Shooting Star Children’s Hospices

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Application form

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By providing us with personal data you consent to the terms and conditions of our privacy statement. The details entered in this application form will be held in the HR department. For details on how your data will be kept and stored please read our privacy notice for staff and volunteers.
Post applied for*
Which location are you applying for?*
- Christopher's, Guildford
- Shooting Star House, Hampton
- Shops
Closing date*
Where did you hear about this vacancy?*
Name*
First Last
Address*
Street Address* Address Line 2 City* State / Province / Region** ZIP / Postal Code**
Telephone (mobile)*
Email*
Enter Email Confirm Email

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Do you automatically have the right to work in the UK?*
If not do you have a visa? (Please give details)
Do you hold a current driving licence?*
If YES give details including any endorsements e.g. car, HGV, PSC etc
Are you currently a volunteer with Shooting Star Children’s Hospices?*

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Education, training and qualifications*
Please give details of school, college and university attended, level of qualification attained and year.
Training and development
Please give details of any relevant training other than that identified above
Membership of Professional Bodies
Please give name of professional body, qualification and year awarded
For Qualified Nurses/Allied Health Professionals

Date of qualifying
PIN/Reg no.

PIN/Reg no.
Expiry

Expiry
Have you ever been, or are you the subject of, fitness to practice proceedings by any professional registration bodies, in any country?*
- Yes
- No

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Employment history (current or most recent employer first)
Please include dates of employment, name and address of employer, job title and main role and responsibilities and final salary and reason for leaving.
Notice required in current post
Leisure
Please note your leisure interests, sports, hobbies etc including positions of responsibility held.
Languages
Which languages other than English do you speak and/or write fluently.

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Personal statement*
Please utilise the headings in the job description to describe and evidence how you meet these role requirements. You should give specific examples of your past experience to provide evidence of your sutibility
References*
Please provide the details of two references (name, job title, address, email and telephone number). References are taken up following successful appointment and will not be sought beforehand. Please keep this section blank if you do not wish to provide references at this stage.
Declaration (Please read this carefully before signing the application for this post)*

I confirm that the above information is complete and correct and that any untrue or misleading information will give the employer the right to reject my application, to withdraw any employment contract offered or, if employed, dismiss without notice.
Upload CV
Accepted file types: jpg, pdf, doc, Max. file size: 5 MB.
Please upload a copy of your CV
I understand that Shooting Star Children’s Hospices will process my personal data in a confidential manner for administrative purposes and in accordance with current Data Protection legislation. By providing us with personal data you consent to the terms and conditions of our privacy statement. Please also read our privacy notice for staff and volunteers.

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