DIPLOMA IN DENTAL HYGIENE AND DENTAL THERAPY APPLICATION FORM FOR ADMISSION IN Jan 2017
|
|
- Irma Blair
- 6 years ago
- Views:
Transcription
1 DIPLOMA IN DENTAL HYGIENE AND DENTAL THERAPY APPLICATION FORM FOR ADMISSION IN Jan 2017 Please complete clearly in BLACK ink Use the information on the website to ensure that you complete this form correctly DATE RECEIVED APPLICATION No 1 PERSONAL DETAILS Title Date of Birth Surname/Family Name First/Given Name(s) Postal Address County Postcode Telephone numbers (including STD code) Home Mobile Are you a United Kingdom (UK), European Community (EC) or European Economic Area (EEA) national? If no, please give details of the category that relates to your current immigration status. This status will be subject to checking before interview. Does your visa have a condition restricting employment or occupation in the UK? Do you require any special access or educational needs and require any reasonable adjustments to be made during the recruitment process, including interview? If yes, please give details 1
2 2 EMPLOYMENT HISTORY Names & Addresses of recent employers From To Nature of work Month Year Month Year 3 SECONDARY, FURTHER & HIGHER EDUCATION HISTORY Establishments Attended From To Month Year Month Year FT/PT 2
3 4 QUALIFICATIONS - awarded Examinations or Assessments for which RESULTS ARE KNOWN, including those failed (including Key/Core Skills) ALL SECTIONS MUST BE COMPLETED see example below Month Year Awarding Body Subject / Unit / Module / Component Open College Access to H.E. Network Science Level / Qualification Level 3 Level 3 Level 2 Result: Grade/Mark/Band/Credits 20 credits Distinction 25 credits Merit 18 credits Use a continuation sheet if necessary Ensure that evidence of all the above qualifications (in the form of COPY CERTIFICATES ) are included with this application. Without these, your application will not be processed. ORIGINAL CERTIFICATES MUST be available to the school if you are called for interview. 3
4 4 QUALIFICATIONS - not yet awarded Examinations or Assessments for which RESULTS ARE NOT KNOWN OR NOT YET COMPLETED (including Key/Core Skills) ALL SECTIONS MUST BE COMPLETED Month Year Awarding Body Subject / Unit / Module / Component Level / Qualification Expected/predicted Result: Grade/Mark/Band/Credits Use a continuation sheet if necessary ONCE RESULTS ARE KNOWN, IT IS THE APPLICANTS RESPONSIBILITY TO ADVISE THE SCHOOL OF THE RESULTS 5 REGISTRATION are you registered with the General Dental Council If so, what is your registration number: Are you currently the subject of a fitness to practise investigation? If yes, please give details Have you been removed from the register or have conditions been made on your registration? If yes, please give details 6 IMMUNISATION STATUS Evidence of effective immunisation (sero-conversion) Hep B attached Hep B sero conversion attached TB attached 4
5 7 MONITORING INFORMATION Criminal Convictions Rehabilitation of Offenders Act 1974 The Rehabilitation of Offenders Act helps rehabilitated ex-offenders by allowing them not to declare criminal convictions after the rehabilitation period set by the Court has elapsed and the convictions become "spent". During the rehabilitation period, convictions are referred to as "unspent" convictions and must be declared. Before you can be considered for registration with the General Dental Council, the school needs to be satisfied about your character and suitability. Have you any unspent criminal convictions or bind-overs, or any cautions, warnings or reprimands? If yes, you must give details below: - As you are applying for a training place involving access to persons in receipt of health services, your offer of a place is subject to a satisfactory disclosure from the Disclosure and Barring Service (formerly known as CRB). Failure to reveal information relating to any convictions could lead to withdrawal of an offer of a place on the course. Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 In order to protect certain vulnerable groups within society, there are a number of training places within the NHS that are exempt from the provisions of the Rehabilitation of Offenders Act These include positions where there is access to patients in the course of school duties. As the training place you are applying for falls within this category, it will be exempt from the provisions of the Rehabilitation of Offenders Act by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order Applicants for such places are not entitled to withhold any information about convictions, cautions, warnings and reprimands which for other purposes are "spent" under the provisions of the Act. If you are successful with this application, any failure to disclose such information could result in dismissal or disciplinary action. Any information provided will be confidential and will be considered only in relation to places to which the Order applies. A check will be made with the Disclosure and Barring Service. The school aims to promote equality of opportunity and is committed to treating all applicants for places, fairly and on merit regardless of race, gender, marital status, religion or belief, disability, sexual orientation and age. The school undertakes not to discriminate unfairly against applicants on the basis of a criminal conviction or other information declared. Have you at any time received or had pending a criminal conviction, caution, warning, reprimand or bind-over? If so, you must give details below: - Does your name appear on the Protection Children Act List? Does your name appear on the Protection of Vulnerable Adults List? 8 NO SMOKING STATEMENT: Students are prohibited from smoking whilst on duty, whilst on School or Trust premises, or whilst representing the School in any capacity. 5
