It's fantastic to know you're interested in joining us here at Bluestones Medical. So that we can ensure that we're the right fit for you and visa versa, we would appreciate it if you could fill out the form below. Please ensure all your answers are true and reliable. Name(Required) First Last Phone(Required)Email(Required) Job title(Required) Band(Required) How did you hear about us?(Required) What is your current role/experience?(Required) Are you permanent, on a bank or registered with another agency?(Required) Does your current team use agency staff? If so, who?(Required) Please select which areas you specialise in?(Required) Wound care Compression M&F catheterisation End of life/palliative Syringe drivers Injections – B12, Clexane, IV’s, Insulin Leg ulcers Continence Select AllPlease select which of the below you are currently looking for(Required) Full-time hours (30+) Part-time hours Nights Days Earlies Lates Long days In the box below, please tell us your notice period(Required) In the box below, please let us know about any commitments you have that we should work your schedule around(Required) Please select your payment option of choice(Required) PAYE Umbrella I require further info before I decide In the box below, please let us know what pay rate per hour you are expecting(Required) In the box below, please tell us the locations & Trusts you wish to work in. This can be more than one(Required) Do you have a valid UK driving licence?(Required) Yes No Have you ever been dismissed or suspended? Were you or will you be referred to NMC?(Required) Yes No If your answer to the above questions was 'yes', please can you provide us with some detail (where & when did it happen etc) Is your DBS online?(Required) Yes No If your answer to the above questions is 'yes', do you have access to the original document?(Required) Yes No Do you have any convictions?(Required) Yes No If your answer to the above questions was 'yes', please can you provide us with some detail (where & when did it happen etc) In the box below, please tell us when your revalidation is due(Required) In the box below, please tell us when you last had an NHS appraisal(Required) Please select which desired work pattern best suits you & your requirements(Required) Ad-hoc (between 1 shift per week to 1 shift per month) Part-time (between 1-2 shifts per week) Full-time (At least 3 shifts per week) Please select which days are the week are best for us to contact you(Required) Monday Tuesday Wednesday Thursday Friday In the box below, please tll us what time of the day is best for us to contact you(Required) CommentsThis field is for validation purposes and should be left unchanged.