Welcome to an introduction of the A24 Group, a distinguished entity that simplifies the process of registering for agency work in the nursing sector. Located in Bellville and easily contacted via post, email, or fax, the A24 Group stands as a beacon for nursing professionals seeking local employment opportunities with competitive pay rates and flexible shift times, accommodating various family and other commitments. By registering, individuals are simultaneously eligible to work for both of its nursing divisions: Ambition 24hours and Nursing Services of South Africa (NSSA), ensuring dual support in employment endeavors. The registration process is streamlined, requiring only a fully completed application form, a clear certified copy of an ID, a certified copy of a Nursing Council receipt, a signed contract for services, and an ID type photograph. This process underscores the Group’s commitment to maintaining confidentiality and security of all personal information. The form provided by the A24 Group is comprehensive, encompassing personal details, professional indemnity, next of kin information, professional references, medical history, language proficiency, other qualifications or training, employment history, and specific area work experience, ensuring a thorough vetting process and matching of skills to needs. This initial touchpoint serves not just as a procedural necessity but as a testament to the A24 Group’s dedication to quality and care in the recruitment process.
| Question | Answer |
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| Form Name | A24 Group Form |
| Form Length | 13 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 3 min 15 sec |
| Other names | how do i download registration form of a24 group, a24 nursing agency, a24 group application form, a24 application form |
A D D R E S S PO Box 327
Bellville 7535
T E L 0861 144 244
F A X 0861 123 000
E - M A I L inter view.sa@a24group.com
W E B S I T E www.a24group.com
Welcome!
This letter contains important information on how to register for agency work with the A24 Group.
The A24 Group can provide local work and excellent rates of pay, with shift times to fit in with any family and other commitments. When you register with us just once, you are then eligible to work for our two nursing divisions: Ambition 24hours and Nursing Services of South Africa (NSSA). So you’ll have two agency teams working on your behalf. (All your information is retained securely and in confidence by the A24 Group).
Registration with us happens quickly. Here is what we need. |
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Fully completed application form |
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A clear certified copy of your ID |
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A certified copy of your Nursing Council receipt |
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Signed Contract for Services |
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ID type photograph |
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You can post the completed documents to: A24 Group
PO Box 327 Bellville 7535
Email or fax is quicker.
Note: Certified copies should be posted, but email or fax them in the meantime.
Kind regards
The A24 Group
interview.sa@a24group.com
Ambition 24hours WWW.A24.CO.ZA |
Nursing Services of South Africa WWW.NURSES.CO.ZA |
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Directors: Penny Streeter. Charles Rees. |
Co.Reg 2006/008670/07 VAT No 464 022 9276 |
EFFECTIVE 02/08/12
PERSONAL DETAILS
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Mr/Mrs/Miss/Dr |
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Date of Birth |
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House Name / Number |
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Type of Nurse |
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CNP q |
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CPN q |
CARER q |
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MISCELLANEOUS DETAILS |
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Nationality |
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I.D. Number |
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Do you have the right to work in South Africa |
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Are you permanently resident in the RSA |
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Have you been convicted of an offence in any country? |
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Is a charge of an offence pending against you in any country? |
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Have you or do you have a charge of professional misconduct pending against you in any country? |
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Do you hold a current Driving Licence Yes q No q |
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Do you have your own car |
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Are you willing to live in |
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Yes q No q |
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Prepared to Accept Early Morning and Late Night Calls |
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ARE YOU EMPLOYED IN THE GOVERNMENT SECTOR? |
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Yes q No q |
If Yes, please provide current RWOPS. |
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If you are employed in the Public Service in future you must obtain permission to work. |
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PROFESSIONAL INDEMNITY |
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Do you belong to a Union Yes q No q Name of Union |
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Membership Number |
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Union Expiry Date |
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GENERAL INFORMATION |
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Ethnic Origin: q Black African |
q Coloured q Indian |
q White q Other (please specify): |
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q Disabled |
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How did you hear of the A24 Group?
Have you ever worked for us previously?
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NEXT OF KIN |
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Telephone Number |
Cell Number |
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A24 Group retains the right to hold this application and any other data required to process this application (whether in the RSA, UK, European Union or elsewhere) and keep for as long as necessary in line with the Data Protection Act.
A copy of this can be requested in writing and is charged at a fee of R100 per request.
A24 Group may contact you to advise information of interest or to share your information with Ambition related companies.
If you do not wish to be contacted by post - please tick q |
If you do not wish to be contacted by email - please tick q |
PROFESSIONAL REFERENCES
A24 Group requires references from your last or most recent employer.
Name of referee |
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Company Name |
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Position of Reference |
Start date |
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MEDICAL HISTORY
Is there any medical condition which can interfere in your work? Yes
No
LANGUAGES
First Language |
Second Language |
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Third Language
OTHER QUALIFICATIONS / TRAINING
You should supply any certificates. Please continue on a separate sheet.
Qualification or Course
Training Establishment
Date / / /
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EMPLOYMENT HISTORY
Have you ever been dismissed from any employment |
Yes |
No
Please give details of employment history during the past 5 years, most recent first. (All gaps must be accounted for - please continue on blank paper if necessary).
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3
PLEASE TICK THE AREAS THAT DESCRIBE YOUR WORK EXPERIENCE. PLEASE REMEMBER THAT YOU WILL BE HELD PROFESSIONALLY ACCOUNTABLE
SANC Number |
Did you train in the RSA q |
Overseas q |
Are You: (Please tick and attach proof of SANC Registration)
Registered Nurse q |
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Staff Nurse q |
Assistant Nurse q |
CNP q |
CPN q |
Date of qualification: |
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KEYWORDS (PLEASE TICK) (Only tick according to your most recent experience within the last 2 years for placements)
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EXPERIENCE IN THE |
LESS THAN |
1 TO 2 |
2 PLUS |
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LAST 2 YEARS |
1 YEAR |
YEARS |
YEARS |
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Casualty |
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Casualty Experienced
Casualty Trained
Clinical Experiance
Community Clinics
PHC
CNP Experienced
CNP Trained
Dispensing License
Fertility Clinic
Termination Clinic
VCT Experienced
VCT Trained
PMTCT
Health Care
Occupational Health
Experienced
Occupational Health
Trained
Home Care
Rehabilitation Centre
Stoma Care
Hospitals
Hospital - General
Day Surgery
Surgical – General
Medical
In Charge Duties
Prisons
Intensive Care
ICU Experienced
ICU Trained
ICU Psychiatric
NICU
PICU
High Dependency Unit
Vent Competent
Cardiothoracic
CCU
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EXPERIENCE IN THE |
LESS THAN |
1 TO 2 |
2 PLUS |
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LAST 2 YEARS |
1 YEAR |
YEARS |
YEARS |
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Midwifery |
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Antenatal
Labour Ward (Active)
Nursery
MOU
Post Natal
Oncology
Oncology Experienced
Oncology Trained
Hospices
Pathology
Hematology
Phlebotomy
Research Lab
Specialized
GIT Surgical
ENT
IMCI
Neurology
Orthopaedics
Psychiatry
Radiology
Urology
Gyneacology
Neonatal
Paediatrics
Geriatrics
Theatre
Theatre Experienced
Theatre Trained
Anesthetic Experience
Anesthetic Trained
Scrub
Training
Clinical Facilitator
Other
Social Worker
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