{"id":477,"date":"2020-04-24T05:11:45","date_gmt":"2020-04-24T04:11:45","guid":{"rendered":"https:\/\/rms.bdevelop.co.uk\/?page_id=477"},"modified":"2020-04-24T05:23:54","modified_gmt":"2020-04-24T04:23:54","slug":"apply","status":"publish","type":"page","link":"https:\/\/rainbowmedicalservices.com\/?page_id=477","title":{"rendered":"Apply"},"content":{"rendered":"\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_3' style='display:none'><a id='gf_3' class='gform_anchor' ><\/a><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_3' id='gform_3'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F477#gf_3'>\n                        <div class='gform_body'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below'><li id='field_3_1' class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Personal Details<\/h2><\/li><li id='field_3_4' class='gfield gf_right_third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_4' >Forename<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_3_4' type='text' value='' class='medium'  tabindex='1'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_3_3' class='gfield gf_middle_third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_3' >Surname<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_3_3' type='text' value='' class='medium'  tabindex='2'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_3_8' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_8' >Current Address<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_8' id='input_3_8' class='textarea medium' tabindex='3'   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_3_10' class='gfield gf_middle_third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_10' >Contact Number<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_3_10' type='text' value='' class='medium'  tabindex='4'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_3_11' class='gfield gf_right_third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_11' >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_3_11' type='text' value='' class='medium'  tabindex='5'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_3_146' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >For which position are you applying?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_146'><li class='gchoice_3_146_0'><input name='input_146' type='radio' value='Healthcare Support Worker'  id='choice_3_146_0' tabindex='6'    \/><label for='choice_3_146_0' id='label_3_146_0'>Healthcare Support Worker<\/label><\/li><li class='gchoice_3_146_1'><input name='input_146' type='radio' value='Registered General Nurse (RGN)'  id='choice_3_146_1' tabindex='7'    \/><label for='choice_3_146_1' id='label_3_146_1'>Registered General Nurse (RGN)<\/label><\/li><li class='gchoice_3_146_2'><input name='input_146' type='radio' value='gf_other_choice'  id='choice_3_146_2' tabindex='8'   onfocus=\"jQuery(this).next('input').focus();\" \/><input id='input_3_146_other' name='input_146_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }' tabindex='8'   \/><\/li><\/ul><\/div><\/li><li id='field_3_145' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Can provide proof that I you are legally entitled to work in the UK?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_145'><li class='gchoice_3_145_0'><input name='input_145' type='radio' value='Yes'  id='choice_3_145_0' tabindex='9'    \/><label for='choice_3_145_0' id='label_3_145_0'>Yes<\/label><\/li><li class='gchoice_3_145_1'><input name='input_145' type='radio' value='No'  id='choice_3_145_1' tabindex='10'    \/><label for='choice_3_145_1' id='label_3_145_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_3_149' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Do you have a DBS Number?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_149'><li class='gchoice_3_149_0'><input name='input_149' type='radio' value='Yes'  id='choice_3_149_0' tabindex='11'  onclick='gf_apply_rules(3,[147,150,122,148]);' onkeypress='gf_apply_rules(3,[147,150,122,148]);'  \/><label for='choice_3_149_0' id='label_3_149_0'>Yes<\/label><\/li><li class='gchoice_3_149_1'><input name='input_149' type='radio' value='No'  id='choice_3_149_1' tabindex='12'  onclick='gf_apply_rules(3,[147,150,122,148]);' onkeypress='gf_apply_rules(3,[147,150,122,148]);'  \/><label for='choice_3_149_1' id='label_3_149_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_3_147' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_147' >Please enter your DBS Number<\/label><div class='ginput_container ginput_container_text'><input name='input_147' id='input_3_147' type='text' value='' class='medium'  tabindex='13'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_3_150' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_150' >Full name (as it appears on DBS)<\/label><div class='ginput_container ginput_container_text'><input name='input_150' id='input_3_150' type='text' value='' class='medium'  tabindex='14'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_3_122' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_122' >Your Date of Birth  (as it appears on DBS)<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_122' id='input_3_122' type='text' value='' class='datepicker medium dmy datepicker_with_icon' tabindex='15'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_122' class='gform_hidden' value='https:\/\/rainbowmedicalservices.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_3_148' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_148' >DBS issue date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_148' id='input_3_148' type='text' value='' class='datepicker medium mdy datepicker_with_icon' tabindex='16'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_148' class='gform_hidden' value='https:\/\/rainbowmedicalservices.