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Job application form

Please complete the form in as much detail as possible and submit before the closing date, if you have any issues with the form please contact hr@stbh.org.uk Our inboxes are only monitored during working hours, not including weekends or bank holidays.

Job Application

"*" indicates required fields

Step 1 of 8

12%

Personal Information

Position you're applying for*

Where did you hear about the position?*

Title*

Name*

First name Surname

Address*

Street address Address line 2 City County Post Code

Telephone number*

Email address*

National Insurance Number*

Do you have a clean, current driving licence?*

Yes

Are you a car owner?*

Yes

Education and training

Please provide details of any examinations taken, as well as training courses attended.

Please include qualifications awarded (where applicable) and any membership of appropriate professional bodies.

Evidence of qualifications may be required before employment is offered.

Previous education and training*

Subject / Professional Membership

Qualification / training / membership registration No.

Grade

Date

Name & address of school / college / organisation

Computer Skills

Please give details of your computer skills and which software packages you use.

Software name (e.g. MS Word, Excel, Sage, Peoplesoft)

Please enter appropriate level (Basic, Intermediate or Advanced)

Employment history

Please provide details of your employment history, including voluntary and unpaid work, as well as any periods of unemployment. Please ensure all details are correct.

Current employment*

Organisation / Company & address including date of appointment

Position held plus brief description of duties/skills developed

Date of Employment

Current Salary & What is your notice period and reason for leaving?

Previous employment*

Organisation / Company & address

Position held plus brief description of duties/skills developed

Date from (month/year)

Date to (month/year)

Why did you leave?

Additional Information

Outline in one or two sentences what prompted you to apply for this role.*

Please read through the Job Description and then highlight the skills, knowledge and behaviours you have which demonstrate your suitability for this role. Please feel free to include experience gained from voluntary roles.*

If you have any additional supporting documents please upload them here

Max. file size: 54 MB.

Candidate references

Offers of employment are subject to receipt of satisfactory references.

Please provide the names, telephone numbers and addresses of employers or educational establishments to cover the last five years of employment.

Please enter the details of your current/most recent employer/educational reference below.

Full Name*

Address

Street Address City County Post code

Email*

Position held*

Your connection with the referee (manager, colleague etc)*

Time known to referee*

Full Name*

Address

Street Address City County Post code

Email*

Position held*

Your connection with the referee (manager, colleague etc)*

Time known to referee*

Health and fitness

If you are offered employment with us you will be asked to complete an Occupational Health Questionnaire prior to commencement of your role.
If it is deemed necessary you may be asked to attend an appointment with Occupational Health Nurse. Please note that for some positions we will require you to have a Hepatitis B vaccination.

The Asylum & Immigration Act 1996

The Asylum and Immigration Act 1996 requires that we obtain proof of your right to work in the UK. If you are invited to interview you will need to ensure that you bring with you original documentation evidencing your entitlement to work in the UK (e.g. a current UK / EU / EEA Passport/National Identity Card or appropriate Home Office documentation etc).

You can check what documentation you should provide in more detail on the Home Office are of the gov.uk website.

Are you legally entitle to work in the UK?*

Yes

Do you require a work permit?*

Yes

Unfortunately we are unable to accept your application at this time

Thank you for applying to work with us. Unfortunately we are not in a position to sponsor candidates so will be unable to take your application any further at this time. Please contact us again if you take up residency in the UK and have the Right to Work.

Data Protection

We will never share your details with any other organisation to use for their own purposes and sharing of your data within the hospice will be limited to those involved in the recruitment process.

By submitting this application form to Human Resources you are accepting that we will process your personal data and sensitive personal data, for the purpose of recruitment and your (potential) employment contract. We will keep your details for six months after the recruitment process ends - if we want to keep your data longer than this then we will ask for your consent.

Our full privacy statement for job applicants is available via our website www.stbh.org.uk/privacy-notice. If you are unable to view a copy please e-mail the HR team to request a copy.

Rehabilitation of Offenders

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

This means that you are not entitled to withhold information relating to any convictions you may have had, that would not be filtered in line with current guidance.

Withholding information could result in dismissal. The amendments to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020) provides that when applying for certain jobs and activities, certain convictions and cautions are considered ‘protected’. This means that they do not need to be disclosed to employers, and if they are disclosed, employers cannot take them into account.

Possessing a criminal record will not necessarily be a bar to obtaining a position. We will provide you with a copy of our Recruitment of Ex-Offenders statement if you request it.

Are you currently the subject of any police investigation and/ or prosecution, in the UK or any other country?*

Yes

Do you have any unspent convictions, cautions, reprimands or warnings?*

Yes

Are you currently the subject of any investigation or proceedings by anybody having regulatory functions in relation to health / social care professionals including such a regulatory body in another country?*

Yes

Have you ever been disqualified from the practice of a profession or required to practice it subject to specified limitations following a fitness to practise investigation by a regulatory body, in the UK or another country?*

Yes

If the answer to any of these questions is yes, please include full details below.*

How we will use your data

We will never share your details with any other organisation to use for their own purposes and sharing of your data within the hospice will be limited to those involved in the recruitment process.

By submitting this application form to Human Resources you are accepting that we will process your personal data and sensitive personal data, for the purpose recruitment and your (potential) employment contract. We will keep your details for six months after the recruitment process ends - If we want to keep your data longer than this then we will ask for your consent.

Our full privacy statement for job applicants is available via our website https://www.stbarnabas-hospice.org.uk/privacy - if you are unable to view a copy please e-mail the HR team on the address below to request a copy.

Declaration, consent and verification

The information I provide in this form is correct to the best of my knowledge and belief. I understand that St Barnabas Hospices will conduct checks to verify the information provided and other such verifications as needs to be carried out to confirm my suitability for the position I have applied for.

By submitting this application, I acknowledge that if such investigation reveals information that makes me ineligible for employment with the company, or that I have provided false information or withheld information, it may result in any offer of employment being withdrawn or my immediate dismissal from employment. If I have any concerns I understand that I can contact recruitment@stbh.org.uk for details and policies, or to discuss in confidence.

Alternative way to apply:

Please download and fill in our job application form and email back to us at: hr@stbh.org.uk

Download the application form

Find out more about us

Welcome to our Blog

Read a range of care-related topics, practical guidance plus inspiring stories. All written by our hospice staff plus stories from the children and with life-limiting illnesses.

A smiling nurse in the grounds of Chestnut Tree House pushing a child in a pushchair.

What’s it like to work here?

We’re committed to creating lasting memories for families and young adults. For staff this means that every day is varied and incredibly rewarding as we get to know our children and families.

Image of a child at the house having fun and covered in paint

What we do

Find out about what we offer and how we help local children with life-shortening illnesses. Plus our history and CQC rating.

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