{"id":20,"date":"2021-04-16T16:47:07","date_gmt":"2021-04-16T15:47:07","guid":{"rendered":"http:\/\/www.mainstaydrp.org\/?page_id=20"},"modified":"2023-09-27T15:26:45","modified_gmt":"2023-09-27T14:26:45","slug":"work-with-us","status":"publish","type":"page","link":"https:\/\/www.mainstaydrp.org\/work-with-us\/","title":{"rendered":"Work With Us"},"content":{"rendered":"<p>[vc_row equal_height=&#8221;yes&#8221;][vc_column][vc_column_text]<\/p>\n<h3>We Are On The Look Our For A Chief Executive Officer<\/h3>\n<h5><strong>Ready to make a difference? Follow the link to find out more!\u00a0<\/strong><\/h5>\n<p><a href=\"https:\/\/engageexec.co.uk\/executive-opportunities\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"NotApplicable\" data-linkindex=\"0\">Executive Opportunities &#8211; Engage Executive Talent<\/a>[\/vc_column_text][\/vc_column][\/vc_row][vc_row equal_height=&#8221;yes&#8221;][vc_column][vc_single_image image=&#8221;701&#8243; img_size=&#8221;large&#8221;][vc_column_text]Here at Mainstay DRP, we really care about what we do \u2013 opening doors for adults with learning disabilities, and supporting them to achieve independence. Our wonderful staff are the backbone to our success.<\/p>\n<p>We look for truly caring people who are passionate about developing a career supporting adults with learning disabilities in all aspects of their lives. If you\u2019re the kind of person who rises to challenges, thrives in a people-focussed environment, and has genuine compassion and resilience, then Mainstay DRP could be the place for you.<\/p>\n<p>Some experience in any kind of caring role is desired, but is not always essential &#8211; some of our best people have had previous careers in areas like trades, retail, and manufacturing. What really sets them apart is their willingness to make a difference to people\u2019s lives.[\/vc_column_text][vc_column_text]And there\u2019s no doubt that working with our incredible clients is life changing for our staff too.<\/p>\n<p>As well as working every day in a fulfilling career, we also offer \u2013<\/p>\n<ul data-editing-info=\"{&quot;orderedStyleType&quot;:1,&quot;unorderedStyleType&quot;:1}\">\n<li>Refer &#8211; a &#8211; friend bonus, of \u00a3100.<\/li>\n<li>Flexible, family friendly working schedules.<\/li>\n<li>Rate of \u00a370-\u00a390 for sleep-in&#8217;s.<\/li>\n<li>Well-being package, including access to free healthcare through medicash.<\/li>\n<li>Discounted gym membership at the local leisure centre.<\/li>\n<li>Free meals for the floor team members when on shift.<\/li>\n<li>Enhanced maternity pay, 13 weeks full pay, paternity 2 weeks.<\/li>\n<li>Team training fund. Apply for training to further your personal development.<\/li>\n<li><span class=\"WdYUQQ text-decoration-none text-strikethrough-none\">Team support fund, offering a loan or free grant, \u00a3350 for each.<\/span><\/li>\n<li>Reward through excellence program with cash incentives.<\/li>\n<li>Free parking on all of our sites.<\/li>\n<li>Double time paid on, Christmas Day, Boxing Day, New Years Day and Easter Sunday<\/li>\n<li>Time and a half paid St Patrick&#8217;s Day, May Day, 12th July and the last August Bank Holiday.<\/li>\n<li>Saving scheme offered.<\/li>\n<li>Company pension scheme.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column]<div class=\"accordion \" id=\"accordion\"><div class=\"card\">\n      <div class=\"card-header\" id=\"heading0\">\n      <h5 class=\"mb-0\">\n        <button class=\"btn btn-link btn-block text-left collapsed\" data-toggle=\"collapse\" data-target=\"#collapse0\" aria-expanded=\"true\" aria-controls=\"collapse0\">\n        Personal Assistant &#8211; Night Duty <i class=\"fas fa-arrow-down\" style=\"float:right;\"><\/i>\n        <\/button>\n      <\/h5>\n      <\/div>\n      <div id=\"collapse0\" class=\"collapse \" aria-labelledby=\"heading0\" data-parent=\"#accordion\">\n        <div class=\"card-body\">\n        <p>What is a Personal Assistant (PA)<\/p>\n<p>Personal Assistants (PA) perform a variety of tasks, including domestic and personal care, support to access community, or leisure and social activities. It\u2019s an important role and can be an extremely rewarding career, as you will be supporting someone to live an independent, active personal and social life to the best of their abilities.<\/p>\n<p>&nbsp;<\/p>\n<p>Why are Mainstay moving to Personal Assistants?<\/p>\n<p>Mainstay are moving from Support Workers and Residential Works to PA\u2019s, we are choosing to use the term personal assistance because it is less emotive than care and support worker and shows the person\/client is in control of the assistance they receive.<\/p>\n<p>JOB DESCRIPTION \u2013 Personal Assistant (PA)<\/p>\n<p>Job Title: Personal Assistant (PA)<\/p>\n<p>Location: Mainstay \u2013 Downpatrick Location will be determined on appointment. Please note that all team members may be subject to transfer between locations according to client\u2019s needs.<\/p>\n<p>Accountable to: Registered Manager of the service<\/p>\n<p>Reports to: Senior of the service\/Team Leader<\/p>\n<p>Hours of work: Up to 40 hours per week (Work includes irregular hours e.g. daytime, evenings, weekends, split shifts. And will require regular waking night duty to meet the needs of our clients)<\/p>\n<p>Salary: From \u00a312.75<\/p>\n<p>As well as working every day in a fulfilling career, we also offer \u2013<\/p>\n<p>Comprehensive training aligned to NISCC<\/p>\n<p>Free meals while on shift (all frontline staff)<\/p>\n<p>Support to gain market-leading qualifications<\/p>\n<p>Mentoring and on the job training from our experienced team members<\/p>\n<p>Auto enrolment pension<\/p>\n<p>Free parking on all of our sites<\/p>\n<p>Refer-a-friend bonuses<\/p>\n<p>Employer funded Healthcare scheme (which includes savings on high street retail outlets and gym membership)<\/p>\n<p>Annual Leave:\u00a0 20 days per annum (plus an additional 3 days following 5 years\u2019 service)<\/p>\n<p>8 Bank Holidays per year<\/p>\n<p>Job Purpose: To support Mainstay in delivering their vison for any individual with a profound and multiple learning disability to lead a happy, healthy, fulfilled life of independence within their local community. All whilst being given choice and support, enabling them to live their best life possible. As a PA you will ensure everyone is provided with choices and support to lead a happy, healthy independent life to the best of their abilities within their community.<\/p>\n<p>Main tasks and responsibilities are:<\/p>\n<p>Support ALL clients to live THEIR best lives!<\/p>\n<p>Your overall responsibility will be to support the client not do for them, all clients will need different levels of support but your role is not to step in to do but to see how much they can do with support. Your role will involve being a client\u2019s key worker, supporting them to set outcomes and goals for themselves and supporting them to achieve them. Below are some examples of tasks you may be asked to complete each day, however each and every one of our clients are individual and have a different level of support required so all their care and support plans will let you know what they need.