Work for Us

This section of the application will be detached and used for monitoring purposes only. Our organisation 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 welcome applications from all sections of the community.

I would describe my ethnic origin as (please indicate with a tick)

In order to comply with the Health and Social Care Act 2008 and the Equality Act 2010, please complete this questionnaire as fully as possible. Failure to do so could impede or delay your appointment. All information is confidential

A full employment history must be detailed beginning with your current employment and covering all reasons for gaps in any given year.

Please give the name and address of two referees, one of whom must be your current or most recent previous employer. References from relatives or friends are not accepted.