Application form

Equality Act 2010 - Under the Equality Act 2010, the definition of disability is if you have a physical or mental impairment that has a 'substantial' and 'long-term and adverse effect' on your ability to carry out normal day-to-day activities. Further information regarding the definition of disability can be found at: https://www.gov.uk/definition-of-disability-under-equality-act-2010 

All qualifications will be subject to a satisfactory check

Please record below the details of your full employment history beginning with your current or most recent first. Any gaps must be explained. Please start with your current or most recent employer.

References: Please provide names, addresses, and telephone numbers for references below whom we may approach for a reference. In line with regulatory requirements, we require references (or other satisfactory evidence as the employer may determine) from all previous employers concerned with the provision of services relating to health and social care, or children or vulnerable adults which should include details of why their employment came to an end (note that this is not time limited). If your previous employment does not concern the provision of services relating to health or social care, or children or vulnerable adults, you must provide references from your two most recent employers.

Please provide two character references if you are unable to obtain two professional references, e.g in the case of an applicant who has been raising a child for ten years. All will be contacted. Therefore, please infom the references of the fact that you have used their name. If you are unable to provide the required references, please discuss the matter with us.

Please note that this section will only be seen by those involved in the recruitment process and will be treated with the strictest confidence.

The Rehabilitation of Offenders Act 1974 aims to promote equality of opportunity and is committed to treating all applicants fairly regardless of ethnicity, disability, age, gender or gender re-assignment, religion or belief, sexual orientation, pregnancy or maternity, and marriage or civil partnership. Bluestones Medical Complex Care undertakes not to discriminate unfairly against applicants on the basis of a criminal conviction or other information declared. 

Answering 'yes' to the question below will not necessarily prevent your employment. This will depend on the relevance of the information you provide in respect of the nature of the position and the particular circumstances.

We will only collect data for specified, explicit and legitimate use in relation to the recruitment process. By signing this application form, you consent to us holding the information contained within this application form. If successfully shortlisted, data will also include shortlisting scoring and interview records. We would like to keep this data until the vacancy is filled. (We cannot estimate the exact time period, but we will consider this period over when a candidate accepts our job offer for the position for which we are considering you). When that period is over, we will either delete your data or inform you that we would like to keep it in our database for future roles. 

We have privacy policies that you can request for further information. Please be assured that your data will be securely stored by the Registered Manager and only used for the purposes of recruiting for this vacant post.

You have the right for your data to be forgotten, to rectify or access data, to restrict processing, to withdraw consent, and to be kept informed about the processing of your data. If you would like to discuss this further or withdraw your consent at any time, please contact the Registered Manager to discuss.

By submitting this form, I hereby confirm that the information given is as complete as possible, true and correct and states that I am entitled to work through an agency in the UK.

I agree that I will comply with all compliance procedures and ensure that all my documentation is present and correct.

I understand that appointment to any position is conditional on satisfactory registration and qualification checks, and that any information disclosed on this registration form will be checked.

Any offer of appointment may be withdrawn if you knowingly withhold information, or provide false or misleading information, and that registration may be terminated should any subsequent information come to light once you have been appointed.