I hereby freely give my employer Your Nurse consent to use and process my personal data relating to my employment.
In giving my consent:
I understand that I can ask to see this data to check its accuracy at any time via a subject access request.
I understand that I can ask for a copy of the personal data held about me at any time, and that this request is free of charge
I understand that I can request that data that is no longer required to be held can be removed from my file and destroyed.
I understand that if I leave my employment, all physical and electronic records will be retained for a period of 6 years after my last contact with Your Nurse, or if longer this is stated in the Privacy Notice
I understand that you are the Data Controller for my employment, and I can contact you directly if I have any questions or concerns about my data.
I understand that if I am dissatisfied with how you use my data, I can make a complaint to the government body in charge (Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF or online at www.ICO.org.uk)
I can confirm that I have read this document fully and that all the information provided to Your Nurse is correct and to the best of my knowledge and belief.
I give consent to contact referees regarding the information I have provided unless specified otherwise.
I will inform Your Nurse should anything change that might affect my position and I understand the information given on this form will be processed by computer and used for registration purposes, under the Data Protection Act 1998.
I understand that if I am at any stage charged or cautioned after signing this declaration, I must inform Your Nurse
I am not aware of any condition, medical or otherwise, which would affect or limit my employment or performance, other than those declared in my Occupational Health Form.
I acknowledge and confirm that Your Nurse is authorised to apply for and obtain a Disclosure and Barring Service (DBS) check and references from any previous employers and educational establishments.
I declare that the information given herein is true and complete and is not presented in a way intended to mislead. I agree that if I have given false or misleading information or omit to give relevant information now or in the future that Your Nurse may cease to offer me further agency placements without notice, as well as claim for recovery of any payments I have received, together with a claim for loss of profit to Your Nurse.
I agree that the maximum weekly working time specifiedinRegulation4(1) and (2) of the Working Time Regulations 1998 shall not apply to working with Your Nurse unless specified above.
I acknowledge that my personal details will be stored and handled correctly by Your Nurse in accordance with the Data Protection Act 1998, however, I agree that they may be made available for audit/review by relevant third parties. (This is relevant for all information including all documents - DBS, Occupational Health, References).
I understand that if I am on a student visa, I can only work for 20 hours per week during term time. I understand that I have a responsibility to monitor this. In addition, if my position as a student changes, I must inform Your Nurse.
I understand that if I am on a Tier 2 Sponsorship Visa, I can only work for a maximum of 20 hours per week at the same professional level as my sponsorship. I understand that I have a responsibility to monitor this. In addition, if my position with my sponsored company changes, I must inform Your Nurse.
I acknowledge that if any of my details stated on this Application Form change, or my circumstances change, which may affect my ability to work for Your Nurse, I must inform Your Nurse immediately.
I confirm that I am not currently under investigation, or currently suspended, by my professional regulatory body or being investigated by my current or previous employer. I will Your Nurse if I am under investigation or suspended by my professional regulatory body or employer at any point while working for Your Nurse.
I confirm that when asked about my working history (primarily, but not exclusively, for the purpose of the Agency Workers Regulations) I will provide accurate information.
I acknowledge that should I reach the 12-week Qualifying Period under the Agency Workers Regulations, I may be asked for, and will provide, further documentation as evidence of qualifying weeks, if Your Nurse deem it necessary.
I acknowledge that I have received and read through the Your Nurse Limited candidate handbook. I will abide and comply with all procedures stated