<\/p>\n<p>\u2022 Help with personal care, such as washing and dressing (although not all PA roles involve personal care)<\/p>\n<p>\u2022 Support clients to manage their money and take responsibility for ensuring all finance related policies and procedures are adhered to.<\/p>\n<p>\u2022 Support with the administration of medication<\/p>\n<p>\u2022 Support clients to access community, social and leisure activities<\/p>\n<p>\u2022 Help with household tasks, such as cleaning and laundry<\/p>\n<p>\u2022 Helping\/supporting preparing shopping list and preparing meals<\/p>\n<p>\u2022 Support clients with their communication to help them overcome social exclusion<\/p>\n<p>\u2022 Helping individuals to get to work, college or day care<\/p>\n<p>\u2022 Assist clients to maintain relationships with family and friends<\/p>\n<p>\u2022 Support clients to meet new people and develop new friendships<\/p>\n<p>\u2022 To get about in the community, by providing transport, driving their car or using public transport<\/p>\n<p>\u2022 To maintain hobbies and interests, like going to the cinema, gigs, swimming or going on holiday<\/p>\n<p>\u2022 To support clients communicate their wants and needs<\/p>\n<p>\u2022 To support clients become healthier after a physical illness, for example, through a better diet or more exercise.<\/p>\n<p>Skills you will need<\/p>\n<p>You will need to be able to develop a strong and trusting relationship with the person you are supporting and enjoy helping them to live life the way they choose. Your role is not to make decisions for them, but to help them live an independent life. A PA needs to be \u2013<\/p>\n<p>\u2022 Highly motivated, and committed to delivering service excellence<\/p>\n<p>\u2022 Commitment to personal and professional development<\/p>\n<p>\u2022 Can develop an approach to practice based on critical thinking, reflection and feedback<\/p>\n<p>\u2022 Have the capacity and self-confidence to innovate<\/p>\n<p>\u2022 Non-judgemental, with ability to empathise with clients<\/p>\n<p>\u2022 Honest, trustworthy and respectful<\/p>\n<p>\u2022 Possess cultural awareness and sensitivity<\/p>\n<p>\u2022 Flexible, energetic, positive and calming disposition<\/p>\n<p>\u2022 Resilient and self-caring<\/p>\n<p>What we need from you<\/p>\n<p>\u2022 Remember you are a professional Social Care worker and have signed up to the NISCC code of Standards and Practice<\/p>\n<p>\u2022 To be punctual and demonstrate a strong teamwork ethic<\/p>\n<p>\u2022 That you act in a professional way at all times<\/p>\n<p>\u2022 Dedicate your time at work to supporting our clients<\/p>\n<p>\u2022 Support your shift leader, team leader, senior and Managers to deliver a first class service for our clients and service users<\/p>\n<p>\u2022 Partake in training to ensure personal and professional development and maintain the required level of training compliance<\/p>\n<p>\u2022 Follow all Heath and Safety guidelines<\/p>\n<p>\u2022 Take responsibility for your work<\/p>\n<p>\u2022 Share your skills and knowledge to support the organisations ongoing development<\/p>\n<p>Essential Criteria<\/p>\n<p>\u2022 Ability to work under pressure<\/p>\n<p>\u2022 Excellent IT and report writing skills<\/p>\n<p>\u2022 Ability to maintain accurate documentation<\/p>\n<p>\u2022 Knowledge of social care and NISCC standards<\/p>\n<p>&nbsp;<\/p>\n<p>Desirable Criteria<\/p>\n<p>\u2022 Experience working with or offering support to a vulnerable client group<\/p>\n<p>\u2022 Experience of providing personal care for vulnerable adults<\/p>\n<p>\u2022 NVQ Level 2 in Care or Equivalent qualifications (or willingness to work towards), or suitable experience<\/p>\n<p>\u2022 NVQ level 3 in Care or Equivalent qualifications<\/p>\n<p>\u2022 Experience of working in a supported living\/residential\/care organisation<\/p>\n<p>\u2022 Experience of working with people who have a learning disability and\/or autism<\/p>\n<p>\u2022 Experience of administration of medication<\/p>\n<p>\u2022 Full and Valid UK Driving License (or access to suitable transport to allow you to for fill the duties of the role)<\/p>\n<p>NOTE This position is subject to an Enhanced Access NI check. Copies of the relevant policy on the recruitment of ex-offenders as well as the Access NI Code of Practice are available on request. Please note that having a criminal record will not necessarily be a bar to obtaining a position with Mainstay.<\/p>\n<br\/><br\/><a class=\"btn btn-primary\" href=\"#job-application\">Apply Now<\/a>\n        <\/div>\n      <\/div>\n    <\/div><div class=\"card\">\n      <div class=\"card-header\" id=\"heading1\">\n      <h5 class=\"mb-0\">\n        <button class=\"btn btn-link btn-block text-left \" data-toggle=\"collapse\" data-target=\"#collapse1\" aria-expanded=\"true\" aria-controls=\"collapse1\">\n        Personal Assistant (PA) <i class=\"fas fa-arrow-down\" style=\"float:right;\"><\/i>\n        <\/button>\n      <\/h5>\n      <\/div>\n      <div id=\"collapse1\" class=\"collapse \" aria-labelledby=\"heading1\" data-parent=\"#accordion\">\n        <div class=\"card-body\">\n        <p>What is a Personal Assistant (PA)<\/p>\n<p>Personal Assistants (PA) perform a variety of tasks, including domestic and personal care, support to access community, or leisure and social activities. It\u2019s an important role and can be an extremely rewarding career, as you will be supporting someone to live an independent, active personal and social life to the best of their abilities.<\/p>\n<p>&nbsp;<\/p>\n<p>Why are Mainstay moving to Personal Assistants?<\/p>\n<p>Mainstay are moving from Support Workers and Residential Works to PA\u2019s, we are choosing to use the term personal assistance because it is less emotive than care and support worker and shows the person\/client is in control of the assistance they receive.<\/p>\n<p>JOB DESCRIPTION \u2013 Personal Assistant (PA)<\/p>\n<p>Job Title: Personal Assistant (PA)<\/p>\n<p>Location: Mainstay &#8211; Downpatrick Location will be determined on appointment. Please note that all team members may be subject to transfer between locations according to client\u2019s needs.<\/p>\n<p>Accountable to: Registered Manager of the service<\/p>\n<p>Reports to: Senior of the service<\/p>\n<p>Hours of work: Up to 40 hours per week (Work includes irregular hours e.g. daytime, evenings, weekends, split shifts. And will require regular waking night duty to meet the needs of our clients)<\/p>\n<p>Salary: \u00a312.75 per hour<\/p>\n<p>As well as working every day in a fulfilling career, we also offer \u2013<\/p>\n<p>Comprehensive training aligned to NISCC<\/p>\n<p>Free meals while on shift (all frontline staff)<\/p>\n<p>Support to gain market-leading qualifications<\/p>\n<p>Mentoring and on the job training from our experienced team members<\/p>\n<p>Auto enrolment pension<\/p>\n<p>Free parking on all of our sites<\/p>\n<p>Refer-a-friend bonuses<\/p>\n<p>Employer funded Healthcare scheme (which includes savings on high street retail outlets and gym membership)<\/p>\n<p>Annual Leave:\u00a0 20 days per annum (plus an additional 3 days following 5 years\u2019 service)<\/p>\n<p>8 Bank Holidays per year<\/p>\n<p>Job Purpose: To support Mainstay in delivering their vison for any individual with a profound and multiple learning disability to lead a happy, healthy, fulfilled life of independence within their local community. All whilst being given choice and support, enabling them to live their best life possible. As a PA you will ensure everyone is provided with choices and support to lead a happy, healthy independent life to the best of their abilities within their community.