Inspected and rated

Care Quality Commission - CQC

Job Application Form

Job Application Form

Step 1 of 2

  • Details about you and the job you are applying for

  • Example: GCSE Maths / A* / Example College / July 2015
  • Membership of Professional Bodies

    Please complete this section if it is applicable for the role you are applying for
  • Transport

  • Current or most recent employment

  • Employment History

    Please complete your employment history below. This must include any employment over the last 20 years
  • Please provide details of any other employment within the last 20 years, which is not specified above
  • Please explain any gaps in employment history during the last 20 years
  • Applying for this post

  • Have you any convictions or are currently the subject of police proceedings in this or any country?
  • Are you or have you ever been subject of any fitness to practice proceedings by a UK or overseas licensing or regulatory body?
  • References

    Please give the names of two people who are able to provide references relating to your work experience and your suitability for the post applied for. One referee should be your current or most recent employer. If you have not been in paid employment please give the name(s) of someone who can confirm the information provided on this form for example school/college tutor
  • Please note:

    If successful you will be required to complete a pre-employment Occupational Health questionnaire and a Disclosure and Barring Service check. Any offer of employment will be subject to satisfactory reports from each of these.
    The organisation does not have a policy of obtaining permits on behalf of applicants.
  • General Data Protection Regulation (GDPR)

    It is important for us to collect and retain personal information about you, such as your contact and employment details, so we are able to communicate with you throughout the application process, and to support you as reasonably and effectively as possible. We will maintain your data as set out in our Privacy Notice for Job Applicants which can be viewed by visiting or by contacting the People Services Department
  • I understand that by clicking next, I confirm that, to the best of my knowledge, the information given in this application is accurate and complete.
  • Clicking next will take you to the Equal Opportunities Monitoring Form. You can return to this page should you need to before clicking submit.

You may prefer to download our fillable PDF version, and email it when completed to

Download fillable PDF version of our Job Application Form here

We recommend downloading and completed the PDF form using a desktop or laptop, rather than a mobile device.


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