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My Account
About
Home
Story
Values
Visions
Missions
Plans
Contact
Services
Healthcare
Expertise
Advocacy
Research
Training
People
Regulars
Governors
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Short-termers
Advisors
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News
Action
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Join
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Application Form
Post applied for
*
1. Personal details
Title
*
Name
*
First Name
Last Name
Date of birth
*
MM
DD
YYYY
Phone number
*
Include country code
Email
*
Home address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
2. Personal statement
Personal statement
*
Why do you want this post? How do you fulfil its person specification? How are you sympathetic to our Christian faith-inspired ethos? (Max. 750 words)
If you are an elective student, what dates are you available within?
Will you also be submitting your CV / resume?
*
If yes, leave the rest of the questions blank (apart from the declaration at the end), then press submit. You will then have the opportunity of uploading your CV / resume.
Yes
No
3. Current work
Are you currently in work or full-time training?
Yes
No
Employer or institution's name
First Name
Last Name
Employer or institution's address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Post title
eg. Staff Nurse, Medical Student (4th year)
Post description
Start date
MM
DD
YYYY
4. Previous work
Give details of your employment over the last three years. if you have had more than three employers in the last three years, please upload a document containing this information along with your CV.
Previous employer 1
Include: Employer's name & employer's / company's address. Date of commencement Date of leaving Reason for leaving Post title & post description.
Previous employer 2
Previous employer 3
5. Education & qualifications
Colleges & Universities
List the dates and names of courses and resulting qualifications
Schools
List the names & dates attended of any schools you have attended or are currently attending. Also list any qualifications you have gained equivalent to UK levels 1-3.
Training
List any other formal or vocational training / non-qualification courses that support your application
6. Health
Number of days sickness absence (from education &/or work) in the last two years
Do you consider yourself to have a disability?
We guarantee interviews to all disabled applicants who meet the person specification's basic requirements.
Yes
No
7. Further information
Please supply any further information you feel we should possess
8. References
Professional referee
Current or most recent employer, or another relevant professional such as a lecturer or teacher
Name
First Name
Last Name
Position
Organisation
Relationship to applicant
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Contact phone number
Country
(###)
###
####
Email address
Do you agree to this person being approached prior to any interview?
Yes
No
Personal referee
Someone in a position of authority (eg. teacher, faith leader or professional friend) who has known you for at least two years
Name
First Name
Last Name
Position
Organisation
Relationship to applicant
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Contact phone number
Country
(###)
###
####
Email
Do you agree to this person being approached for a reference prior to any interview?
Yes
No
Applicant declaration
I declare that I have completed this application honestly and fully.
*
Yes
If accepted for this position, I agree to abide by the policies of Integritas Healthcare.
*
Yes
Your application for has been submitted.
If you have a CV / résumé, please submit it
here
.