6 9 SUPPORTING INFORMATION Personal Statement Your personal statement should be no longer than 750 words and MUST be word processed. Applications with handwritten statements WILL NOT BE PROCESSED Please ensure that the word count box is completed. 6
7 9 SUPPORTING INFORMATION cont d Personal Statement cont d State word count: 7
8 10 REFERENCES * Do not use family members or someone living in the same household as you Please complete the details below IN FULL. Referee 1 MUST be your employer from your current/most recent post or if you are still in full time education, your tutor. Referee 2 should be someone NOT CONNECTED to your employment, who is able to comment on your personal qualities & abilities. References may be sought at any point from the end of Stage Two of the application process. If you DO NOT wish us to contact your referees until after the interview, please indicate here: The referees can be contacted from the end of stage 2 of the application: Employment / Education Character Referee 1 Referee 2 Name Address Name Address Postcode Tel No Occupation Postcode Tel No Occupation 11 DECLARATION Signed: I confirm that the information given in this application form is true and complete. I agree that any deliberate omission, falsification or misrepresentation in the application form will be grounds for rejecting this application or subsequent dismissal if offered a training place. I have read the online course details and agree to abide by the policies of The Greater Manchester School for Dental Care Professionals if I am admitted to the course. I understand that the offer of a training place will be subject to the course being commissioned by HEE. I also understand that the offer of a training place will be subject to a satisfactory Disclosure & Barring Service; medical screening and reference checks. I consent that the school may, with regard to this application, seek clarification for issues relating to professional registration, employment or qualifications I consent and understand that anonymised information may be given to commissioners for the purpose of education, training and development Dated: 8
9 12 EQUAL OPPORTUNITIES STATEMENT: NHS organisations recognise and actively promote the benefits of a diverse workforce and are committed to treating all employees with dignity and respect regardless of race, gender, disability, age, sexual orientation, religion or belief. We therefore welcome applications from all sections of the community. I would describe my ethnic origin as: - Gender A White British Male B White Irish Female C White any other White background D Mixed White and Black Caribbean Disability E Mixed White and Black African Do you consider yourself to have a disability? F Mixed White and Asian G Mixed any other mixed background Do you have: H Asian or British Asian Indian - A visual impairment J Asian or British Asian Pakistani - A hearing impairment K Asian or British Asian Bangladeshi - Special access needs L Asian or British Asian any other Asian background - Special education needs M Black or Black British Caribbean - Other N Black or Black British African P Black or Black British any other Black background R Other ethnic groups: Chinese S Other ethnic groups any other ethnic group If yes, please provide further details If you have a disability which may require reasonable adjustments during the interview process, please advise here: e.g. latex allergy This information is purely for education, training & development purposes and will not be used as part of the selection process 9
EMPLOYMENT APPLICATION FORM
EMPLOYMENT APPLICATION FORM Lethbridge Primary School Lethbridge Road Swindon Wiltshire SN1 4BY Tel: 01793 535033 E-mail: admin@lethbridgeprimary.co.uk Applicant s Name Title of post applied for GUIDANCE
More informationA-Z Hospitals NHS Trust (replace with your employer name)
Department of Health will be issuing new guidance relating to the monitoring of equality in April 2013. The equality and diversity sections within NHS Jobs application forms will be reviewed and updated
More informationGuidance for Applicants
Please read carefully before completing your application form. These notes for applicants are supplied to assist you with your application. You should read them carefully to make sure that the job and
More informationRegistering as a dentist with the General Dental Council (EU/EEA/Switzerland)
www.gdc-uk.org Registering as a dentist with the General Dental Council Application Form This application form, accompanying documents and registration fee should be posted to: Registration Team (New Registrations)
More informationWard Clerk - Shrewsbury
Bicton Heath, Shrewsbury, SY3 8HS Re : Ward Clerk - Shrewsbury Please find attached the following documents:- 1. Job Description 2. Information to Candidates 3. Equal Opportunities Monitoring Form 4. Person
More informationKENYLINK SERVICES LTD.
