New Starter Step 1 of 6 16% Personal DetailsFull name* MrMrsMissMsDrProf.Rev. Prefix First Middle Last Suffix Contact DetailsMobile Phone Number:Personal Email Address: Enter Email Confirm Email Save and Continue Later Employment DetailsJob Title Save and Continue Later Are you currently an NHS Employee?*Please pick from the listYesNoDo you currently have an NHS Mail email address*Please pick from the listYesNoCurrent NHS Mail email address* Enter Email Confirm Email Do you have in-date Mandatory Training that can be transferred across from your previous Trust?*Please pick from the listYesNoNot ApplicableIAT Transfer Agreement*Please mark to acknowledge if you are happy for your personal data to be shared from your previous TrustI confirm my consent for you to seek receipt of my personal data from my previous NHS Employer.I do not give my consent for you to apply for my personal data from my previous NHS Employer.Please click here to download details regarding the data set which will be shared as part of the IAT agreement Save and Continue Later Parking Permits \ Travel ArrangementsHow will you be travelling to your workplaceCarBusCyclingWalkingDo you require a car parking permit?*YesNo Save and Continue Later Car Parking Permit ApplicationAre you a disabled blue badge holder?*YesNoVehicle details*Two vehicles can be registered but only ONE can be parked on site at any one timeMakeModelColourRegistration Which sites do you need access to*Sandwell \ City \ RowleyRowley onlyPermit type requiredStandard permit - full timeStandard permit - part time (20 hours per week)Student permitVolunteer permitTick to acknowledge acceptance of agreement I, the undersigned, agree to a monthly deduction to be taken from my monthly pay by the Payroll Department, the cost being dependent on the type of pass I require, until further notice. This includes any future increases that maybe introduced by the Trust. I confirm that I have read and understood the terms set out in the Trust's current car parking policy and the specific terms set out on this application form Save and Continue Later ID badges and Access cardsPlease tick the locations you will need access to* Sandwell General Hospital City Hospital Rowley Regis Hospital Please upload a photo which you would like to be included on your ID.* Drop files here or Accepted file types: jpg, png. The photograph must be a recent passport style picture. Make sure that the picture is in colour, taken against a light-coloured, preferably white, background. Looking straight at the camera with a relaxed face If the picture is taken on a sunny day, have the sun behind you, or place yourself in the shade, so that you are not squinting and there are no harsh shadows If you have to use flash, ensure there's no "red-eye" If you wear glasses make sure that there are no reflections and your eyes can be clearly seen Caps, hats and dark glasses are not acceptable. Religious headwear is allowed but it must not cover your face EmailThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.