Apply for Nursing Jobs or Care Work

At Pillar Nursing Placements we are dedicated to finding candidates the best nursing jobs to suit their needs. Whether you are looking for regular work, or just to pick up a few extra shifts, we can help.

We only ever want to supply people for nursing jobs who are qualified and have the right experience. Once you have completed our online application form we will give you a call to run through your details and to start matching you to the kind of nursing jobs your want.

Just fill out the form below to get started, and if you run into any problems give us a call or drop us an eymail.  

Basic Information

Emploment History

Previous Positions

Position 1


Please supply details of three referees of which one must be your current or most recent employer. References will be sought upon receipt of this application

Reference 1

Reference 2

Reference 3

Qualifications and Training


Nursing Reg. Cert. Part of Register Expiry Date

Add Certification


Qualification Date Obtained Place of Training

Add Qualification


Training Date Obtained Training Company Expiry Date

Your Health

Please tick any that apply:



Name Received Date



Rehabilitation of Offenders

Because of the nature of the work for which you are applying, this post is exempt from provisions of Section 4 (2) of the Rehabilitation of Offenders Act 1974 by virtue of Rehabilitation of Offenders Act 1974 (Exceptions) order 1975.

Applicants are, therefore, not entitled to withhold information about convictions which for the purpose are "Spent" under the provisions of the Act.

Failure to disclose such convictions, following discussion, could result in withdrawal of employment offer, or in the event of employment disciplinary action which may result in dismissal, in either event this will be reported to the local Health Authority/CSCI

All information given is strictly confidential and will be considered only to applications to which the Order applies.

DBS Statement

If your application is successful an enhanced disclosure will be sought from the Criminal Records Bureau and the Protection of Vulnerable Adults (POVA) register will also be consulted.

Company Policy

We will comply fully with the DBS code of practice* and not discriminate unfairly against any subject of a DBS disclosure on the basis of conviction or other information revealed. Having a criminal record will not necessarily bar an applicant from working for the company, as the nature of the disclosed conviction and its relevance to the post in question will be considered first.
* Copy available on request.


By clicking submit, I declare that the information I have supplied is accurate and complete, I understand that if any information I have given is found to be untrue or misleading I may be subject to disciplinary procedure which could lead to withdrawal of an employment offer or termination of current employment.