APPLICATION FORM Post: Care-Assistant Please complete this form fully using black ink or type and return to the above address. THE INFORMATION YOU SUPPLY ON THIS FORM WILL BE TREATED IN CONFIDENCE. PERSONAL
More informationBicton Heath, Shrewsbury, SY3 8HS
Bicton Heath, Shrewsbury, SY3 8HS Re : Healthcare Assistant (Shrewsbury based) Thank you for your request for further information for the above mentioned post. Please find attached the following : 1. Information
More informationApplication checklist
Application checklist Before submitting your application check that all sections of the form have been fully completed and that you have enclosed the following: A full CV A personal statement as described
More informationRegistering as a dentist with the General Dental Council (Overseas qualified)
www.gdc-uk.org www.gdc-uk.org Registering as a dentist with the General Dental Council Application Form This application form, accompanying documents and registration fee should be posted to: Registration
More informationYour application should arrive by 5pm on the closing date which is Friday 26 th January 2018
Telephone: 01902 341203 Fax: 01902 337302 Email: woodlandsquaker@btconnect.com Web: www.woodlandsquakerhome.org QUAKER HOME & SHELTERED HOUSING FOR OLDER PEOPLE 434 PENN ROAD, PENN WOLVERHAMPTON WV4 4DH
More informationLittle Owls Day Nursery Bank Nursery Assistant Role
Little Owls Day Nursery Bank Nursery Assistant Role Recruitment Pack January 2017 1 Dear Applicant Re: Bank Nursery Assistant Thank you for the interest you have shown in the above role. Please find enclosed
More informationBicton Heath, Shrewsbury, SY3 8HS
Bicton Heath, Shrewsbury, SY3 8HS Re : Hospice at Home Healthcare Assistant Please find attached the following documents:- 1. Job Description 2. Person Specification 3. Information to Candidates 4. Equal
More informationRegistering as a dental care professional with the General Dental Council
Registering as a dental care professional with the General Dental Council Application form Please note if your application is incomplete it will be returned to you. Your application form and accompanying
More informationApplying to join the pharmacist pre-registration scheme guidance and application form
Applying to join the pharmacist pre-registration scheme guidance and application form Post your form to: Pre-registration New Trainees Customer Services General Pharmaceutical Council 25 Canada Square
More informationLittle Owls Day Nursery Nursery Practitioner Role
Little Owls Day Nursery Nursery Practitioner Role Recruitment Pack April 2018 1 Dear Applicant Re: Nursery Practitioner Thank you for the interest you have shown in the above role. Please find enclosed
More informationAn advert will be posted in the relevant newspaper advertising the job vacancy for approximately 2 weeks.
Safer Recruitment Policy Little Acorns Nursery is committed to providing the best possible care to its children and to safeguarding and promoting welfare of young children. The nursery is also committed
More informationDriving License (Card & paper counterpart)
VKL Transport Services Ltd Transport & Nursing Agency Unit 210 & 211, Studio 2000, 5 Elstree Way, Borehamwood, Hertfordshire WD6 1SF T: +44 (0)208 381 6254 F: +44 (0)208 327 0165 E: enquiries@vklnursing.co.uk
More informationApplication to be restored to the register
Application to be restored to the register (Dentist / Dental Specialist) Please note if your application is incomplete it will be returned to you. Your application form and accompanying documents should
More informationDental Hygiene & Dental Therapy. Application Guide For April
School Of Clinical Dentistry Dental Hygiene & Dental Therapy. Application Guide For April 2018. www.sheffield.ac.uk/dentalschool Thank you for your interest in studying Dental Hygiene and Dental Therapy
More informationRECRUITMENT AND VETTING CHECKS POLICY
Trinity School RECRUITMENT AND VETTING CHECKS POLICY All new appointments to Trinity School are subject to recruitment and vetting checks. All members of staff at Trinity School are required, under The
More informationRegistration under the Care Standards Act Guide to the application process for Private Dentists
Registration under the Care Standards Act 2000 Guide to the application process for Private Dentists March 2013 Completing the Application Form The type of dentistry services you provide, will determine
More informationApplication to be restored to the register
Application to be restored to the register (Dental care professional) Please note if your application is incomplete it will be returned to you. Your application form and accompanying documents should be
More informationApplication Form- Cabin Attendant
