USE YOUR TIME WISELY & GET MORE INCOME
AGENCY WORKER REGISTRATION & ASSESSMENT FORM
REGISTER AS HOLLILANDER AGENCY STAFF TO EARN EXTRA INCOME AND HAVE FLEXIBILITY IN YOUR WORK HOURS.

Are you a Nurse or Healthcare assistant in Ireland and want to work temporary/locum shifts in Nursing homes and Hospitals nationwide? As an agency staff member, you would be required to take on shifts to cover staff shortfalls for our employers due to Illness, Injury, Annual leave, COVID situations etc. If you are interested then please fill out the below form as a first stage of registration with Hollilander.
First Name *
Surname *
Email *
Date of Birth. *
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DD
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Phone Number *
Full Address with Eircode *
What is your Profession? *
Total Years of Experience in Irish Healthcare Sector? *
Approximately how many shifts or days are you available to work in a week? *
Which shifts do you prefer to work? *
Required
Preferred area of work *
Are you available to work Nationwide? *
If not, what is the maximum distance you are willing to travel for assignments? *
Do you hold Irish Driver's License. If other, then please specify. *
Do you have your own transport? *
Are you fully vaccinated against COVID-19? *
Are you available to work in a Pandemic Situation? *
Please specify your residency in Ireland *
Any Message? *
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