Employee Evaluation Form

Please remember that, the form will be confidential and will be used specific purpose only; 

1. Personal Information

Please fill out all sections

Your Photo



2. Academic Qualification

Please list any qualifications below, you may list up to 3.

3.Current Employment Information

4. Full Employment History including any Gaps

Please note a full 10 year employment history must be provided, or your employment history since leaving full time education if less than 10 years. All gaps over 2 months in employment history must be detailed with a note of explanation.

5. Community, Volunteer or Intern Experience

You can add up to 3

6. Permission to work in the UK

7. Registered Nurse NMC Pin

(If Applicable)

8. Proof of Professional Indemnity Insurance

(if applicable)

9. Skills & Experience

In support of your application, please detail your relevant skills, experiences and personal qualities which you believe are relevant to the position you're applying for

10. Professional References

Please provide full names and addresses of two professional employment referees and one character referee. Your first reference must be from your current or previous last place of work and addressed to your line manager. Universal Nursing 247 cannot use friends or relatives for any employment references. Employment references cannot be sent to private or personal home addresses. You must provide workplace addresses and the referee must be a higher grade of staff than you yourself i.e. your line manager.

Reference 1

11. Next of Kin Details

Who would you like us to contact in an event of an emergency?

12. Criminal Records

This employment is not exempt from the provisions of the rehabilitation of young offenders Act 1974, you are not therefore entitled to withhold information requested by the company about any previous convictions in this country or abroad you may have, even if in other circumstances these would appear spent. I confirm that the information I have given is true. I understand that if information given on the application form is found to be false it may result in disciplinary action which could include dismissal. Should I be offered employment, I accept that I will be required to notify the company of any changes to my DBS status. 


13. Covid Vaccinations

14. Working Time Regulations 1998

The European Union has laid down guidelines for all workers, governing the length of the maximum working week that is safe to work. The current limit is 48 hours per week. Because you are under no obligation to accept work offered, you will not be compelled to work more than 48 hours per week, however you may choose to do so.

15. Required Documents

We require the following documents, you can upload them below.  You can use your phone camera to take a photo if you are filling the form on your phone. 

If you do not have these at hand, you can email or whatsapp them to our admin team later. 

Our team will be in touch to collect any missing documents. 

Employment with Global Recruit

It is Global Recruit's policy to employ the most suitably qualified personnel and to ensure equal opportunity for the advancement of employees. This includes promotion and training and prohibits of discrimination against any individual on the basis of race, color, ethnicity, nationality, sexual orientation, gender, religion, belief, pregnancy, marital or civil partnership status, age, or disability.  In completion of this application form, I authorize Global Recruit's to obtain references to support this application once an offer has been made and accepted. I release Global Recruit and submitted referees from any liability caused by giving and receiving any information. I confirm that the information given on this form is to the best of my knowledge, true and complete and that the provision of any false statement(s) will be sufficient cause for rejection or if employed, dismissal.

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