Application Form- Cabin Attendant PLEASE COMPLETE ALL SECTIONS IN ENGLISH If posting, please attach recent passport photograph Personal Information Title: Full Name: Email: House Number : Street name:
More informationSafer School Recruitment Policy
I have come in order that you might have life life in all its fullness. John 10:10 Safer School Recruitment Policy The welfare of the child is paramount. Children Act 1989 Policy accepted by FGB on: 24/5/2017
More informationWarrior Programme Veteran Assessment & Registration Form
Personal Details Warrior ID Please fill in all the sections of the registration form as missing information will delay our administration procedure. Please ensure that your referring Agency, Mental Health
More informationApplication Form Nursing Nurses, Midwives & ODPs
Application Form Nursing Nurses, Midwives & ODPs Please complete in BLOCK CAPITALS Personal Details Mr / Mrs / Miss / Ms Surname First name (as appears on NMC / HCPC register) Other name(s) Maiden name
More informationRegistration as a pharmacy technician
Registration as a pharmacy technician Send your completed application to: Pharmacy Technician Applications to Register Customer Service Team General Pharmaceutical Council 25 Canada Square London E14 5LQ
More informationWEST KENT EXTRA LINDA HOGAN COMMUNITY FUND
WEST KENT EXTRA LINDA HOGAN COMMUNITY FUND GRANT APPLICATION FORM 2010 (Please refer to the grant application help with questions pages and the guidance notes) 1. Name of your organisation 2. Name of your
More informationPOLYTECHNICS MAURITIUS LTD
Please complete all sections SECTION ONE: PREAMBLE NATIONAL DIPLOMA IN NURSING APPLICATION FORM You have taken an important step to submit an application for the National Diploma in Nursing at Polytechnics
More informationApplication Guidelines Postgraduate Diploma Midwifery (90-week shortened programme)
Application Guidelines 2017-18 Postgraduate Diploma Midwifery (90-week shortened programme) Overview March 2017 entry Page 1 of 12 Application Guidelines March 2017 Eligibility Thank you for your interest
More informationNon-routine Medicine Funding Request (NMFR) Form Effective September 2017
Non-routine Medicine Funding Request (NMFR) Form Effective September 2017 This form should be completed by a patient or patient representative in circumstances where a patient wishes to receive a medicine
More informationEQUAL EMPLOYMENT OPPORTUNITY DATA FORM Please Return to: City of Geneva Human Resources 22 South First Street Geneva, IL 60134
EQUAL EMPLOYMENT OPPORTUNITY DATA FORM Please Return to: City of Geneva Human Resources 22 South First Street Geneva, IL 60134 The following information will be used to determine the effectiveness of the
More informationNHS Grampian Equal Pay Monitoring Report
NHS Grampian Equal Pay Monitoring Report April 2017 This document is also available in large print, and in other formats, upon request. Please contact Corporate Communications on Aberdeen (01224) 552245
More informationEuropean Mutual Recognition application for registration guidance
For help or enquiries: Registration Department, 184 Kennington Park Road, London, SE11 4BU +44 (0)300 500 4472 international@hcpc-uk.org These guidance notes will help you to complete the European Mutual
More informationOpen University Undergraduate on Study Bursary
Student Fees The Open University PO Box 6055 Milton Keynes MK10 1NH Phone +44 (0)1908 653411 Email: studentfees@open.ac.uk Open University Undergraduate on Study Bursary 2017-18 On Study Bursary Funding
More informationTo Patients and Carers of patients registered with GP Practices in Welwyn and Hatfield except for Spring House Medical Centre
Friday 23 June 2017 NHS England East and North Hertfordshire Clinical Commissioning Group Charter House Parkway Welwyn Garden City AL8 6JL Tel: 01707 685 140 Email: engagement@enhertsccg.nhs.uk Website:
More informationThe Church of England Professional Qualification for Headship Application Form, Reference and Statement of Sponsorship
The Church of England Professional Qualification for Headship 2018 19 Application Form, Reference and Statement of Sponsorship The Church of England Professional Qualification for Headship (CofEPQH) has
More informationDISCLOSURE & BARRING SERVICE POLICY AND PROCEDURES
DISCLOSURE & BARRING SERVICE POLICY AND PROCEDURES Updates Who Updated Comments September annually Lewis, Bridget TABLE OF CONTENTS GENERAL PRINCIPLES... 3 TYPES OF DISCLOSURE AND BARRING SERVICE... 4
More informationAPPLICATION FOR INITIAL APPOINTMENT TO THE RQIA LIST OF PART II MEDICAL PRACTITIONERS UNDER THE MENTAL HEALTH (NORTHERN IRELAND) ORDER 1986
APPLICATION FOR INITIAL APPOINTMENT TO THE RQIA LIST OF PART II MEDICAL PRACTITIONERS UNDER THE MENTAL HEALTH (NORTHERN IRELAND) ORDER 1986 Please complete electronically or legibly in block capitals using
