Online Applications

Please complete our online application form to ensure we recieve your application in the correct format and as quick as possible.


Vacancies Online Applications

Please complete the form below to apply for vacancies.
Any field marked with * is mandatory

Job and Personal Details

Job applied for:*
Job Ref:*
Closing date:
Title:
Other:
Last Name:*
First Names:*
Address:*
Postcode:*
Home Phone:*
Work Phone:
Mobile Phone:
Email address:*
National Insurance No:*
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Equal Opportunities Monitoring Form

We are an equal opportunities employer and to help us make sure our policy is working and to ensure our recruitment procedures are open to all and working well we need your help. 

Please take a few minutes to answer the monitoring questions in this section. All information supplied is treated with the strictest confidence and none of this information is used in the short listing or interview process. The short listing and interview panel do not see this information.

All questions are optional and you are not obliged to answer any of these questions. The more information you supply, the more effective our monitoring and developing our recruitment processes will be.

Thank you for your help.

How would you describe your gender?
Female
Male
Transgender
Other (please specify below)
I prefer not to answer this question
Additional information:
What is your age?
16-25
26-40
41-50
51-60
61-75
Over 75
I prefer not to answer this question
How would you describe your marital status?
Married
Single
Divorced
Separated
Civil Partnership
Widowed
How would you describe your ethnic group?
Additional information:
How would you describe your religion or belief?
Church of England
Catholic
Muslim
Jehovah's Witness
Other (please specify below)
Additional information:
What is your sexual orientation?
Bisexual
Gay Man
Gay Woman/lesbian
Heterosexual/straight
Other
Prefer not to answer

Disability: The Equality Act 2010 defines a disability as a "physical or mental impairment which has a substantial and long-term adverse effect on a person's ability to carry out normal day-to-day activities". An effect is long-term if it has lasted, or is likely to last, more than 12 months.

Do you consider yourself disabled?
Yes
No
Prefer not to answer
If yes, which type of impairment do you have?
Physical
Mental Health
Learning Difficulty
Visual Impairment
Hearing Impairment
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Education and Qualifications

Please give details of school/college/university attended, subjects studied, grades achieved and year completed. Start with your most recent or relevant qualifications.
Education*
Please provide details of course title, length of course, qualification achieved and year completed. Start with your most recent or relevant qualifications.
Other training*
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Employment History

List all previous jobs (paid or unpaid). Please explain any gaps in employment. Start with your current or most recent job.

Current or most recent job

Employer:*
Job title:*
Salary/wage:*
Notice required:*
Start date:*
End date (if applicable):
Reason for leaving:*
Main duties and responsibilities:*

Previous job

Employer:
Job title:
Salary/wage:
Notice required:
Start date:
End date (if applicable):
Reason for leaving:
Main duties and responsibilities:
Second previous job
Employer:
Job title:*
Salary/wage:
Notice Required:
Start date:
End date (if applicable):
Reason for leaving:
Main duties and responsibilities;
Any other previous relevant job information:
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References

If you have worked before or are currently working, one of your referees must be your present or last employer.

Referee 1

Name:*
Job title:
Address:*
Phone:*
Email:*
Type of reference:

Referee 2

Name:*
Job title:*
Address:*
Phone:*
Email:*
Type of reference:

Referee 3

Name:*
Job title:*
Address:*
Phone:*
Email:*
Type of reference:
May we take up references prior to interview?
Yes
No
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Skills and Experience

Please explain how your experience, skills, knowledge and personal qualities meet the requirements of the person specification for the job you are applying for:*
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Criminal Convictions

Have you ever been convicted, cautioned or bound over, or are you waiting to hear about a criminal conviction which is not considered spent?
Yes
No
If yes please give details:
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Eligibility to Work in the UK

Do you require a work permit for this employment?
Yes
No
If yes, please give details:
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Further Information

Do you have a current UK driving license?
Yes
No
If yes, please give details and dates of any endorsements:
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Disability

Please contact us if, due to a disability, you need the application form in an alternative format or, if you were
successful to be selected for interview, any adjustments that you would require for the interview.

Alternatively, please detail such adjustments here:
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Declaration

Are you related to any Trustee or senior employee of the Hospice?
Yes
No
If yes, please give details of name, job title and relationship to you:

I agree to you storing and using the information I have given in this application form for recruitment purposes. As far as I know, the information I have given is true and correct. I understand that if I have made any false or misleading statements, or withheld any relevant information, it may result in disciplinary action including dismissal. Rotherham Hospice reserves the right to verify any of the data supplied in your application.

By checking this box you agree to the above statement.*
Name and date:*
Where did you find out about this job? (For example, give the name of the newspaper, magazine or website)*

Please leave this next field blank to prove you are a person and not a spam robot

Spam protection
 
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