This section of the application form will only be viewed by those who need to see it as part of the recruitment process. Any information disclosed will be treated strictly confidential.
You are required to declare all current ‘unspent’ criminal convictions or cautions (including reprimands and final warnings). You are not required to disclose convictions or cautions which have become 'spent', unless you are applying for a position involving regular contact with children or vulnerable adults. These roles may be eligible for a Disclosure and Barring Service (DBS) check which might be 'Standard' or 'Enhanced'.
Answering 'yes' to the question below will not necessarily bar you from appointment. This will depend on the relevance of the information you provide in respect of the nature of the position for which you are applying and the particular circumstances.
Before you complete the question(s) below please read guidance and criteria for the filtering of these convictions and cautions which can be found on the Disclosure and Barring Service website at:
Please provide the following. All qualifications disclosed will be subject to a satisfactory check.
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Please provide details regarding training courses that you are currently undertaking or have completed.
Certain roles within MHC can only be carried out by people with a UK professional registration, i.e. with the General Medical Council (GMC), Nursing and Midwifery Council (NMC), Health and Care Professions Council (HCPC) etc. Roles that require these registrations will state this within the Person Specification. Any offer of employment will be subject to confirmation of professional registration where applicable.
If the position you are applying for does not require you to have a professional registration, then you do not need to fill out this section of the form.
Please include details of your CURRENT and PAST employment history, including ALL gaps in unemployment. If required, please provide additional information regarding your employment history within the 'Supporting Information' section.
Please provide the names and full contact details of the people who have agreed to supply references. References must include at least two positions with separate employers, one from your current employer and one from your previous employer. As a minimum these references must cover a period of three years employment and/or training history, where this is possible.If you have not been in employment for a considerable amount of time but have had previous employment, then you should seek one reference from your last known employer and a personal reference from a person of standing within your community such as a doctor, solicitor or MP. Where it is genuinely not possible to obtain references from any of the sources outlined above, you must provide contact details of two personal acquaintances who would be willing to give a reference. Personal acquaintances must not be related to you, or have any financial arrangement with you.Please note that all reference requests will be followed up and verified by MHC. Referees may be approached prior to interview, unless you indicate otherwise below.
In this section you need to demonstrate that you have read the published person specification and how you meet the essential and (where relevant) desirable criteria for this particular post, if this has not been fully covered in the previous sections.
Please include your reasons for applying and take the opportunity to highlight your particular talents and strengths, (what you feel you can personally offer - what is unique to you - what sets you apart from your peers).
Please DO NOT include personal details or duplicate information already provided elsewhere in your application.
The information 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 employed by the organisation. Where applicable, I consent that MHC can seek clarification regarding professional registration details.