More informationNorth West Universities: NMP collaboration
V150 APPLICATION FORM March 2017 North West Universities: NMP collaboration Notes for applicants: Application form for V150 Community Practitioner Nurse Prescribing courses The application process requires
More informationConsultation on proposals to introduce independent prescribing by paramedics across the United Kingdom
Consultation on proposals to introduce independent prescribing by paramedics across the United Kingdom Reply Form (hard copy) This response form accompanies the main consultation document which is available
More informationJOSEPH LEVY EDUCATION FUND
1 Bell Street, London, NW1 5BY 020 7616 1207 education@jlef.org.uk www.jlef.org.uk JOSEPH LEVY EDUCATION FUND Application Form Please read the Guidelines BEFORE completing this form. Please ensure that
More informationNorthern Ireland Social Care Council. NISCC (Registration) Rules 2017
Northern Ireland Social Care Council NISCC (Registration) Rules 2017 April 2017 Produced by: Northern Ireland Social Care Council 7 th Floor, Millennium House 19-25 Great Victoria Street Belfast BT2 7AQ
More informationArts Council of Northern Ireland Support for the Individual Artist Programme Application Form
Arts Council of Northern Ireland Support for the Individual Artist Programme Application Form Please read the guidance notes carefully before completing this application form. SCHEME Travel Awards Rolling
More informationirtec Assessor Award Application Form
irtec Assessor Award Application Form When complete, please forward to: bookings@theimi.org.uk A. Personal Details * indicates mandatory information Title* Surname* Forenames* Date of Birth * Gender *
More informationApplication Form. Welsh Government Learning Grant for Further Education 2014/15. student finance wales
student finance wales Welsh Government Learning Grant for Further Education 2014/15 Application Form sound advice on STUDENT FINANCE www.studentfinancewales.co.uk/wglgfe How to complete this application
More informationMiddlesex University Research Degrees Application Form
Middlesex University Research Degrees Application Form Please complete this application form and return it to research.adm@mdx.ac.uk Section 1: Personal Details Surname / Family Name: Previous Surname:
More informationEast Lynne Medical Centre
East Lynne Medical Centre, 3-5 Wellesley Road, Clacton-on-Sea, Essex, CO15 3PP Members of the East Lynne Medical Centre Patient Participation Group Dr Simon Sherwood Mrs Pauline Mackenzie Nurse Heather
More informationApplicants should read the Guidance Notes carefully before completing this application form.
Support for the Individual Artist Programme Application Form Applicant Name: Applicants should read the Guidance Notes carefully before completing this application form. All applications to this funding
More informationFaculty of Health and Wellbeing LBR CPD funding 2012/ MENTOR PREPARATION FOR THE HEALTH PROFESSIONS (NMC APPROVED)
Faculty of Health and Wellbeing LBR CPD funding 2012/2013 - MENTOR PREPARATION FOR THE HEALTH PROFESSIONS (NMC APPROVED) Please indicate the health authority you are applying from Yorkshire and Humber
More informationFamily doctor services registration
Family doctor services registration GMS1 Patient s details Please complete in BLOCK CAPITALS and tick as appropriate Mr Mrs Miss Ms Surname Date of birth First names NHS No. Male Female Home address Previous
More informationLBR CPD funding 2013/ MENTOR PREPARATION FOR THE HEALTH PROFESSIONS (NMC APPROVED)
Faculty of Health and Wellbeing Staff use only Student Number.. New / Continuing Si updated letter Spreadsheet CPD code LBR CPD funding 2013/2014 - MENTOR PREPARATION FOR THE HEALTH PROFESSIONS (NMC APPROVED)
More informationStandards of conduct, ethics and performance
Standards of conduct, ethics and performance September 2010 The General Pharmaceutical Council is the regulator for pharmacists, pharmacy technicians and registered pharmacy premises in England, Scotland
More informationRecognition as an EEA qualified pharmacist
Recognition as an EEA qualified pharmacist Guidance notes and application form Send your completed application to: EEA Applications General Pharmaceutical Council 25 Canada Square London E14 5LQ Contact
More informationEquality Information 2018
Equality Information 2018 January 2018 1. Purpose The purpose of the data in this document is to provide key equality data about our workforce and hospital and community services patients for the period
More informationPERSONAL DETAILS. Title: Mr / Ms / Mrs / Miss / Other (please specify)... Name:... Address:... Telephone number:... Mobile number:...
