Saint Catherine's Hospice Careers

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Personal Details

First Name *

Last Name *

Email Address *

Mobile Number *

Telephone Number

Do you currently work for us? *

Although optional for this post, you may upload your CV to support your application.

Address Information

Street Address *

City *

County *

Country *

Postcode *

Employment History

Starting with your most recent employer, please provide details of your employment history over the last 10 years.

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Employer Name *

Job Title *

Salary *

Date From *

Date To *

Please detail role and responsibilities, and reasons for leaving *

Qualifications and Training

Please provide details of qualifications and training that you think are relevant to this post.

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School/College/University *

Date From *

Date To *

Please provide details of courses and grades received along with their relevant dates *

Please enter any other relevant training undertaken.

Personal Statement

This is one of the most important parts of your application. Tell us why you are applying for the post and how your experience, skills, responsibilities and knowledge match the requirements of the job. It will help if you read the Person Specification carefully and then give examples of how you meet the essential criteria for this post.

Personal Statement *

Referees

Please give the names and contact details of two people who can comment on your work performance and integrity (from work, education or volunteering). One should be your current or most recent employer. Please note that we reserve the right to contact any of your previous employers. Referees should not be relatives or friends. Your referees will ONLY be contacted if you are offered the post.

First Referee

Full Name *

Job Title

Relationship to you *

Email Address *

Address and Postcode

Second Referee

Full Name *

Job Title

Relationship to you *

Email Address *

Address and Postcode

Driving

Only answer these questions if driving is a requirement of the post.

Do you have a clean, full and current driving licence? Yes No

Please give details

Do you have access to a vehicle for work purposes? Yes No

Rehabilitation of Offenders Act 1974

Criminal records will be taken into account for recruitment purposes only when the conviction is relevant, and will not necessarily be a bar to obtaining a position. As Saint Catherine’s meets the requirements in respect of exempted questions under the Rehabilitation of Offenders Act 1974, all applicants aged 18 years or over who are offered employment will be subject to a criminal record check at the appropriate level from the Disclosure and Barring Service (DBS) before commencing employment.

Have you been convicted of a criminal offence required by law to be disclosed, received a police caution in the UK, or a criminal conviction in any other country? * Yes No

Are you currently the subject of any police investigation and/or prosecution, in the UK or any other country? * Yes No

Are you currently the subject of any investigation or proceedings by any body having regulatory functions in relation to health/social care professions, including such a regulatory body in another country? * Yes No

Have you been disqualified from the practice of a profession, or required to practice it subject to specified limitations following a fitness to practice investigation by a regulatory body, in the UK or another country? * Yes No

If you have answered YES to any of the above questions please provide details and in a separate file and upload below.

Equal Opportunities

We are committed to the fair treatment of our staff, potential staff, regardless of race, gender, religion/belief, sexual orientation, age, pregnancy/maternity, marital or civil partnership status, physical/mental disability, responsibilities for dependants or offending background.

The information you give on this form will help us ensure equality in our services to you. We recognise that you may regard some of this information as personal and we have, therefore, included an option in most questions for ‘prefer not to say’.

All information that we collect in relation to equality and diversity will be treated confidentially in accordance with the Data Protection Act 2018 and will be stored within the Applicant Tracking System. Access to this information will be restricted to staff involved in the processing and monitoring of this data. It will be used to provide statistical information only. In completing the form below, you consent to us using your data for this purpose.

To which gender identity do you most identify?

What is your age range?

Relationship Status

What is your nationality?

What is your ethnicity? (Please choose the most appropriate option to indicate your cultural background)

Other (please specify)

What is your religion or belief?

Other (please specify)

Do you consider yourself to have a disability as defined in the Equality Act 2010?

If you have a medical condition, the Equality Act 2010 requires employers to make reasonable adjustments to the job content or working environment. To achieve this, we need to know whether you are covered. Definition of Disability: “A physical or mental impairment which has a substantial and long-term effect on a person’s ability to carry out normal day-to-day activities in a non-work environment.”

What is your sexual orientation? (As defined in the Equality Act 2010)

Other (please specify)

Pregnancy and Maternity: Maternity is defined in the Equality Act 2010 as the 26 weeks after giving birth. Please select the option which describes your circumstance:

There are 6 million carers in the United Kingdom and nearly one in eight workers are carers. With an ageing population and an expected increase of 60% of carers in the next 30 years, we would like to monitor the number of people with caring responsibilities.

Do you have caring responsibilities?

Other (please specify)

About My Application

I confirm that my details are complete and correct
I confirm I have the right to work in the country where this job is based
I confirm I have read and agreed to the privacy policy