<\/p>\n<p>Main tasks and responsibilities are:<\/p>\n<p>Support ALL clients to live THEIR best lives!<\/p>\n<p>Your overall responsibility will be to support the client not do for them, all clients will need different levels of support but your role is not to step in to do but to see how much they can do with support. Your role will involve being a client\u2019s key worker, supporting them to set outcomes and goals for themselves and supporting them to achieve them. Below are some examples of tasks you may be asked to complete each day, however each and every one of our clients are individual and have a different level of support required so all their care and support plans will let you know what they need.<\/p>\n<p>\u2022 Help with personal care, such as washing and dressing (although not all PA roles involve personal care)<\/p>\n<p>\u2022 Support clients to manage their money and take responsibility for ensuring all finance related policies and procedures are adhered to.<\/p>\n<p>\u2022 Support with the administration of medication<\/p>\n<p>\u2022 Support clients to access community, social and leisure activities<\/p>\n<p>\u2022 Help with household tasks, such as cleaning and laundry<\/p>\n<p>\u2022 Helping\/supporting preparing shopping list and preparing meals<\/p>\n<p>\u2022 Support clients with their communication to help them overcome social exclusion<\/p>\n<p>\u2022 Helping individuals to get to work, college or day care<\/p>\n<p>\u2022 Assist clients to maintain relationships with family and friends<\/p>\n<p>\u2022 Support clients to meet new people and develop new friendships<\/p>\n<p>\u2022 To get about in the community, by providing transport, driving their car or using public transport<\/p>\n<p>\u2022 To maintain hobbies and interests, like going to the cinema, gigs, swimming or going on holiday<\/p>\n<p>\u2022 To support clients communicate their wants and needs<\/p>\n<p>\u2022 To support clients become healthier after a physical illness, for example, through a better diet or more exercise.<\/p>\n<p>Skills you will need<\/p>\n<p>You will need to be able to develop a strong and trusting relationship with the person you are supporting and enjoy helping them to live life the way they choose. Your role is not to make decisions for them, but to help them live an independent life. A PA needs to be \u2013<\/p>\n<p>\u2022 Highly motivated, and committed to delivering service excellence<\/p>\n<p>\u2022 Commitment to personal and professional development<\/p>\n<p>\u2022 Can develop an approach to practice based on critical thinking, reflection and feedback<\/p>\n<p>\u2022 Have the capacity and self-confidence to innovate<\/p>\n<p>\u2022 Non-judgemental, with ability to empathise with clients<\/p>\n<p>\u2022 Honest, trustworthy and respectful<\/p>\n<p>\u2022 Possess cultural awareness and sensitivity<\/p>\n<p>\u2022 Flexible, energetic, positive and calming disposition<\/p>\n<p>\u2022 Resilient and self-caring<\/p>\n<p>What we need from you<\/p>\n<p>\u2022 Remember you are a professional Social Care worker and have signed up to the NISCC code of Standards and Practice<\/p>\n<p>\u2022 To be punctual and demonstrate a strong teamwork ethic<\/p>\n<p>\u2022 That you act in a professional way at all times<\/p>\n<p>\u2022 Dedicate your time at work to supporting our clients<\/p>\n<p>\u2022 Support your shift leader, team leader, senior and Managers to deliver a first class service for our clients and service users<\/p>\n<p>\u2022 Partake in training to ensure personal and professional development and maintain the required level of training compliance<\/p>\n<p>\u2022 Follow all Heath and Safety guidelines<\/p>\n<p>\u2022 Take responsibility for your work<\/p>\n<p>\u2022 Share your skills and knowledge to support the organisations ongoing development<\/p>\n<p>Essential Criteria<\/p>\n<p>\u2022 Ability to work under pressure<\/p>\n<p>\u2022 Excellent IT and report writing skills<\/p>\n<p>\u2022 Ability to maintain accurate documentation<\/p>\n<p>\u2022 Knowledge of social care and NISCC standards<\/p>\n<p>&nbsp;<\/p>\n<p>Desirable Criteria<\/p>\n<p>\u2022 Experience working with or offering support to a vulnerable client group<\/p>\n<p>\u2022 Experience of providing personal care for vulnerable adults<\/p>\n<p>\u2022 NVQ Level 2 in Care or Equivalent qualifications (or willingness to work towards), or suitable experience<\/p>\n<p>\u2022 NVQ level 3 in Care or Equivalent qualifications<\/p>\n<p>\u2022 Experience of working in a supported living\/residential\/care organisation<\/p>\n<p>\u2022 Experience of working with people who have a learning disability and\/or autism<\/p>\n<p>\u2022 Experience of administration of medication<\/p>\n<p>\u2022 Full and Valid UK Driving License (or access to suitable transport to allow you to for fill the duties of the role)<\/p>\n<p>NOTE This position is subject to an Enhanced Access NI check. Copies of the relevant policy on the recruitment of ex-offenders as well as the Access NI Code of Practice are available on request. Please note that having a criminal record will not necessarily be a bar to obtaining a position with Mainstay.<\/p>\n<br\/><br\/><a class=\"btn btn-primary\" href=\"#job-application\">Apply Now<\/a>\n        <\/div>\n      <\/div>\n    <\/div><\/div>[\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;\u201cI changed my career from working in a trade to working with Mainstay DRP. I worked my way up and now I\u2019m a Senior Support Worker in our Supported Housing Service. It\u2019s very different to what I used to do, but I love it! Our service users are fantastic, and I\u2019ve been fully supported with great training and qualifications.\u201d&#8221; use_theme_fonts=&#8221;yes&#8221; css=&#8221;.vc_custom_1625818177937{margin-top: 30px !important;border-top-width: 3px !important;padding-top: 30px !important;border-top-color: #e8e8e8 !important;border-top-style: solid !important;}&#8221;][vc_custom_heading text=&#8221;Mark, Senior Support Worker, Ardcora Supported Housing&#8221; font_container=&#8221;tag:h4|text_align:left&#8221; use_theme_fonts=&#8221;yes&#8221; css=&#8221;.vc_custom_1625818205477{margin-top: 30px !important;}&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Job Application&#8221; font_container=&#8221;tag:h3|text_align:center&#8221; use_theme_fonts=&#8221;yes&#8221; css=&#8221;.vc_custom_1624539593586{margin-top: 30px !important;margin-bottom: 30px !important;}&#8221; el_id=&#8221;job-application&#8221;]<script type=\"text\/javascript\">var 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(PA)<\/option><\/select><\/div><\/div><div id=\"field_3_5\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_5\" ><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_3_4' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_2' class='gform_page' data-js='page-field-id-4' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_3_6\" class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_6\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name has_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_3_6'>\n                            <span id='input_3_6_2_container' class='name_prefix name_prefix_select gform-grid-col gform-grid-col--size-auto' >\n                                                    <select name='input_6.2' id='input_3_6_2'    aria-required='false'   >\n                          <option value=''><\/option><option value='Dr.' >Dr.<\/option><option value='Miss' >Miss<\/option><option value='Mr.' >Mr.<\/option><option value='Mrs.' >Mrs.<\/option><option value='Ms.' >Ms.<\/option><option value='Prof.' >Prof.<\/option><option value='Rev.' >Rev.<\/option>\n                      <\/select>\n                                                    <label for='input_3_6_2' class='gform-field-label gform-field-label--type-sub '>Prefix<\/label>\n                                                  <\/span>\n                            <span id='input_3_6_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_6.3' id='input_3_6_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_6_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_6_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_6.6' id='input_3_6_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_6_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_3_7\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_7\" ><label class='gfield_label gform-field-label' for='input_3_7'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_3_7' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Male' >Male<\/option><option value='Female' >Female<\/option><\/select><\/div><\/div><div id=\"field_3_11\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_11\" ><label class='gfield_label gform-field-label' for='input_3_11'>Place of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_3_11' type='text' value='' class='large'  aria-describedby=\"gfield_description_3_11\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_3_11'>Town<\/div><\/div><div id=\"field_3_12\" class=\"gfield gfield--type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_12\" ><label class='gfield_label gform-field-label' for='input_3_12'>Country<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_3_12' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Northern Ireland' >Northern Ireland<\/option><option value='Republic of Ireland' >Republic of Ireland<\/option><option value='England' >England<\/option><option value='Scotland' >Scotland<\/option><option value='Wales' >Wales<\/option><\/select><\/div><\/div><div id=\"field_3_14\" class=\"gfield gfield--type-phone gfield--width-half field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_14\" ><label class='gfield_label gform-field-label' for='input_3_14'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_14' id='input_3_14' type='tel' value='' class='large'    aria-invalid=\"false\" aria-describedby=\"gfield_description_3_14\"  \/><\/div><div class='gfield_description' id='gfield_description_3_14'>Home<\/div><\/div><div id=\"field_3_15\" class=\"gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_15\" ><label class='gfield_label gform-field-label' for='input_3_15'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_15' id='input_3_15' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_3_15\"  \/><\/div><div class='gfield_description' id='gfield_description_3_15'>Mobile<\/div><\/div><div id=\"field_3_16\" class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_16\" ><label class='gfield_label gform-field-label' for='input_3_16'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_16' id='input_3_16' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_3_17\" class=\"gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_17\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Current Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_3_17' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3_17_1_container' >\n                                        <input type='text' name='input_17.1' id='input_3_17_1' value=''    aria-required='true'    \/>\n                                        <label for='input_3_17_1' id='input_3_17_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_3_17_2_container' >\n                                        <input type='text' name='input_17.2' id='input_3_17_2' value=''     aria-required='false'   \/>\n                                        <label for='input_3_17_2' id='input_3_17_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3_17_3_container' >\n                                    <input type='text' name='input_17.3' id='input_3_17_3' value=''    aria-required='true'    \/>\n                                    <label for='input_3_17_3' id='input_3_17_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_3_17_4_container' >\n                                        <input type='text' name='input_17.4' id='input_3_17_4' value=''      aria-required='true'    \/>\n                                        <label for='input_3_17_4' id='input_3_17_4_label' class='gform-field-label gform-field-label--type-sub '>County<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_3_17_5_container' >\n                                    <input type='text' name='input_17.5' id='input_3_17_5' value=''    aria-required='true'    \/>\n                                    <label for='input_3_17_5' id='input_3_17_5_label' class='gform-field-label gform-field-label--type-sub '>Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_17.6' id='input_3_17_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_3_18\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_18\" ><label class='gfield_label gform-field-label' for='input_3_18'>Lived at this address since<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_3_18' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_3_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_19\" ><legend class='gfield_label gform-field-label' >DO YOU REQUIRE A WORK PERMIT TO WORK IN THE UNITED KINGDOM?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_19'>\n\t\t\t<div class='gchoice gchoice_3_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Yes'  id='choice_3_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_19_0' id='label_3_19_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='No'  id='choice_3_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_19_1' id='label_3_19_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_20\" ><legend class='gfield_label gform-field-label' >DO YOU HAVE A WORK PERMIT?