Job Application

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Please ensure that you complete the application form in full. Please complete with black ink and block capitals. This form will be kept in confidence.

    Emergency Contact Details

    Availability

    Education History

    Employment History

    Please record below the details of your full employment history beginning with your current or most recent first. Any gaps must be explained. Use a separate attached sheet if required; please sign the sheet(s)

    Current / Most recent employer
    Employment History
    Employment History

    Use this section to detail any gaps in employment and why

    References

    Please provide names, addresses and telephone numbers for referees below whom we may approach for a reference. Please provide two-character references if you are unable to obtain two professional references.

    Safeguarding / Ex-Offenders Declaration

    Please note 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. RSW HEALTHCARE SERVICES LTD undertakes not to discriminate unfairly against applicants based on 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.

    Health Monitoring

    Equal Opportunities

    RSW HEALTHCARE SERVICES LTD is committed to equality of opportunity and fair treatment in all aspects of employment. We aim to provide a working and learning environment which is free from unfair discrimination and will enable staff to fulfil their personal potential. The Equality Act 2010 protects people from discrimination and promotes equality on the basis of a number of protected characteristics. IMPORTANT - Please Note: You do not have to complete this form. The inf

    Ethnic Origin
    Further Detail

    Under the terms of the Act, a disability is defined as a “physical or mental impairment which has a substantial and long-term effect on a person’s ability to carry out day-to-day activities”.