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  • Apply Now - NYS Nursing Agency

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    elinarai705
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    This document is an application form for a nursing position. It requests personal details such as name, address, nationality, availability and qualifications. It asks if the applicant requires permission to work in the UK, has a disability, and can meet the agency's no smoking policy. Contact and next of kin information is also collected. The form is submitted by clicking "Next" at the bottom.

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    Apply Now – NYS Nursing Agency

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    This document is an application form for a nursing position. It requests personal details such as name, address, nationality, availability and qualifications. It asks if the applicant requires permission to work in the UK, has a disability, and can meet the agency's no smoking policy. Contact and next of kin information is also collected. The form is submitted by clicking "Next" at the bottom.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views1 page

    Apply Now - NYS Nursing Agency

    Uploaded by

    elinarai705
    This document is an application form for a nursing position. It requests personal details such as name, address, nationality, availability and qualifications. It asks if the applicant requires permission to work in the UK, has a disability, and can meet the agency's no smoking policy. Contact and next of kin information is also collected. The form is submitted by clicking "Next" at the bottom.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    !

    " LO G I N

    &
    APPLY NOW

    Apply Now
    Home / Apply Now

    Personal

    Employment

    Health & Fitness

    References & Experience

    Confirm

    Personal Details
    Title

    Mr. %

    Full Name

    Job Applied for

    Nurse %

    Preferred Name

    NMC Pin No.

    NMC Expiry Date

    Home Address

    Telephone No.

    Mobile

    Email

    Date of Birth

    National Insurance Number

    Work permit required

    Yes No

    Next of Kin, Name

    Next of Kin, Relationship

    Next of Kin, Address

    Next of Kin, Mobile

    Next of Kin, Email

    Nationality/Ethnic Origin

    Afghanistan %

    Do you require permission to work in the UK


    ?

    Yes No

    Do you smoke?

    Yes No

    Are you aware of NYS Nursing Agency is no


    smoking policy?

    Yes No

    Do you have a disability?

    Yes No

    If Yes please give details

    Are you currently employed?

    Yes No

    If yes where

    Availability & Access

    Your availability (we know this will change


    over time but this helps us find the right
    work for you)

    Full Time Part Time

    Desired Hrs per Week

    Desired start date

    Weekdays

    Yes No

    Weekends

    Yes No

    Evenings

    Yes No

    Night Shift

    Yes No

    Do you have a valid UK driving licence?

    Yes No

    How did you hear about us?

    Facebook Website Friend

    Other

    Next

    Menu
    Home
    About Us
    Service Types
    Training
    Terms & Conditions
    Contact Us

    Why Us
    Home Care
    24*7 Availability
    In Home Assessment
    Qualified Caregivers

    More
    What we do
    Why Choose Us

    Follow Us

    ! " # $

    NYS Nursing Agency is a private nursing and


    domcare agency. We provide registered nurses and
    general care assistants for temporary or long term
    placements to healthcare providers in the North
    West.

    Logezy © 2021. All Rights Reserved.

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