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_20'>\n\t\t\t<div class='gchoice gchoice_3_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Yes'  id='choice_3_20_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_20_0' id='label_3_20_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='No'  id='choice_3_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_20_1' id='label_3_20_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_3\" class=\"gfield gfield--type-fileupload gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_3\" ><label class='gfield_label gform-field-label' for='input_3_3'>PLEASE ATTACH A COPY TO APPLICATION FORM<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='131072000' \/><input name='input_3' id='input_3_3' type='file' class='medium' aria-describedby=\"gfield_upload_rules_3_3\" onchange='javascript:gformValidateFileSize( this, 131072000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_3'>Max. file size: 125 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_3_3'><\/div><\/div><\/div><fieldset id=\"field_3_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_21\" ><legend class='gfield_label gform-field-label' >Are you a registered member of NISCC?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_21'>\n\t\t\t<div class='gchoice gchoice_3_21_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Yes'  id='choice_3_21_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_21_0' id='label_3_21_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_21_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='No'  id='choice_3_21_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_21_1' id='label_3_21_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_22\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_22\" ><label class='gfield_label gform-field-label' for='input_3_22'>Registration number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_3_22' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_3_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_24\" ><legend class='gfield_label gform-field-label' >DO YOU HOLD A CURRENT DRIVING LICENCE?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_24'>\n\t\t\t<div class='gchoice gchoice_3_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Yes'  id='choice_3_24_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_24_0' id='label_3_24_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='No'  id='choice_3_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_24_1' id='label_3_24_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_25\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_25\" ><label class='gfield_label gform-field-label' for='input_3_25'>Driving number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_3_25' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_3_26\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_26\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >PLEASE TICK BOX IF YOU HAVE D1 CLASSIFICATION?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_3_26'><div class='gchoice gchoice_3_26_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.1' type='checkbox'  value='Yes'  id='choice_3_26_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_26_1' id='label_3_26_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_27\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_27\" ><legend class='gfield_label gform-field-label' >Are you willing and medically fit to drive company vehicles including minibuses?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_27'>\n\t\t\t<div class='gchoice gchoice_3_27_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='Yes'  id='choice_3_27_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_27_0' id='label_3_27_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_27_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='No'  id='choice_3_27_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_27_1' id='label_3_27_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_28\" class=\"gfield gfield--type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_28\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Education \u2013 GCSE, O\u2019Level, A\u2019Level, NVQ<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Subjects passed<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Level Attained<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Grade<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Year<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_28_cell1 gform-grid-col' data-label='Subjects passed'><input aria-invalid='false' aria-required=\"true\"  aria-label='Subjects passed, Row 1' data-aria-label-template='Subjects passed, Row {0}' type='text' name='input_28[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_28_cell2 gform-grid-col' data-label='Level Attained'><input aria-invalid='false' aria-required=\"true\"  aria-label='Level Attained, Row 1' data-aria-label-template='Level Attained, Row {0}' type='text' name='input_28[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_28_cell3 gform-grid-col' data-label='Grade'><input aria-invalid='false' aria-required=\"true\"  aria-label='Grade, Row 1' data-aria-label-template='Grade, Row {0}' type='text' name='input_28[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_28_cell4 gform-grid-col' data-label='Year'><input aria-invalid='false' aria-required=\"true\"  aria-label='Year, Row 1' data-aria-label-template='Year, Row {0}' type='text' name='input_28[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_29\" class=\"gfield gfield--type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_29\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Further Education<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Degree\/Diploma\/Certificate<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Result &amp; Date Obtained<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Exams to be taken<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_29_cell1 gform-grid-col' data-label='Degree\/Diploma\/Certificate'><input aria-invalid='false'   aria-label='Degree\/Diploma\/Certificate, Row 1' data-aria-label-template='Degree\/Diploma\/Certificate, Row {0}' type='text' name='input_29[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_29_cell2 gform-grid-col' data-label='Result &amp; Date Obtained'><input aria-invalid='false'   aria-label='Result &amp; Date Obtained, Row 1' data-aria-label-template='Result &amp; Date Obtained, Row {0}' type='text' name='input_29[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_29_cell3 gform-grid-col' data-label='Exams to be taken'><input aria-invalid='false'   aria-label='Exams to be taken, Row 1' data-aria-label-template='Exams to be taken, Row {0}' type='text' name='input_29[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_30\" class=\"gfield gfield--type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_30\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Professional Qualifications (e.g. Nursing, Allied Health Professional, Social Care, Administration, Management)<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Name of Professional Body<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Part No. with Date &amp; Result<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Final with Date &amp; Result<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">NMC Registration\/Enrolment No.