPLY BY GIVING THE PERSON AT LYRIQ HEALTHCARE TO WHOM YOU USUALLY REPORT, 4 WEEKS WRITTEN NOTICE. UNDER THE REGULATIONS, LYRIQ HEALTHCARE MUST KEEP RECORDS RELATING TO YOUR WORKING TIME.THIS IS THE CASE WHETHER YOU REACH AAN AGREEMENT WITH US ABOUT WAIVING WORKING TIME LIMITS.
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  • SEND APPLICATION:

  • By clicking the submit button below, I cerity that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.  

    The information contained within this application is, to the best of my knowledge, a true and complete account, including but not limited to my professional history and criminal convictions. In addition, i give permission to LYRIQ HEALTHCARE to gain access to my medical records relating to my immunisation and blood test history.

    In consideration of my employment, I agree to conform to the LYRIQ HEALTHCARE's and the clients' rules and regulations, and I agree that my employment and compenstation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.  

    I understand that if i am on a student visa, i can only work for 20hours per week during term time. I understand that i have a responsibility to monitor this. In addition, if my status as a student changes , i must inform LYRIQ HEALTHCARE.

    I acknowledge and confirm that LYRIQ HEALTHCARE is authorised to apply for and obtain a Disclosure and Barring Service check (including the online status update service check if applicable) and references from any previous employers and educational establishments.

    I acknowledge that my personal details will be stored and handled correctly by LYRIQ HEALTHCARE in accordance with the general data protection regulations. However, i agree that my personal details may be made available for audit/review by clients and relevant third parties related to the placement contractual obligations or for legal requirements by the agency.(This is relevant for all information including all documents-DBS, Occupational Health, References).

    I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by LYRIQ HEALTHCARE.  

     

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