Get in the driving seat... become a Stockport Homes' Board Member Application pack - east area 2012 Scan here for more information Deadline for applications is 18 May 2012 What does a Stockport Homes Board
More informationInformation for registrants. How to renew your registration
Information for registrants How to renew your registration Contents Introduction 1 Renewing your registration with the HCPC 2 Paying your registration renewal fee 12 What happens if 13 Contact us 15 Keeping
More informationCandidates failing to include ALL required documentation will be disqualified.
To All Police Officer Candidates: Thank you for your interest in employment with the City of South St. Paul! We anticipate hiring two officers immediately with additional opening(s) occurring during the
More informationApplication form. Investing in Ideas
Application form Investing in Ideas Investing in Ideas Application form Use this form to apply to Investing In Ideas. Before you start filling in this form make sure you have read the guide for applicants
More informationREGISTERED NURSE Cohort Recruitment Band 5 Women & Children s Sector, Obstetrics and Gynaecology
REGISTERED NURSE Cohort Recruitment Band 5 Women & Children s Sector, Obstetrics and Gynaecology Job Reference: 0000051650N Closing Date: 26 th July 2018 Dear applicant, Thank you for your interest in
More information25/02/18 THE SOCIAL CARE WALES (REGISTRATION) RULES 2018
25/02/18 THE SOCIAL CARE WALES (REGISTRATION) RULES 2018 April 2018 The regulation of the registration and fitness to practise of the social care workforce by Social Care Wales is governed by three types
More informationStandards for pre-registration nursing programmes
Part 3: Programme standards Standards for pre-registration nursing programmes Introduction Our Standards for pre-registration nursing programmes set out the legal requirements, entry requirements, availability
More informationUNIVERSITY HOSPITALS OF LEICESTER NHS TRUST
UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST DIRECTORATE OF CLINICAL EDUCATION Job Title: Clinical Skills facilitator (acute and planned skills) Band: 6 Responsible to: Professionally Accountable to: Site
More informationSCHOOL OF NURSING APPLICATION FORM
SCHOOL OF NURSING APPLICATION FM PRESCRIBING F HEALTHCARE PROFESSIONALS COMMUNITY NURSE PRESCRIBING PRESCRIBING F PHARMACISTS (delete as appropriate) Please complete in black ink in the spaces provided
More informationFamily doctor services registration Postcode:... To be completed by your doctor
Family doctor services registration GMS1 GSM1 Patient s details Please complete in BLOCK CAPITALS and tick as appropriate Mr Mrs Miss Ms Date of Birth NHS No. Surname Male Female Town and country of birth
More informationFamily doctor services registration
Family doctor services registration GMS1 Patient s details Please complete in BLOCK CAPITALS and tick as appropriate Mr Mrs Miss Ms Surname Date of birth First names NHS No. Male Female Home address Previous
More informationJOB DESCRIPTION. Day Unit St Rocco s Hospice Warrington. Orford Jubilee Neighbourhood Hub. Clinical Lead St Rocco s Hospice
JOB DESCRIPTION JOB TITLE Macmillan Cancer Information and Support Manager PAY BAND Band 7 DIRECTORATE / DIVISION BASE ACCOUNTABLE TO RESPONSIBLE FOR Day Unit St Rocco s Hospice Warrington Orford Jubilee
More information25/02/18 THE SOCIAL CARE WALES (REGISTRATION) RULES 2018
25/02/18 THE SOCIAL CARE WALES (REGISTRATION) RULES 2018 April 2018 0 The regulation of the registration and fitness to practise of the social care workforce by Social Care Wales is governed by three types
More informationNMC programme of change for education Prescribing and standards for medicines management
NMC programme of change for education Prescribing and standards for medicines management This response form relates to our consultation on nurse and midwifery prescribing competency proposals, programme
More informationREGISTERED NURSE Cohort Recruitment Band 5 Regional Sector
REGISTERED NURSE Cohort Recruitment Band 5 Regional Sector Job Reference: 0000050985N Closing Date: 30 th March 2018 Dear applicant, Thank you for your interest in working for NHS Greater Glasgow and Clyde
More informationSocial Work Bursary: Academic Year 2017/18 (For courses starting January 2018 to March 2018) Application notes for students on undergraduate courses
Social Work Bursary: Academic Year 2017/18 (For courses starting January 2018 to March 2018) Application notes for students on undergraduate courses Please note: You must make an application for a Social
More informationUniversity of Aberdeen. Notes for Postgraduate Applicants
University of Aberdeen Notes for Postgraduate Applicants These Notes will assist you in completing an Application Form for Postgraduate Taught Programmes, or In-Service (Education) study. IMPORTANT NOTES
More informationWelcome to Church Lane Surgery / Dymchurch Surgery
Welcome to Church Lane Surgery / Dymchurch Surgery This form will help us when you attend your first appointment. Please fill in this form to the best of your ability and return to Reception. First names:
More informationAPPLICATION FORM. 1. Personal Details. 2. Next of Kin Details. Title: Dr / Mr / Miss / Ms Other: D.O.B: Gender: Male / Female / Other.
