APPLICATION FORM

PERSONAL DETAILS

Supporting Information

Describe the particular skills and abilities you possess which best illustrate your suitability for the position you are interested in, giving examples where appropriate. Say briefly why you are interested and how you see yourself fulfilling this role. Please also indicate here the reason for any gaps in employment, as well as any current or spent convictions (please see below for further information). *

DISCLOSURE & BARRING SERVICE CHECKS

A Disclosure & Barring Service check will be requested in the event of you being offered the post. If you register with the DBS Update Checking Service your DBS will be checked as and when required.

SECURITY CHECK DISCLAIMER/CONSENT

A security check will be performed in the event of you being offered the post.

REHABILITATION OF OFFENDERS ACT 1974

Because of the nature of work for which you are applying, this post is exempt from the provisions of section 4 (2) of the Rehabilitation of Offenders Act 1974 (Exceptions) order 1975. Applicants are therefore not entitled to withhold any information about convictions which for other purposes are “spent” under the provisions of the Act and, in the event of employment, any failure to disclose such convictions could result from dismissal from the company. Any information given will be completely confidential and will be considered only in relation to an application for positions to which the order applies.

DATA PROTECTION POLICY

Bridges Healthcare is registered with the Information Commissioner’s Office.

DECLARATION

  I understand the appointment offered will be subject to the information given on this form being correct. I hereby certify that this is the case. By checking this box and typing my name below, I am electronically signing my application.

EQUAL OPPORTUNITIES

Bridges Healthcare will take positive measures to ensure that there is no discrimination, either direct or indirect, overt or unintentional, in respect of its selection processes, training and promotion opportunities, application of conditions of service, personnel policies and procedures etc., on the grounds of race, sex, age, marital status, disability, religion, creed, nationality, ethnic or national origins, social background or sexual orientation.

MONITORING INFORMATION

To ensure that our Equal Opportunities Policy is effective, detailed monitoring of applicants is carried out. This necessitates collecting information regarding disability, ethnic origin and the sex of applicants. Your co-operation would therefore be appreciated.

This information is solely used for monitoring purposes. It will be treated as confidential and this sheet will be detached from your application form on its receipt and before shortlisting takes place.

I consider my ethnic origin to be: