Personal Information
First Name * Last Name *
Your Nationality * Bulgarian Czech Estonian Greek Hungarian Irish Italian Latvian Lithuanian Polish Portuguese Romanian Slovakian Slovenian Spanish Other Place of Birth
Country where you live now* Your current address (city, street, post code)*
Email * Skype Name
Main Phone Number* : * Alternative Phone Number:
Main Profession: Nurse Doctor Health Care Assistant
Pharmacists
Radiologists
Physiotherapists
Midwife
Your English language level Basic Elementary Intermediate Fluent
Your Experience and expertise
If you are a nurse select your area of expertise from one of the following : Theatre Nurses (Anaesthetics Surgical Nurses Paediatric Nurses Operating Room Nurses Nursing / Care Home RMN Nursing / Care Home RGN Intensive Care Nurses General Nurses Dialysis Nurses Elderly Care Nurses Cardiac Nurses Anaesthetic Nurses Theatre Nurses (First Assistants) Theatre Theatre Nurses (Recovery) Theatre Nurses (Scrub) If you are a doctor select your area of expertise from one of the following: Anaesthetics Ante Natal Cardiology Consultants Dermatology Diabetology & Endocrinology Emergency Medicine Endoscopy Forensic Physicans Gastroenterology General Surgical Geriatrics GPs Gynaecology Haematology Histopathology Immunology Infectious Diseases Laser Eye Surgery Neonatal Nephrology Neurology Occupational Therapists Ophthalmology Orthopaedics Paediatrics Post Natal Psychiatry Urology Other
If you have expertise in other areas of healthcare select one of the following: Pharmacists Community Pharmacists Hospital Pharmacists Physiotherapists Radiographers Radiology Radiology Technologists Others If you do not have any expertise in the health care sector, but have other relevant experience select here Social Care Looking after others Others
If you are a nurse, please answer these questions
Are you a registeredYes
No
Which Year did you qualify as a nurse? Do you a have NMCYes
No
Attach your CV here:
As part of the programmes of Victor Wolf to help you find a suitable job in the UK, Germany and Middle East Healthcare Sectors , you will be asked to provide evidence of relevant qualifications and relevant training certificates
Health
Your employment in the UK, Germany and Middle East Healthcare Sectors will be subject to a satisfactory completion of a pre-employment medical questionnaire
Do youI declare that the current condition of your health and your medical history does not prevent you from undertaking duties in the healthcare sector?* Yes No
Convictions
Have you ever been convicted of any criminal offence? * Yes No Add if yes we will be asking you for more details
Data Protection Statement
The information that you provide on this form and on any CV given will be used by Victor Wolf to provide you work finding services. In providing this service to you, you consent to your personal data being included on a computerised database and consent to us transferring your personal details to our clients. We may check the information collected, with third parties or with other information held by us. We may also use or pass to certain third parties information to prevent or detect crime, to protect public funds, or in other way permitted or required by law.
Declarations
I certify that the information given by me in this application is true , accurate and complete to the best of my knowledge. I understand that if any of these statements is found to be false, this can affect my participation in any of the programmes of Victor Wolf Limited and also my future career.
I hereby confirm that the information given is true and correct.* Yes No
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