6th Floor, Arodene House, 41-55 Perth Road, Ilford, Essex IG2 6BX T: 0208 518 4336 F: 0208 554 8430 E: info@mylocum.com W: www.mylocum.com Reg. No: 05057928 VAT Reg. No: 939486760 APPLICATION FORM 1. Personal
More informationFamily doctor services registration
Family doctor services registration GMS1 Patient s details Mr Mrs Miss Ms of birth Surname First names Please complete in BLOCK CAPITALS and tick as appropriate NHS No. Male Female Home address Previous
More informationEQUALITY AND DIVERSITY DATA ANALYSIS WORKFORCE INFORMATION SUMMARY REPORT
EQUALITY AND DIVERSITY DATA ANALYSIS WORKFORCE INFORMATION SUMMARY REPORT 2014-15 1. Introduction 1.1 Yeovil District Hospital (The Trust) is committed to engaging a diverse workforce that meets the requirements
More informationArts Council of Northern Ireland Support for the Individual Artist Programme Sample Application Form
Arts Council of Northern Ireland Support for the Individual Artist Programme Sample Application Form July 2018 SCHEME Travel Awards Rolling Programme Applications must be received 4 weeks before intended
More informationISA Referral Form. All information provided to the ISA will be handled in accordance with the Data Protection Act 1998.
ISA Referral Form This form is for use when making a referral (i.e. providing information) to the Independent Safeguarding Authority. A referral is made when there is harm or risk of harm to children or
More informationStandard Patient Experience Quarterly Report: Birmingham Community Healthcare Call Handling Service
Standard Patient Experience Quarterly Report: Birmingham Community Healthcare Call Handling Service Author: Laura Mann, Patient Experience Analyst Report Period: January to March 8 Date of Report: September
More informationSafer Recruitment Policy
Safer Recruitment Policy Our Mission Statement learning to love, live and celebrate as we grow in the knowledge and love of Christ, underpins all that we do at St. Thomas More Catholic Primary School.
More informationLast Name First Name M.I. Name You Prefer. City State Zip Address. Daytime Phone Evening Phone Best Time to Call. City State If yes, where?
GENERAL INFORMATION Last Name First Name M.I. Name You Prefer Mailing Address How long at this address? City State Zip County If less than a year, previous address How long have you resided in the county?
