HCA/Support Worker Registration - Goldman Fine Group

Your Details:

Name*

First Last

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Phone*

Email*

Upload CV

Please upload your current up to date CV showing your work history.

Ethnic origin/Equality Legislation

The Equality Act 2010 legally protects people from discrimination in the workplace and in wider society. It replaced previous anti-discrimination laws with a single Act, making the law easier to understand and strengthening protection in some situations. It sets out the different ways in which it’s unlawful to treat someone.

Please select your ethnic origin from the drop down boxes below.

White

Mixed or Multiple ethnic groups

Asian or Asian British.

Black, African, Caribbean or Black British.

Other ethnic group.

Type of work*

What type of employment are you looking for (please select all that apply).

Temporary
Permenant
Full time
Part time

Formal Education and Qualifications

Education*

Name of School/College/University	Date From/To	Qualifications Gained

Qualifications & Training

Please give details of training undertaken and qualifications obtained: e.g. NVQ Health & Social Care

Qualification	Date obtained

Certificate upload

Please upload any certificates you have e.g. Manual Handling

Drop files here or

Employment History*

Please list your last 3 years employment history here.

Employer	Address	Position	Date From/To

References*

References are normally taken up for candidates selected for interview. Give details of the names/addresses of two work-related Referees. One of the Referees should be your current employer, or if presently unemployed or self-employed, your last employer.

Company Name and Address	Refferee and relationship to you	May we contact this person now?

Payment Details*

Please fill out your bank details for recieving payment.

Bank/Building Society	Sort Code	Account Number

Bank Statement/Bank Card*

In line with the Goldman & Fine Group Ltd Anti Slavery Policy we require evidence that the bank details provided are yours. Please upload a picture of your most recent bank statement or Bank card showing both the Sort Code and Account number.

HMRC Starter Checklist Upload

If you dont have a P45 or P46 please download and complete the HMRC Starter Checklist and upload once completed. HMRC Starter Checklist

Medical/Health Disclosure*

Please use this section to tell us whether or not you consider yourself to be disabled. Regardless of your answer to this question you may want to tell us about any specific requirements that you may have at the interview. This will help us to make the necessary arrangements for you at the interview stage. As a disability confident employer (Registration number DCS023302) We use the Equality Act 2010 definition of disability.

Next of Kin Details

Name*

First Last

Phone number*

Email*

GDPR (Data Protection Act 2018)

The Data Protection Act 2018 requires us to seek your written consent to our processing the information provided by you on this form. Some of this information may be given to a third party for the purposes of finding out user’s views of the service, audit and research or to specialists such as adaptation companies and driving instructors. We never release information which is not relevant to your fitness to work, drive or discuss personal details. Submission of this registration document will be taken to mean that you have given that consent. Under the Data Protection Act you have the right to enquire, in writing, the information we hold on you and, subject to a few exceptions to be supplied with a copy of this information.

Documents to upload

Please upload all relevant documents for your application

Contract of employment (Temporary Workers)*

Please download and complete the attached form, once completed this will need to be uploaded. Temporary Worker Contract

DVLA Driving License

Valid FLT licence (If applicable)

Right to work*

Passport (UK/European), Biometric Card, Home Office right to work document, UK Citizenship certificate with ID Card.

National Insurance Number*

NI Card, P45, P60, HMRC Letter, Biometric Card with NI number

Current DBS Certificate

Current valid DBS certificate

Photo

Please upload a recent photo for your ID badge.

Useful Documents and links

Here you can find links to current government legislation in regards to employment and also download the Goldman and Fine Group Ltd documents.

Goldman and Fine group Ltd Modern Slavery policy

Goldman and Fine Group Ltd Modern Slavery Policy

Goldman and Fine Group Ltd Equality, Diversity, and Inclusion Policy

Goldman and Fine group Ltd Equality, Diversity, and Inclusion Policy

Staff privacy policy

Here you can download a copy of our privacy policy. Goldman and Fine Group Ltd Staff Privacy Policy

GDPR Consent Form

Here you can download a copy of our GDPR consent form by submitting this application form it will be taken as you have read and agreed to the terms within. GDPR Consent Form

Safer Jobs membership

Goldman and Fine Group Ltd are proud to be a member of the Saferjobs, remember no agency should ever charge you a fee to find work if you have come across any agency trying to charge you to apply for work please get in contact with SaferJobs using this link. SaferJobs

Disclaimer

Goldman & Fine Group LTD has made every attempt to ensure the accuracy and reliability of this document. However, this document is provided "as is" without warranty of any kind. We do not accept any responsibility or liability for the accuracy, content, completeness, legality, or reliability of this document. No warranties, promises and/or representations of any kind, expressed or implied, are given as to the nature, standard, accuracy or otherwise of this document nor to the suitability or otherwise of the document for your particular circumstances. We shall not be liable for any loss or damage of whatever nature (direct, indirect, consequential, or other) whether arising in contract, tort or otherwise, which may arise as a result of your use of (or inability to use) this document. By providing this document to you we are not giving legal or financial advice. We confirm that we own all rights in this document and, as such, reserve all intellectual property rights contained herein. Sale of this document is strictly in accordance with Goldman & Fine Group LTD Writing’s standard Terms & Conditions which can be found at www.goldmanfine.com.