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_3_144' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Do you have UK bank account details you could provide to enable us to pay you?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_144'><li class='gchoice_3_144_0'><input name='input_144' type='radio' value='Yes'  id='choice_3_144_0' tabindex='17'    \/><label for='choice_3_144_0' id='label_3_144_0'>Yes<\/label><\/li><li class='gchoice_3_144_1'><input name='input_144' type='radio' value='No'  id='choice_3_144_1' tabindex='18'    \/><label for='choice_3_144_1' id='label_3_144_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_3_128' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >How would you travel to work?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_128'><li class='gchoice_3_128_1'>\n\t\t\t\t\t\t\t\t<input name='input_128.1' type='checkbox'  value='Private Car'  id='choice_3_128_1' tabindex='19'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_128_1' id='label_3_128_1'>Private Car<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_128_2'>\n\t\t\t\t\t\t\t\t<input name='input_128.2' type='checkbox'  value='Public Transport'  id='choice_3_128_2' tabindex='20'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_128_2' id='label_3_128_2'>Public Transport<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_3_20' class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Experience<\/h2><div class='gsection_description'>Please state yes or no against each competency below, if you application is successful you will be asked to present your certificate.<\/div><\/li><li id='field_3_125' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Do you have experience with health and social care?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_125'><li class='gchoice_3_125_0'><input name='input_125' type='radio' value='Yes'  id='choice_3_125_0' tabindex='21'  onclick='gf_apply_rules(3,[126]);' onkeypress='gf_apply_rules(3,[126]);'  \/><label for='choice_3_125_0' id='label_3_125_0'>Yes<\/label><\/li><li class='gchoice_3_125_1'><input name='input_125' type='radio' value='No'  id='choice_3_125_1' tabindex='22'  onclick='gf_apply_rules(3,[126]);' onkeypress='gf_apply_rules(3,[126]);'  \/><label for='choice_3_125_1' id='label_3_125_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_3_126' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_126' >Number of years of experience<\/label><div class='ginput_container ginput_container_number'><input name='input_126' id='input_3_126' type='text'    value='' class='medium' tabindex='23'      aria-invalid=\"false\"\/><\/div><\/li><li id='field_3_129' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Check all that apply<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_129'><li class='gchoice_3_129_1'>\n\t\t\t\t\t\t\t\t<input name='input_129.1' type='checkbox'  value='Bowel Management'  id='choice_3_129_1' tabindex='24'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_129_1' id='label_3_129_1'>Bowel Management<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_129_2'>\n\t\t\t\t\t\t\t\t<input name='input_129.2' type='checkbox'  value='Brain &amp; Spinal'  id='choice_3_129_2' tabindex='25'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_129_2' id='label_3_129_2'>Brain & Spinal<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_129_3'>\n\t\t\t\t\t\t\t\t<input name='input_129.3' type='checkbox'  value='Catheter'  id='choice_3_129_3' tabindex='26'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_129_3' id='label_3_129_3'>Catheter<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_129_4'>\n\t\t\t\t\t\t\t\t<input name='input_129.4' type='checkbox'  value='Challenging Behaviour'  id='choice_3_129_4' tabindex='27'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_129_4' id='label_3_129_4'>Challenging Behaviour<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_129_5'>\n\t\t\t\t\t\t\t\t<input name='input_129.5' type='checkbox'  value='Dementia'  id='choice_3_129_5' tabindex='28'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_129_5' id='label_3_129_5'>Dementia<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_129_6'>\n\t\t\t\t\t\t\t\t<input name='input_129.6' type='checkbox'  value='Epilepsy'  id='choice_3_129_6' tabindex='29'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_129_6' id='label_3_129_6'>Epilepsy<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_129_7'>\n\t\t\t\t\t\t\t\t<input name='input_129.7' type='checkbox'  value='Learning Disabilities'  id='choice_3_129_7' tabindex='30'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_129_7' id='label_3_129_7'>Learning Disabilities<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_129_8'>\n\t\t\t\t\t\t\t\t<input name='input_129.8' type='checkbox'  value='Tracheostomy'  id='choice_3_129_8' tabindex='31'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_129_8' id='label_3_129_8'>Tracheostomy<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_129_9'>\n\t\t\t\t\t\t\t\t<input name='input_129.9' type='checkbox'  value='Ventilation'  id='choice_3_129_9' tabindex='32'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_129_9' id='label_3_129_9'>Ventilation<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_3_130' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Do you hold an NVQ Level 2 or above in Health and Social Care?