More informationTRUSTS / PRIVATE ORGANISATION - PLEASE COMPLETE:
STAFF USE ONLY Faculty of Health and Wellbeing Student Number New/Continuing SI updated letter Spreadsheet CPD code LBR CPD funding 2013/2014 - PRACTICE TEACHER PREPARATION Please indicate the Health Authority
More informationNorth West Universities: NMP collaboration Application form for Non-Medical Prescribing
APPLICATION FORM March 2017 Notes for applicants: North West Universities: NMP collaboration Application form for Non-Medical Prescribing (V300, Independent/Supplementary prescribing) The application process
More informationSection 1a: personal details to be completed by applicant
APPLICATION FORM March 2018 Notes for applicants: North West Universities: NMP collaboration Application form for Non-Medical Prescribing (V300, Independent/Supplementary prescribing) The application process
More information(Please supply copies of certificates)
The recruitment process within this organisation has a minimum of two stages. The completion of this application form is part of stage one. This application will be reviewed and a decision made as to whether
More informationHead Office: Unit 1, Thames Court, 2 Richfield Avenue, Reading RG1 8EQ JOB DESCRIPTION. Community Nursery Nurse 0-19 (25) Service - Slough
Head Office: Unit 1, Thames Court, 2 Richfield Avenue, Reading RG1 8EQ JOB DESCRIPTION Community Nursery Nurse 0-19 (25) Service - Slough Employing organisation: Solutions 4 Health Contract Type: Full
More informationEMPLOYMENT APPLICATION
EMPLOYMENT APPLICATION Page 1 of 3 This Employment Application will remain active for one year from the date of completion APPLICANT INFORMATION Last Name First M.I. Date Street Apartment/Unit # City State
More informationFamily doctor services registration
Family doctor services registration GMS1 Patient s details Please complete in BLOCK CAPITALS and tick as appropriate Mr Mrs Miss Ms Surname Date of birth First names NHS No. Male Female Home address Previous
More informationEquality, Diversity and Inclusion. Annual Report
Equality, Diversity and Inclusion Annual Report April 2017 Contents Introduction 3 Compliance Equality Delivery System Objectives 2016-20 4 EDI Incidents and Complaints 5 Equality Impact Assessments 5
More informationNorth West Universities: NMP collaboration Nomination form for Non-Medical Prescribing
NOMINATION FORM March 2014 North West Universities: NMP collaboration Nomination form for Non-Medical Prescribing (V300, Independent/Supplementary prescribing) Notes for nominees: The application process
More informationRecruitment Pack: Carer Support Worker 2017 Contents: Letter & Information on Crossroads Care Surrey Guidance on completing the application form
Recruitment Pack: Carer Support Worker 2017 Contents: Letter & Information on Crossroads Care Surrey Guidance on completing the application form Job description and person specification Charity Registration
More informationPAGE 1 0F 14. G:\MASTER documents to print out\new PATIENT QUESTIONNIRE & Patient Id - ADULT March 2016 ONLINE.doc
PAGE 1 0F 14 Keep this blank page if printing double sided PAGE 2 0F 14 The Surgery Amersham Health Centre Chiltern Avenue, Amersham, Bucks HP6 5AY Tel 01494 434344 : Fax 01494 733711 Dear Patient Thank
More informationEMPLOYMENT APPLICATION
Travis County Human Resources Management Department 1010 Lavaca Street, 2 nd Floor (corner of West 11th & Lavaca) www.co.travis.tx.us P.O. Box 1748 Austin, TX 78767 (512) 854-9165 Voice EMPLOYMENT APPLICATION
More informationTWUMC APPLICATION FOR EMPLOYMENT PRE-EMPLOYMENT QUESTIONAIRE All questions must be answered completely with or without a resume.
TWUMC APPLICATION FOR EMPLOYMENT PRE-EMPLOYMENT QUESTIONAIRE All questions must be answered completely with or without a resume. Applicant Information Position Applied For: Are you employed now? Yes (
More informationFaculty of Health and Wellbeing
Faculty of Health and Wellbeing Good Character and Safeguarding the Public Guidelines for confirming the Professional Suitability of Applicants and Students Statement of our commitment The Faculty of Health
More informationPeople and Communities
Application form For use in Northern Ireland only People and Communities 1 Part one: Programme overview About the programme...3 Important information to consider before you start...3 What happens when
More informationVERMONT JUDICIAL BRANCH EMPLOYMENT APPLICATION
VERMONT JUDICIAL BRANCH EMPLOYMENT APPLICATION Part A Position applying for: Job Location: Please read the instructions below before completing this application Job Number: Name: First, Middle, Last, Suffix
More informationRecruitment Selection & Admissions Policy for pre-registration nursing and midwifery programmes
School of Nursing & Midwifery Recruitment Selection & Admissions Policy for pre-registration nursing and midwifery programmes 2016-17 Admissions Team Date of last review : October 2016 Date of annual review:
More informationAUXILIARY NURSE - MEDICAL SPECIALITIES. Glasgow Royal Infirmary
AUXILIARY NURSE - MEDICAL SPECIALITIES Glasgow Royal Infirmary Job Reference: 0000050371N Closing Date: 09 February 2018 Dear applicant, Thank you for your interest in this post and for taking the time
More information