Work For Us | Healthwatch Cambridgeshire

Work for us - job application form

Please complete this application form to apply for the post you are interested in. Make sure you read the job information pack carefully so you can let us know what skills and experience you have to take on this important role within our Healthwatch. You will be working across Healthwatch Cambridgeshire and Healthwatch Peterborough.

About you - part one

Answers given in this part of the form are to help us to manage your application. They will be kept securely and not made available to the shortlisting panel.

Which post are you applying for?

Are you an internal or external candidate?

Internal candidate

External candidate

First name

Last name

Home address and postcode

Telephone number - home

Telephone number - mobile

Telephone number - work

National Insurance number

Email address

Do you hold a full driving licence that is valid in the UK?

Yes

Do you need a work permit to work in the UK?

Yes

Please tell us if you need any support or adjustments made to help you take part in the recruitment process or to undertake this role.

Rehabilitation of Offenders Act (1974) (Exemption Order 1975)

As you may be working with children or adults with care or support needs, we have to ask:

Have you ever been convicted of a criminal offence?

Yes

You do not generally have to disclose details of spent convictions. However, if the post is exempt from the Rehabilitation of Offenders Act by virtue of the (Exceptions) Order because it could involve access to persons who are disabled, addicted to drugs, alcohol or under 18 or over 65 years of age, you must disclose details of all convictions, including cautions, spent or otherwise. Please note that all posts are subject to a Standard level Disclosure and Barring check. In accordance with the Rehabilitation of Offenders Act 1974 only relevant convictions will be taken into account when assessing your capability.

If yes, please tell us about this

If you do not disclose any known convictions on your application form and we subsequently discover you have relevant convictions, your offer of employment will be withdrawn, or your contract of employment will be terminated.

Your referees

Please give us the contact details of two people who are happy to give you a reference for this role. One of them must be your current or most recent employer.

Please make sure that you have their permission for us to contact them. And that you have given them your permission to provide a reference.

We will not contact your referees prior to shortlisting.

References

Please give details of two referees who have known you for at least one year. A referee can be a previous employer, someone from an organisation you have volunteered with, or a friend. They could also be a social worker, probation officer, or anyone else who has worked with you and knows you. Family members cannot be referees.

If you are under 18, this could be a teacher or a youth leader.

First referee

First referee's name

First referee's occupation

How do they know you?

Referee's address

First referee's email address

First referee's telephone number

Second referee

Second referee's name

Second referee's occupation

How do they know you?

Referee's address

Second referee's email address

Second referee's telephone number

Your skills and experience

The information entered in this part of the form will be shared with the shortlisting panel.
Please make sure that you read the job description before completing the application form. Make sure your answers clearly and honestly demonstrate how your skills and experience are relevant to the post.

Employment history

Please tell us about your employment history, starting with your current or most recent role. You will need to provide a minimum of your full employment history for the last ten years.

Current or last job held

Employer's name

Employer's address including postcode

Main duties and responsibilities

Current salary

Start Date

End Date - if relevant

Period of notice required

Reason for leaving

Previous employment history

Add a second employer

Yes

Previous job held

Employer's name and address

Brief description of duties

Start Date

End Date

Reason for leaving

Add a third employer

Yes

Previous job held

Employer's name and address

Brief description of duties

Start Date

End Date

Reason for leaving

Add a fourth employer

Yes

Previous job held

Employer's name and address

Brief description of duties

Start Date

End Date

Reason for leaving

Add a fifth employer

Yes

Previous job held

Employer's name and address

Brief description of duties

Start Date

End Date

Reason for leaving

Add a sixth employer

Yes

Previous job held

Employer's name and address

Brief description of duties

Start Date

End Date

Reason for leaving

Are you applying for this post through a secondment opportunity with your existing employer?

Yes

Education and training

Please tell us about your education and training. We are most interested in the qualifications that are relevant to the post you are applying for.