Apply Now – Access Medics

Before we begin, please download and complete the Night shift form. You’ll be required to upload it at the end of this application.

1Personal Details

2Eligibility Check

3Education and Certificates

Your Details

Name *

First

Middle

Last

Date of Birth *

National Insurance Number *

Upload Proof of NI Number or Share Code

Click or drag a file to this area to upload.

You can get your share code by visiting this link

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Email *

Phone

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Please Upload Proof of Address *

Click or drag files to this area to upload. You can upload up to 2 files.

Upload photo for ID *

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LinkedIn Profile Link

Save and Resume Later

Do you have the right to work in the UK? *

Upload valid visa/biometric residence permit/evidence of the right to work in the UK. *

Click or drag files to this area to upload. You can upload up to 3 files.

Do you have a valid driving licence? *

Next Of Kin Details

Name *

Address of next of kin

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Relationship to next of kin

Next of kin telephone

Position Details

Position Applying For *

Previous Employment 1

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Employer's Name

Position Held

Salary / Benefits

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From (start date)

To (finish date)

Reasons for leaving

Previous Employment 2

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Employer's Name

Position Held

Salary / Benefits

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From (start date)

To (finish date)

Reasons for leaving

Save and Resume Later

Education and Professional Qualifications

(Original documents as proof of qualification will be required at interview)

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Secondary School / College / University

Examinations taken

Result

Cover Letter, Resume, & References *

Click or drag files to this area to upload. You can upload up to 3 files.

Because of the nature of the work involved, the post for which you are applying is exempt from Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation Offenders Act (Exemption Order 1975). This means that you are not entitled to withhold information relating to any convictions you may have had.

Do you have any convictions to disclose? *

Any information should be given on a separate sheet and sent with this application form. This information will be treated as confidential and will not necessarily preclude you from employment.

Additional personal details *

Outside interests, leisure time activities and other personal information which you think may assist us in evaluating your application.

References

Please give the name and address of two referees, one of whom must be your present employer, or your previous employer.

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Name *

Status

Email Address and Telephone Number *

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Name *

Status

Email Address and Telephone Number *

Are you fully vaccinated against Covid-19?

Do you have up to date enhanced DBS (dates within 12 month)? *

Upload all relevant training certificates.

Click or drag files to this area to upload. You can upload up to 5 files.

Upload all relevant academic certificates.

Click or drag files to this area to upload. You can upload up to 5 files.

Attach Night shift form *

Click or drag a file to this area to upload.

The form you downloaded and completed at the start of this application.