Submit Your Documents HR DOCUMENT UPLOAD Step 1 of 7 14% This field is hidden when viewing the formPROFESSION VAR ParagraphName and Surname(Required) First Last Please complete as by official documentsEmail(Required) Date of Birth(Required) DD slash MM slash YYYY We require a DOB for the DBS applicationPROFESSION(Required) ACUPUNCTURIST DOCTOR NURSE PHYSIOTHERAPIST PODIATRIST SPEECH & LANGUAGE THERAPIST PSYCHOLOGIST MIDWIFE NUTRITIONAL THERAPIST PHLEBOTOMIST 6- PROFESSIONAL BODY REGISTRATION NUMBER(Required)8- UTR Number / Company Name and Number (Registration as a sole trader/ltd)(Required) Bank Details for Invoice PaymentBank Sort Code(Required)Account Number(Required) DO YOU HAVE A UK PASSPORT?(Required) YES NO 1- UPLOAD PASSPORT / UK DRIVING LICENSE(Required)Passport or UK Driving License Drop files here or Select files Max. file size: 34 MB. 2- VISA or Settled Status(Required)If you do not have a UK passport we require a document to prove you can stay and work in the UK. Please upload the proof document here. Drop files here or Select files Max. file size: 34 MB. 2- VISA or Settled Status(Required)If you do not have a UK passport we require a document to prove you can stay and work in the UK. Please upload the proof document here. Drop files here or Select files Max. file size: 34 MB. 2- Proof of Address(Required)NO OLDER THAN 3 MONTHS Example - utility bill, Council Tax Drop files here or Select files Max. file size: 34 MB. Is Your Professional Body Providing your Indemnity?(Required) YES NO, I have a separate Indemnity 4- Professional Indemnity Certificate / RCN Indemnity Confirmation Letter(Required)This must be dated within the LAST YEAR Max. file size: 34 MB.4- RCN Indemnity: Self Declaration. (Upload your signed self-declaration shown below)(Required)If your Professional Indemnity is provided by the RCN we also need a signed self-declaration to confirm that you are complying to the RCN indemnity scheme as a self-employed nurse and that you are not subject to any conditions or exclusions that apply to the RCN professional indemnity scheme. This document should dated and signed, and contain the following text: I ....., hereby declare that I am a registered member with the RCN, membership n° ....... I have provided a letter to confirm that the RCN provides for my professional indemnity, as long as I comply with their indemnity scheme. I hereby confirm that my professional indemnity is provided by the RCN as by the provided letter, that I have read and understood the RCN indemnity cover scheme, and that I am not subject to any conditions or exclusions that apply to the RCN professional indemnity cover. If this were to change, I will immediately inform Medelit through the email address hr@medelit.com, and provide for the activation of a new and separate professional indemnity. Max. file size: 34 MB. 5- Enhanced DBS (Less than 1 year old)(Required)If you are subscribed to an updating service please provide: a. updating number and copy of the ORIGINAL DBS to which the updating service is connected, or b. screenshot of current updating status number check (https://secure.crbonline.gov.uk/crsc/check?execution=e1s1 - enter MEDELIT ltd in the organisation name field). If you do not have an updated ENHANCED DBS, please let us know and we can set your credentials up so that you can do it through the provider we use - https://online.ddc.uk.net/login I HAVE IT I DON'T HAVE IT I HAVE AN UPDATING SERVICE Do You need us to Start a DBS Application for You? YES NO ENHANCED DBS / DBS UPDATE CHECK(Required) Drop files here or Select files Max. file size: 34 MB. DBS UPDATING NUMBER 7- Date of most recent Appraisal(Required) DD slash MM slash YYYY 9- Extract/Summary of Mandatory Training(Required)(example BLS, Safeguarding, RIDDOR, SOVA & SOCA level 3, etc) - showing dates of last update for each course. Drop files here or Select files Max. file size: 34 MB. 10- REFERENCES 1 - Name of Manager Referee(Required) First Last 10- Email (first referee)(Required) 10- REFERENCES 2 - Name of Manager (Second Referee) First Last 10- Email (Second Referee) 11- Professional presentation(Required)Presentation about yourself to be published on your website profile (minimum 450-500 words - this can be an extract of your cv - this is mandatory as it will be placed on our portal to introduce you to patients) 12- Close-up smiling photo 😊(Required)Photo of yourself to be placed on you Medelit website profile. Drop files here or Select files Max. file size: 34 MB. EmailThis field is for validation purposes and should be left unchanged. hcepparo2024-04-22T17:40:54+01:00 Share This Story, Choose Your Platform! FacebookTwitterLinkedInEmail