\/Pin No<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Expiry Date<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Exams to be taken<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_30_cell1 gform-grid-col' data-label='Name of Professional Body'><input aria-invalid='false'   aria-label='Name of Professional Body, Row 1' data-aria-label-template='Name of Professional Body, Row {0}' type='text' name='input_30[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_30_cell2 gform-grid-col' data-label='Part No. with Date &amp; Result'><input aria-invalid='false'   aria-label='Part No. with Date &amp; Result, Row 1' data-aria-label-template='Part No. with Date &amp; Result, Row {0}' type='text' name='input_30[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_30_cell3 gform-grid-col' data-label='Final with Date &amp; Result'><input aria-invalid='false'   aria-label='Final with Date &amp; Result, Row 1' data-aria-label-template='Final with Date &amp; Result, Row {0}' type='text' name='input_30[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_30_cell4 gform-grid-col' data-label='NMC Registration\/Enrolment No.\/Pin No'><input aria-invalid='false'   aria-label='NMC Registration\/Enrolment No.\/Pin No, Row 1' data-aria-label-template='NMC Registration\/Enrolment No.\/Pin No, Row {0}' type='text' name='input_30[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_30_cell5 gform-grid-col' data-label='Expiry Date'><input aria-invalid='false'   aria-label='Expiry Date, Row 1' data-aria-label-template='Expiry Date, Row {0}' type='text' name='input_30[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_30_cell6 gform-grid-col' data-label='Exams to be taken'><input aria-invalid='false'   aria-label='Exams to be taken, Row 1' data-aria-label-template='Exams to be taken, Row {0}' type='text' name='input_30[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_3_31\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_31\" ><h3>EMPLOYMENT HISTORY \u2013 PRESENT POST<\/h3><\/div><div id=\"field_3_32\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_32\" ><label class='gfield_label gform-field-label' for='input_3_32'>Employer Name<\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_3_32' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_33\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_33\" ><label class='gfield_label gform-field-label' for='input_3_33'>Period of Notice<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_3_33' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_34\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_34\" ><label class='gfield_label gform-field-label' for='input_3_34'>Salary\/Wage<\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_3_34' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_35\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_35\" ><label class='gfield_label gform-field-label' for='input_3_35'>Job Dept\/Location<\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_3_35' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_36\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_36\" ><label class='gfield_label gform-field-label' for='input_3_36'>Start Date<\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_3_36' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_37\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_37\" ><label class='gfield_label gform-field-label' for='input_3_37'>Job Title<\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_3_37' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_38\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_38\" ><label class='gfield_label gform-field-label' for='input_3_38'>Reason for Leaving<\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_3_38' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_39\" class=\"gfield gfield--type-textarea gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_39\" ><label class='gfield_label gform-field-label' for='input_3_39'>Employer Address<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_39' id='input_3_39' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_3_40\" class=\"gfield gfield--type-textarea gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_40\" ><label class='gfield_label gform-field-label' for='input_3_40'>Principal Duties of Present Post<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_40' id='input_3_40' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_3_41\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_41\" ><h3>EMPLOYMENT HISTORY \u2013 PAST<\/h3><\/div><fieldset id=\"field_3_42\" class=\"gfield gfield--type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_42\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please list all your previous posts beginning with the most recent including periods out of employment and any training<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Name and Address of Employer<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">From dd\/mm\/yyyy<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">To dd\/mm\/yyyy<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Reason for Leaving<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Position\/Grade and duties<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_42_cell1 gform-grid-col' data-label='Name and Address of Employer'><input aria-invalid='false'   aria-label='Name and Address of Employer, Row 1' data-aria-label-template='Name and Address of Employer, Row {0}' type='text' name='input_42[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_42_cell2 gform-grid-col' data-label='From dd\/mm\/yyyy'><input aria-invalid='false'   aria-label='From dd\/mm\/yyyy, Row 1' data-aria-label-template='From dd\/mm\/yyyy, Row {0}' type='text' name='input_42[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_42_cell3 gform-grid-col' data-label='To dd\/mm\/yyyy'><input aria-invalid='false'   aria-label='To dd\/mm\/yyyy, Row 1' data-aria-label-template='To dd\/mm\/yyyy, Row {0}' type='text' name='input_42[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_42_cell4 gform-grid-col' data-label='Reason for Leaving'><input aria-invalid='false'   aria-label='Reason for Leaving, Row 1' data-aria-label-template='Reason for Leaving, Row {0}' type='text' name='input_42[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_42_cell5 gform-grid-col' data-label='Position\/Grade and duties'><input aria-invalid='false'   aria-label='Position\/Grade and duties, Row 1' data-aria-label-template='Position\/Grade and duties, Row {0}' type='text' name='input_42[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_3_43\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_43\" ><label class='gfield_label gform-field-label' for='input_3_43'>Please include any other information which may be relevant to this application, detailing how you meet each of the criteria as outlined in the personnel specification<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_43' id='input_3_43' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_3_44\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_44\" ><h3>CONVICTIONS\/OFFENCES<\/h3>\n<p>Under the Rehabilitation of Offenders (Exceptions) Order Northern Ireland, 1979, Mainstay DRP is included on the list of excepted employers. As such, all criminal conviction may never be regarded as spent and must be disclosed when applying for a post. Therefore it is necessary we ask the following questions:<\/p><\/div><fieldset id=\"field_3_45\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_45\" ><legend class='gfield_label gform-field-label' >Have you ever been convicted of any criminal offence?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_45'>\n\t\t\t<div class='gchoice gchoice_3_45_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='Yes'  id='choice_3_45_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_45_0' id='label_3_45_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_45_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='No'  id='choice_3_45_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_45_1' id='label_3_45_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_46\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_46\" ><legend class='gfield_label gform-field-label' >Are you currently the subject of police investigation or do You have any prosecutions pending?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_46'>\n\t\t\t<div class='gchoice gchoice_3_46_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='Yes'  id='choice_3_46_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_46_0' id='label_3_46_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_46_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='No'  id='choice_3_46_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_46_1' id='label_3_46_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_47\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_47\" ><label class='gfield_label gform-field-label' for='input_3_47'>List below details of ALL charges, prosecutions, convictions, cautions, bind-over orders \u2013 even if they happened a long time ago. You must include any minor matters, any road traffic or motoring offences which may be pending<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_47' id='input_3_47' class='textarea large'  aria-describedby=\"gfield_description_3_47\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_47'>Please note that disclosure of a conviction does not necessarily debar any applicant from obtaining employment<\/div><\/div><fieldset id=\"field_3_48\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_48\" ><legend class='gfield_label gform-field-label' >Have you been the subject of any investigation or enquiry into abuse or other inappropriate behaviour?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_48'>\n\t\t\t<div class='gchoice gchoice_3_48_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='Yes'  id='choice_3_48_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_48_0' id='label_3_48_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_48_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='No'  id='choice_3_48_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_48_1' id='label_3_48_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_49\" ><legend class='gfield_label gform-field-label' >Do you have or are subject to any disciplinary action? (This can be spent or pending)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_49'>\n\t\t\t<div class='gchoice gchoice_3_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Yes'  id='choice_3_49_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_49_0' id='label_3_49_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='No'  id='choice_3_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_49_1' id='label_3_49_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_50\" class=\"gfield gfield--type-textarea gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_50\" ><label class='gfield_label gform-field-label' for='input_3_50'>Please give details<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_50' id='input_3_50' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_3_51\" class=\"gfield gfield--type-textarea gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_51\" ><label class='gfield_label gform-field-label' for='input_3_51'>Please give details<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_51' id='input_3_51' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_3_55\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_55\" ><h3>DISABILITY<\/h3>\n<p>The Disability Discrimination Act (DDA) defines a disabled person as someone who has a physical or mental impairment that has a substantial and long term effect on his or her ability to carry out normal day to day activities.\n\n*\tSubstantial means neither minor or trivial\n\u2022\tLong term means that the effect of the impairment has lasted or is likely last for at least 12 months\n\u2022\tNormal day to day activity must affect one of the \u2018capacities\u2019 listed in the Act which include mobility, manual dexterity, speech, hearing, seeing and memory.\n<\/p><\/div><fieldset id=\"field_3_57\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_57\" ><legend class='gfield_label gform-field-label' >Do you consider yourself to have a disability, either physical or mental?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_57'>\n\t\t\t<div class='gchoice gchoice_3_57_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='Yes'  id='choice_3_57_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_57_0' id='label_3_57_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_57_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='No'  id='choice_3_57_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_57_1' id='label_3_57_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_58\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_58\" ><label class='gfield_label gform-field-label' for='input_3_58'>If yes, please give details<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_58' id='input_3_58' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_3_60\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_60\" ><label class='gfield_label gform-field-label' for='input_3_60'>Please give as much detail as possible of your immunisation history e.g. tetanus, MMR, Hepatitis, flu and swine flu vaccinations<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_60' id='input_3_60' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_3_62\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_62\" ><label class='gfield_label gform-field-label' for='input_3_62'>If yes, to the above questions, is there anything we need to know about your disability in order to ensure you have equality of opportunity e.g. interpreter, access to car parking facilities, etc?