Title:
Full Name:
Home address:
Postcode:
Telephone number:
Mobile:
Gender
Date of Birth
Age
Type of work permit (if
applicable)
Marital Status:
Single
Married
Drivers licence :
Yes
No
Language, Mother tongue:
Professional Qualifications
(inc year and place)
RCVS number:
Date/s available to work
Type of work
locum
Permanent
Both
If you are in full time
employment
Does your employer know
you're leaving?
Yes
No
What are your reasons
for leaving ?
Preferred location in
UK ?
Preferred type of practice
?
S/A
Mixed
Equine
What are you looking
for from a position?
How did you hear about
us?
Invoice / payment arrangements
PAYE
Self-Employed
Limited Company
To be arranged
Do you require Tax/Limited Company advice?
Yes
No
Proof of Identity is required- please select which of the following is available and ensure a copy is either emailed or faxed to us to accompany your application
Passport
Birth Certificate
National Identity Card
We also need to see evidence of your eligibility to work in the UK - please identify which category is relevant to you and ensure a copy is either emailed or faxed to us to accompany your application
EU National - no visa/permit required
Working Holiday Visa
Highly Skilled Migrant Permit
Applying for Work Permit
Ancestry Rights
Other - please specify
In order to register with Carlton Professional, copy ID and where needed, eligibility to work documentation MUST be faxed/emailed or posted in to us. This is a LEGAL REQUIREMENT and we cannot progress your application without it. Should you be waiting for visa documentation to arrive, please forward ID documentation in the first instance.
Health Declaration
In order for us to ensure that all candidates have equal opportunity in the course of the recruitment process and to ensure suitability for any vacancies please indicate any matters which you may feel may be relevant to your ability to perform you work.
References:
In order to register you with our company
we require you to supply us with an up to
date C.V. and details of two or more referees
who we can contact to ascertain your professional
competence and caring attitute to clients.
These referees should include your current,
or most recent employer.
1- Name
Address
Telephone
e-mail
May we contact
the above once application received?
Yes
No
2 - Name
Address
Telephone
e-mail
May
we contact the above once application received?
Yes
No
N/B For overseas
references, please provide a fax or e mail
address when possible.
Have you ever been convicted
of a criminal offence?
Yes
No
Have you ever had any
disciplinary action taken against you by
the RCVS?
Yes
No
Declaration:
I confirm that the information given in
the document is accurate and correct.
I understand and agree that Carlton Professional
Recruitment will be acting on my behalf
as an introductory agent and that I will
not be employed by Carlton Professional
Recruitment. I hence acknowledge that
neither Carlton Professional Rectruitment
or its employees hold any responsibility
or liability whatsoever for the service
I provide, nor for the consequences for
the provision of such services, including
accident or damage to clients property.
I agree to inform practices that I am
introduced to, that the introduction was
through Carlton Professional Recruitment.
I also agree to inform Carlton Professional
Recruitment of all dates that I work for
a practice as a result of an introduction
by Carlton Professional Recruitment. Especially
where the introduction leads to ongoing
and subsequent work at later dates, whether
initiated by myself or the practice.
I am aware that should I not comply with
the above or prove to be unreliable once
I have given confirmation to perform a
placement that Carlton Professional Recruitment
has the right to remove me from their
registration and not offer me subsequent
positions in the future.