Join us

We are always on the lookout for dedicated and compassionate healthcare professionals to join our team, as we continue to deliver high-quality care to those in need.

If you are a Registered Nurse, Care Assistant, or Support Worker who is passionate about providing exceptional care, we would love to hear from you. We offer flexible working hours, competitive rates of pay, and ongoing training and development opportunities to help you enhance your skills and progress in your career.

Joining our team means being part of a supportive and caring community, where you will have the opportunity to make a real difference in the lives of those you care for. If you are interested in joining us, please fill out our online application form or get in touch with our recruitment team today. We look forward to hearing from you!

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Personal Details - Step 1 of 6

Job title you are applying for *

NMC PIN *

Only if you are a registered nurse

Title

Name *

First

Middle

Last

Date of birth *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Nationality *

Email *

Phone number *

National Insurance Number *

Do you hold a full & valid driving license for the UK? *

Are you eligible to work in the UK? *

Please describe your eligibility to work in the UK. Include what applies to you: settlement status details, BRP number, visa etc. *

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Employment History *

Briefly detail your employment history within the past 5 years, starting with the most recent. Please include the dates, FROM/TO.

Training and Education *

Was your mandatory training - for example Moving & Handling, Infection control, Safeguarding, Medication administration (RNs only) completed within the last year? Briefly outline any qualifications as well as professional & vocational training that you feel are relevant to this job.

Mandatory Training

COSHH
Diversity, Equality and Inclusion
Food Hygiene
Health and Safety
Infection Prevention and Control
Safeguarding of Vulnerable Adults
Safeguarding of Children
Moving and Handling
First Aid
GDPR
Basic Life Support
Fire Safety

Please tick if you have completed the above training within the last 12 months. Please enclose copies of your training certificates.

Upload Certificates

Click or drag files to this area to upload. You can upload up to 12 files.

DBS status. Have you subscribed for the DBS Update Service? Please select. *

If you selected "Yes", please enter the number of the DBS certificate you subscribe with. Please note this is the DBS certificate number, not your subscription number.

Previous Convictions *

Please give details of any convictions in this country or abroad you currently or have previously had. If none, please write the word “NONE” in this box. Please be aware that it is an offence to withhold this information.

References *

Please give details of two people that would be prepared to give you a reference. One must be from a current/previous employer; the other should be a character reference, from someone other than a family member. Any offer of employment will be subject to satisfactory references. By entering their. details here, you give Moonlight Staffing Ltd. permission to contact these people. Please include Name, Position, Organisation, Address, Email and Phone Number.

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Health and Safety - Do you have a disability of any kind that may affect your work? Please select. *

If you selected "Yes", please give details.

Working Preferences *

Day Shifts
Night Shifts
Weekdays
Weekends

How many days/nights per week? *

One
Two
Three
Four
Flexible

How would you like to be paid? *

Name of Bank/Building Society: *

Account Name: *

Account No: *

Sort Code: *

Online data - we keep a lot of your records securely online. In addition, clients may ask that these are uploaded and shared online with their own client base (e.g. nursing & care homes), prior to the commencement of your first shift with them. Do you authorize that these details can be shared with them online? *

Working time regulations - the maximum working week is currently limited to 48 hours. As you are under no obligation to accept any work offered, you will not be compelled to work more than 48 hours per week. However, you may choose to do so. Please select. *

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Data Protection. Our records, including any copies of documents supplied are kept securely in line with GDPR regulations. You understand & give permission for these to be made available from time to time to authorized personnel or inspectors, Home Office Immigration Check. If applicable, you understand & give permission for Moonlight Staffing Ltd. to contact the appropriate authority in order to verify your current immigration status. Please tick. *

Upload 1 (one) Category A supportive documents: • Current and valid UK Passport • UK driving license photo card • UK Original Birth Certificate • A UK biometric residence permit card. *

Click or drag a file to this area to upload.

Upload 2 (two) Category B supportive documents: • A Bank or Building Society statement - less than 3 month old • Utility Bill less than 3 month old • A Credit Card statement • A Council Tax statement • A mortgage statement • A letter from: HMRC, Department of Work and Pensions, Jobcentre Plus or any other employment service •A P45 or P60 statement, a pension or endowment statement or ISA statement. *

Click or drag files to this area to upload. You can upload up to 2 files.

Upload a Passport Style photograph. It must be clear, full face, no hats and against a white background. *

Click or drag a file to this area to upload.

Upload your CV *

Click or drag a file to this area to upload.

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Hep B *

TB *

Varicella *

Measles *

Rubella *

Hep C *

No Proof
Negative
Positive

Hep B Antigen *

No Proof
Negative
Positive

HIV *

No Proof
Negative
Positive

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HEALTH AND SAFETY *

Each agency worker has a responsibility at the start of their first shift to become familiar with the Client’s general policies including, without limitation, those relating to Emergency Call Procedures, the Hot Spot Mechanism for alerting security staff that an individual is in trouble, Fire Policy and the Violent Episode Policy.

Declaration *

I confirm that I have read and understood the above and confirm my answers to be accurate and correct. Additionally, I understand that it is my responsibility to update Moonlight Staffing Ltd. in the event any of these details change in the future. Any job offer made to me is based on a zero-hours contract with no guarantee of work or working hours. Any job offer made to me is subject to satisfactory references being obtained from the individuals offered above. I give permission for Moonlight Staffing Ltd. to contact the referees given. Upon acceptance, if I do not subscribe to the DBS Update Service, Moonlight Staffing Ltd. will arrange a Disclosure and Barring Service (DBS) check now, and at intervals thereafter. I also understand that Moonlight Staffing Ltd. may contact the Home Office/UK immigration in order to verify my eligibility to work in the UK. If information given on this application form is found to be false it may result in disciplinary action, or dismissal.

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Your form entry has been saved and a unique link has been created which you can access to resume this form.

Enter your email address to receive the link via email. Alternatively, you can copy and save the link below.

Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted.

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Email *