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Job Application
iMedical Staff
Step
1
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4
First Name
*
Last name
Email
*
Contact No
*
Upload CV
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Are you a UK Citizen?
*
Yes
No
Are you authorized to work in the United Kingdom?
*
Yes
No
Have you ever applied for a temp or perm job with iMedicalStaff?
*
Yes
No
How did you first learn of iMedical Staff?
Please select
Please select
Indeed
CareerBuilder
Facebook
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Other
If other, How?
Have you EVER been accused of elderly or patient abuse?
*
Yes
No
If you are a nurse or doctor, has your license to practice ever been suspended or revoked?
*
Yes
No
I'm a Health Care Assistant (HCA)
I'm an Allied Health Care Professional (AHCP)
Have you EVER been convicted by the police for any violations?
*
Yes
No
Currently employed?
*
Yes
No
From
*
To
*
Company Name
*
City
*
Position Held
*
Reason for leaving
*
Were you subject to CQC regulations while working for this employer?
*
Yes
No
Have you received any Awards?
*
Yes
No
What awards have you received?
Date
Kind of award
Presented by
While employed by
In recognition of
Date
Kind of award
Presented by
While employed by
In recognition of
Can you read English?
*
Yes
No
Can you speak English?
*
Yes
No
Can you write English?
*
Yes
No
Are you able to complete written logs and time sheets?
Yes
No
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