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_130'><li class='gchoice_3_130_0'><input name='input_130' type='radio' value='Yes'  id='choice_3_130_0' tabindex='33'    \/><label for='choice_3_130_0' id='label_3_130_0'>Yes<\/label><\/li><li class='gchoice_3_130_1'><input name='input_130' type='radio' value='No'  id='choice_3_130_1' tabindex='34'    \/><label for='choice_3_130_1' id='label_3_130_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_3_131' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Do you have any experience or relevant Certification?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_131'><li class='gchoice_3_131_0'><input name='input_131' type='radio' value='Yes'  id='choice_3_131_0' tabindex='35'    \/><label for='choice_3_131_0' id='label_3_131_0'>Yes<\/label><\/li><li class='gchoice_3_131_1'><input name='input_131' type='radio' value='No'  id='choice_3_131_1' tabindex='36'    \/><label for='choice_3_131_1' id='label_3_131_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_3_29' class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Employment History<\/h2><div class='gsection_description'>Please list ALL employment starting with your most recent position first, covering the past 5 years of your employment history. Please explain any gaps in your employment.<\/div><\/li><li id='field_3_103' class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>1<\/h2><\/li><li id='field_3_32' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_32' >Name &amp; Address Of Employer<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_32' id='input_3_32' class='textarea medium' tabindex='37'    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_3_31' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_31' >Position Held<\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_3_31' type='text' value='' class='medium'  tabindex='38'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_3_37' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_37' >From<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_37' id='input_3_37' type='text' value='' class='datepicker medium dmy_dash datepicker_with_icon' tabindex='39'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_37' class='gform_hidden' value='https:\/\/rainbowmedicalservices.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><div class='gfield_description'>When did your employment begin<\/div><\/li><li id='field_3_39' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_39' >To<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_39' id='input_3_39' type='text' value='' class='datepicker medium dmy_dash datepicker_with_icon' tabindex='40'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_39' class='gform_hidden' value='https:\/\/rainbowmedicalservices.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><div class='gfield_description'>When did your employment end<\/div><\/li><li id='field_3_35' class='gfield gf_right_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_35' >Reason For Leaving<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_35' id='input_3_35' class='textarea small' tabindex='41'    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_3_104' class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>2<\/h2><\/li><li id='field_3_41' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_41' >Name &amp; Address Of Employer<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_41' id='input_3_41' class='textarea medium' tabindex='42'    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_3_40' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_40' >Position Held<\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_3_40' type='text' value='' class='medium'  tabindex='43'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_3_134' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_134' >From<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_134' id='input_3_134' type='text' value='' class='datepicker medium dmy_dash datepicker_with_icon' tabindex='44'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_134' class='gform_hidden' value='https:\/\/rainbowmedicalservices.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><div class='gfield_description'>When did your employment begin<\/div><\/li><li id='field_3_30' class='gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_30' >To<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_30' id='input_3_30' type='text' value='' class='datepicker medium dmy_dash datepicker_with_icon' tabindex='45'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_30' class='gform_hidden' value='https:\/\/rainbowmedicalservices.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><div class='gfield_description'>When did your employment end<\/div><\/li><li id='field_3_44' class='gfield gf_right_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_44' >Reason For Leaving<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_44' id='input_3_44' class='textarea small' tabindex='46'    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_3_59' class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>What is your availability?