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Register HEC Resources

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Fill in the form below to register with HEC Resources.

Application
Profession Speciality
Grade
Personal Details
Title Address (Perm)
Forename Postcode (Perm)
Surname Address (Current)
Gender Postcode (Current)
Date of Birth Home Number
Marital Status Work Number
Previous Surname Mobile Number
National Ins. No. Fax Number
Nationality Email Address
Right to work
Document Type Passport No.
Expiry Date
Next of Kin
Title Address
Forename Postcode
Surname Phone Number
Requirements
Available for
Available from
Working full time? What is your notice period?
Geographical areas of the UK you prefer to work in
Would you live in Hospital Accommodation?
Do you have a valid UK driving license?
Current Pay Rate
Additional Notes
Professional Registration
Member of which Professional Body eg GSCC / HPC / GMC
Member Number
Expiry
Professional Indemnity
Professional Indemnity
Expiry
Professional Qualifications
University Training Institution Qualification Date of Graduation
Continued Professional Development
Course Location Date
Work Experience
Employers name Grade/Speciality Date Duties/Notes
to
to
to
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References
Please give name and address of two work related referees, one must be your last employer.
Reference 1
Full name Position
Organisation Address
Postcode Telephone Number
Email Address
    
Reference 2
Full name Position
Organisation Address
Postcode Telephone Number
Email Address
    
Upload CV
CV
AIDS/HIV infected healthcare workers
I confirm that I am aware of the Department of Health’s guidelines on AIDS/HIV infected healthcare workers and agree to abide by them.
YES
Rehabilitation of Offenders Act 1974
You are required to disclose details of any criminal record. Please list your convictions and their dates below, this information will be taken into account where the offence is relevant to the post for which you are applying. Therefore disclosure need not result you from being excluded from obtaining this position. The nature of work you are applying for is exempt from the provision of section 4(2) of the Rehabilitation of Offenders Act 1974 Exceptions Order 1975). Applicants are therefore, not entitled to withhold any information about convictions, even if they are regarded as "spent" convictions under the provisions of this act. Failure to declare a conviction may require us to exclude you from HEC Resources. register or terminate an assignment if the offence is not declared but later comes to light.
Have you ever been convicted of an offence other than Road Traffic Violation
If Yes, please give details
Police Checks/CRB checks
Most Employers request either a Police Record Check or a CRB check for all medical staff, regardless of the position and responsibilities you will undertake.
Do you have a Police or CRB check? YES
Issue Number Date
Professional Misconduct
Have you ever been subject of professional misconduct proceedings or any such proceedings pending of threatened against you?
YES
If Yes please give details:
Working Time Regulations
The Working Time regulations 1998 stipulate that employers will limit your average weekly working time to 48 hours unless you agree to work outside that limit. HEC Resources wishes to have an agreement with you. It proposes an agreement on the basis that: 1. The 48 hour limit on average weekly time will not apply to you. 2. You may terminate this agreement by providing HEC Resources written confirmation (4 weeks notice period). 3. Upon the expiry of the notice period the working week limit shall apply with immediate effect. HEC Resources is obliged to maintain up to date records relating to your working time. This is the case whether or not you take up this agreement to waiver your working time limits.
I hereby agree that the Working Week Limit shall not apply




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