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_62' id='input_3_62' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_3_63\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_63\" ><h3>PERSONAL DECLARATION<\/h3>\n<ol>\n<li>I declare that all the foregoing statements are true, complete and accurate.<\/li>\n<li>I understand that if I give wrong information or leave out important information I could be dismissed if I take up this job.<\/li>\n<li>I understand that to take up this job I must have satisfactory references, health assessment and Access NI clearance.<\/li>\n<li>I understand that before taking this job I will have to submit to formal identification a copy of long birth certificate and evidence of qualifications.<\/li>\n<li>I confirm that as far as I know the information I have submitted on this form regarding my medical history and my ability to carry out this job are true, complete and accurate.<\/li>\n<li>I agree to the organisation making any necessary enquiries during the recruitment and selection process for this job.<\/li>\n<li>I understand that canvassing will disqualify me from the selection process for this job.<\/li>\n<\/ol><\/div><fieldset id=\"field_3_70\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_70\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_70.1' id='input_3_70_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_70_1' >I agree that all information provided is accurate and true<\/label><input type='hidden' name='input_70.2' value='I agree that all information provided is accurate and true' class='gform_hidden' \/><input type='hidden' name='input_70.3' value='1' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_3_69\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_69\" ><legend class='gfield_label gform-field-label' >How did you hear about this vacancy?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_69'>\n\t\t\t<div class='gchoice gchoice_3_69_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='Social Media'  id='choice_3_69_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_69_0' id='label_3_69_0' class='gform-field-label gform-field-label--type-inline'>Social Media<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_69_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='Local Newspaper'  id='choice_3_69_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_69_1' id='label_3_69_1' class='gform-field-label gform-field-label--type-inline'>Local Newspaper<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_69_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='Job Centre'  id='choice_3_69_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_69_2' id='label_3_69_2' class='gform-field-label gform-field-label--type-inline'>Job Centre<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_69_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='Radio'  id='choice_3_69_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_69_3' id='label_3_69_3' class='gform-field-label gform-field-label--type-inline'>Radio<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_69_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='Word of Mouth'  id='choice_3_69_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_69_4' id='label_3_69_4' class='gform-field-label gform-field-label--type-inline'>Word of Mouth<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_69_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='Refer a Friend - provide name of Mainstay Employee who referred you'  id='choice_3_69_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_69_5' id='label_3_69_5' class='gform-field-label gform-field-label--type-inline'>Refer a Friend - provide name of Mainstay Employee who referred you<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_69_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='NIJobs.com'  id='choice_3_69_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_69_6' id='label_3_69_6' class='gform-field-label gform-field-label--type-inline'>NIJobs.com<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_69_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='Community NI'  id='choice_3_69_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_69_7' id='label_3_69_7' class='gform-field-label gform-field-label--type-inline'>Community NI<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_69_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='gf_other_choice'  id='choice_3_69_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_69_8' id='label_3_69_8' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_3_69_other' class='gchoice_other_control' name='input_69_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_71\" class=\"gfield gfield--type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_71\" ><label class='gfield_label gform-field-label' for='input_3_71'>CAPTCHA<\/label><div id='input_3_71' class='ginput_container ginput_recaptcha' data-sitekey='6LdMecYbAAAAAEXXO1m0Q_BZ7BN1eaE1KD_NN-oc'  data-theme='light' data-tabindex='-1' data-size='invisible' data-badge='bottomright'><\/div><\/div><div id=\"field_3_74\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_74\" ><label class='gfield_label gform-field-label' for='input_3_74'>If you have been referred by one of our current employees, provide their name below<\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_3_74' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><\/div><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_3' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='if(window[\"gf_submitting_3\"]){return false;}  if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_3\"]){return false;} if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;}  jQuery(\"#gform_3\").trigger(\"submit\",[true]); }' \/> <input type='submit' id='gform_submit_button_3' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_3\"]){return false;}  if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_3\"]){return false;} if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;}  jQuery(\"#gform_3\").trigger(\"submit\",[true]); }' \/> <input type='hidden' name='gform_ajax' value='form_id=3&amp;title=&amp;description=&amp;tabindex=0&amp;theme=gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_3' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='3' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_3' value='WyJ7XCI3MC4xXCI6XCIzNjI5ZWRjNDdkZTk1YWMwMjFjZGExNTI5MDEwMTBjYVwiLFwiNzAuMlwiOlwiMjk3Y2JiN2I5YzE2ZjkzNTNiNTc5YzA5ZDk3OWEwNzFcIixcIjcwLjNcIjpcIjM2MjllZGM0N2RlOTVhYzAyMWNkYTE1MjkwMTAxMGNhXCJ9IiwiYzdiMmRkNDE1MTM4YjI1OWM2MzMwYWIyNjEzMWI1ZDEiXQ==' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_3' id='gform_target_page_number_3' value='2' 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