Register with Us

Contact details

One of the key criteria to register with the Agency is that you hold a minimum of between six and twelve months clinical experience in the past three years which can be supported by suitable referees. If you do not hold this relevant experience your application will not be considered.

First Name  
Email Address
Please use your personal email address. Professional email addresses may be blocked.
Confirm Password
Land line telephone number (no spaces)
Attach CV  
What part of the register are you on?

Personal details

Previous Surname  

Mobile telephone number (no spaces)
Date of Birth (Enter as dd/mm/yyyy, using figures)  
National Insurance Number  
Have you ever been registered with Fastrack Health Care before ?    
Do you have permission to work in the United Kingdom ?    
For the following, specialist, areas please state if you are clinically competent
and have had experience within the last 3 years.


Employment History


Please list details of all posts held since 2011. All breaks must be accounted for including time spent travelling or time taken out of work for any reason.

You will be required to provide a full 10 year work history later in the recruitment process.

Name of Employer i.e. Hospital Name  
Position held Band  
Are you still employed in this position    
Name or Number of Unit/Ward  
Type of Unit/Ward  
Reason for leaving, if applicable  


Please give details of your current or most recent line manager.

Guidance for Providing your Clinical References.

Please give details of you current or most recent line manager. You will be asked for additional references once your application has been vetted.

Reference details
Name of line manager
Position Held
Work Email
How long have you worked with this referee ?  

To speed up your references, may we fax or email as well as telephone and write ?  

To speed up your registration please can we send for your references before you have your interview  

Step 5 Content

The aim of our policy is to ensure that no job application receives less favorable treatment on the grounds of race, colour, ethnic or national origin, religious belief, political opinion or affiliation, sex, marital status, sexual orientation, gender reassignment, age or disability, or is disadvantaged by conditions or requirements which cannot be shown to be justifiable.

Our selection criteria and procedures are frequently reviewed to ensure that individuals are selected, promoted and treated on the basis of their relevant merits and abilities.

All agency workers are given equal opportunity and are encouraged to progress within the organisation.

We are committed to an ongoing programmed of action to make this policy fully effective. To ensure that this policy is fully and fairly implemented and monitored, and for no other reason, would you please provide the following information:-

I would describe my ethnic group as: -

Gender I would describe my gender as: -
Age Group I would describe my age group as: -
Marital Status I would describe my marital status as: -
Sexuality I would describe my sexuality as: -
Religion I would describe my religion as: -
Disability Do you consider yourself to have a disability: -
  Are you registered disabled: -