<\/h2><div class='gsection_description'>Please give a true availability<\/div><\/li><li id='field_3_135' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Monday<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_135'><li class='gchoice_3_135_1'>\n\t\t\t\t\t\t\t\t<input name='input_135.1' type='checkbox'  value='Day Shift (8am-8pm)'  id='choice_3_135_1' tabindex='47'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_135_1' id='label_3_135_1'>Day Shift (8am-8pm)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_135_2'>\n\t\t\t\t\t\t\t\t<input name='input_135.2' type='checkbox'  value='Night Shift (8pm-8am)'  id='choice_3_135_2' tabindex='48'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_135_2' id='label_3_135_2'>Night Shift (8pm-8am)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_135_3'>\n\t\t\t\t\t\t\t\t<input name='input_135.3' type='checkbox'  value='Short Calls (8am-10am\/10am-2pm\/4pm-8pm)'  id='choice_3_135_3' tabindex='49'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_135_3' id='label_3_135_3'>Short Calls (8am-10am\/10am-2pm\/4pm-8pm)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_3_136' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Tuesday<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_136'><li class='gchoice_3_136_1'>\n\t\t\t\t\t\t\t\t<input name='input_136.1' type='checkbox'  value='Day Shift (8am-8pm)'  id='choice_3_136_1' tabindex='50'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_136_1' id='label_3_136_1'>Day Shift (8am-8pm)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_136_2'>\n\t\t\t\t\t\t\t\t<input name='input_136.2' type='checkbox'  value='Night Shift (8pm-8am)'  id='choice_3_136_2' tabindex='51'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_136_2' id='label_3_136_2'>Night Shift (8pm-8am)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_136_3'>\n\t\t\t\t\t\t\t\t<input name='input_136.3' type='checkbox'  value='Short Calls (8am-10am\/10am-2pm\/4pm-8pm)'  id='choice_3_136_3' tabindex='52'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_136_3' id='label_3_136_3'>Short Calls (8am-10am\/10am-2pm\/4pm-8pm)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_3_137' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Wednesday<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_137'><li class='gchoice_3_137_1'>\n\t\t\t\t\t\t\t\t<input name='input_137.1' type='checkbox'  value='Day Shift (8am-8pm)'  id='choice_3_137_1' tabindex='53'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_137_1' id='label_3_137_1'>Day Shift (8am-8pm)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_137_2'>\n\t\t\t\t\t\t\t\t<input name='input_137.2' type='checkbox'  value='Night Shift (8pm-8am)'  id='choice_3_137_2' tabindex='54'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_137_2' id='label_3_137_2'>Night Shift (8pm-8am)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_137_3'>\n\t\t\t\t\t\t\t\t<input name='input_137.3' type='checkbox'  value='Short Calls (8am-10am\/10am-2pm\/4pm-8pm)'  id='choice_3_137_3' tabindex='55'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_137_3' id='label_3_137_3'>Short Calls (8am-10am\/10am-2pm\/4pm-8pm)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_3_138' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Thursday<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_138'><li class='gchoice_3_138_1'>\n\t\t\t\t\t\t\t\t<input name='input_138.1' type='checkbox'  value='Day Shift (8am-8pm)'  id='choice_3_138_1' tabindex='56'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_138_1' id='label_3_138_1'>Day Shift (8am-8pm)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_138_2'>\n\t\t\t\t\t\t\t\t<input name='input_138.2' type='checkbox'  value='Night Shift (8pm-8am)'  id='choice_3_138_2' tabindex='57'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_138_2' id='label_3_138_2'>Night Shift (8pm-8am)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_138_3'>\n\t\t\t\t\t\t\t\t<input name='input_138.3' type='checkbox'  value='Short Calls (8am-10am\/10am-2pm\/4pm-8pm)'  id='choice_3_138_3' tabindex='58'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_138_3' id='label_3_138_3'>Short Calls (8am-10am\/10am-2pm\/4pm-8pm)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_3_139' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Friday<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_139'><li class='gchoice_3_139_1'>\n\t\t\t\t\t\t\t\t<input name='input_139.1' type='checkbox'  value='Day Shift (8am-8pm)'  id='choice_3_139_1' tabindex='59'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_139_1' id='label_3_139_1'>Day Shift (8am-8pm)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_139_2'>\n\t\t\t\t\t\t\t\t<input name='input_139.2' type='checkbox'  value='Night Shift (8pm-8am)'  id='choice_3_139_2' tabindex='60'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_139_2' id='label_3_139_2'>Night Shift (8pm-8am)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_139_3'>\n\t\t\t\t\t\t\t\t<input name='input_139.3' type='checkbox'  value='Short Calls (8am-10am\/10am-2pm\/4pm-8pm)'  id='choice_3_139_3' tabindex='61'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_139_3' id='label_3_139_3'>Short Calls (8am-10am\/10am-2pm\/4pm-8pm)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_3_140' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Saturday<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_140'><li class='gchoice_3_140_1'>\n\t\t\t\t\t\t\t\t<input name='input_140.1' type='checkbox'  value='Day Shift (8am-8pm)'  id='choice_3_140_1' tabindex='62'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_140_1' id='label_3_140_1'>Day Shift (8am-8pm)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_140_2'>\n\t\t\t\t\t\t\t\t<input name='input_140.2' type='checkbox'  value='Night Shift (8pm-8am)'  id='choice_3_140_2' tabindex='63'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_140_2' id='label_3_140_2'>Night Shift (8pm-8am)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_140_3'>\n\t\t\t\t\t\t\t\t<input name='input_140.3' type='checkbox'  value='Short Calls (8am-10am\/10am-2pm\/4pm-8pm)'  id='choice_3_140_3' tabindex='64'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_140_3' id='label_3_140_3'>Short Calls (8am-10am\/10am-2pm\/4pm-8pm)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_3_141' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Sunday<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_141'><li class='gchoice_3_141_1'>\n\t\t\t\t\t\t\t\t<input name='input_141.1' type='checkbox'  value='Day Shift (8am-8pm)'  id='choice_3_141_1' tabindex='65'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_141_1' id='label_3_141_1'>Day Shift (8am-8pm)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_141_2'>\n\t\t\t\t\t\t\t\t<input name='input_141.2' type='checkbox'  value='Night Shift (8pm-8am)'  id='choice_3_141_2' tabindex='66'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_141_2' id='label_3_141_2'>Night Shift (8pm-8am)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_141_3'>\n\t\t\t\t\t\t\t\t<input name='input_141.3' type='checkbox'  value='Short Calls (8am-10am\/10am-2pm\/4pm-8pm)'  id='choice_3_141_3' tabindex='67'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_141_3' id='label_3_141_3'>Short Calls (8am-10am\/10am-2pm\/4pm-8pm)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_3_142' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Live in care<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_142'><li class='gchoice_3_142_1'>\n\t\t\t\t\t\t\t\t<input name='input_142.1' type='checkbox'  value='Monday to Monday'  id='choice_3_142_1' tabindex='68'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_142_1' id='label_3_142_1'>Monday to Monday<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_3_78' class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Convictions<\/h2><\/li><li id='field_3_151' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Do You Have Any Criminal Convictions?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_151'><li class='gchoice_3_151_0'><input name='input_151' type='radio' value='Yes'  id='choice_3_151_0' tabindex='69'  onclick='gf_apply_rules(3,[80,152]);' onkeypress='gf_apply_rules(3,[80,152]);'  \/><label for='choice_3_151_0' id='label_3_151_0'>Yes<\/label><\/li><li class='gchoice_3_151_1'><input name='input_151' type='radio' value='No'  id='choice_3_151_1' tabindex='70'  onclick='gf_apply_rules(3,[80,152]);' onkeypress='gf_apply_rules(3,[80,152]);'  \/><label for='choice_3_151_1' id='label_3_151_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_3_80' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_80' >Please Give Details (Below)  Of Any Criminal Convictions That You May Have Which Are Not Excluded By The Rehabilitation Of Offenders Act 1974 (Date Of Conviction, Sentence Etc.)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_80' id='input_3_80' class='textarea medium' tabindex='71'    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description'>The Disclosure Of A Criminal Record May Not Necessarily Prevent You From Being Appointed. The Nature Of The Offence, How Long Ago It Took Place, Your Age At The Time And Any Other Relevant Factors May Be Considered When A Decision Is Made, Please Note That Some Convictions Are Never Considered \u2018Spent\u2019 Under The Terms Of The Act.<\/div><\/li><li id='field_3_152' class='gfield gfield_html gfield_html_formatted field_sublabel_below field_description_below gfield_visibility_visible' >A Check As To The Existence And Content Of A Criminal Record May Be Requested From The Disclosure And Barring Service After A Person Has Been Selected For Appointment To This Post. Refusal To Agree To A Check Being Made Could Disqualify You From Being Considered For The Appointment. You Are Therefore Asked To Sign The Statement Below To Confirm Your Agreement, If You Are Selected For The Appointment, A Check Being Made On Any Criminal Record Applicable To You.  Under The Rehabilitation Of Offenders Act 1974, You Have The Right Not To Disclose Details Of \u2018Spent\u2019 Convictions. However, For Certain Jobs, Employers Are Allowed To Ask About These Offences.  The Rehabilitation Of Offenders Act 1974 (Exception) (Amendment) Order 1986 Sets Out Details Of All Jobs To Which This Applies And The Job You Have Applied For Is Included In That List. In The Event Of Employment, Any Failure To Disclose Such Convictions Could Result In Removal From Rainbow Medical Services Ltd Register.<\/li><li id='field_3_119' class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Application Form Agreement<\/h2><\/li><li id='field_3_81' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >I Agree, If I Am Selected For This Appointment, To Checks Being Made With The Disclosure And Barring Service For Any Record Of Convictions Or Cautions Against Me. I Am Aware That Such Information As Appropriate For Enhanced Disclosures Will Be Made Available.   I Confirm That The Information Given Above Is Correct.   I Also Consent To Rainbow Medical Services Limited Carrying Out Other Appropriate Checks With The Disclosure And Barring Service (DBS) If It So Wishes.<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_81'><li class='gchoice_3_81_1'>\n\t\t\t\t\t\t\t\t<input name='input_81.1' type='checkbox'  value='I agree'  id='choice_3_81_1' tabindex='72'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_81_1' id='label_3_81_1'>I agree<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_3_118' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >I have read and understood the Terms and conditions of employment and have been issued with a copy.  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