• APPLICATION FORM

    APPLICATION FORM

  • Acute Ambulance & Medical Services

  • POSITION APPLIED FOR: Ambulance Care Assistant

    The following information will be treated in the strictest confidence.

     

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  • Full UK Driving Licence*
  • Endorsments*
  • Are there any restrictions to you working in the UK*
  • Are you willing to work overtime and weekends if required?*
  • Have you any convictions (other than spent convictions) under the Rehabilitation of Offenders Act 1974?*
  • If offered employment, you will be required to complete a Medical Questionnaire. Are you prepared to undergo a medical exmination before starting employment if required?*
  • Have you ever worked for this company before?*
  • Have you applied for employment with this company before?*
  • Do you need a work permit to take up employment in the UK?*
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  • Employment Details

    Please give details of your past employment, excluding your present or last employer, stating the most recent first.

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  • Data Protection

    1.      We are aware of our obligations under data protection legislation, including the obligation to collect only the data that is required for our specific purpose. The information collected in this application form is specific to our recruitment exercise and necessary for the performance of the role that you have applied for. If you are recruited for the role you have applied for, or any other role you are offered by us, the information provided will then be used for the purposes of your employment with us, together with further information collected upon recruitment for those purposes.

    2.      We will treat all personal information about you with utmost integrity and confidentiality. Our data protection policy sets out our approach to ensuring that your data is processed in line with the data protection principles within current data protection legislation.

    3.      Our privacy notice for job applicants gives you information on, amongst other things, the data we will hold about you during the recruitment exercise and what we use it for. Delete as applicable - A copy of the privacy notice ican be requested

  • Declaration

    1.  I confirm that the above information is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered.

    2.  I understand that the company will inform me of their intention to contact my doctor with a view to obtaining a medical report, should they require further medication information, and that my agreement will be sought before my doctor is contacted. I also understand that the organisation reserves the right to require me to undergo a medical examination. In addition, I agree that this information will be retained in my personnel file during employment and for up to six years thereafter and understand that information will be processed in accordance with data protection legislation.

    3.  I agree that should I be successful in this application, the Company will apply to the Disclosure & Barring Service/Disclosure Scotland for a Disclosure & Barring Certificate. I understand that should the disclosure not be to the satisfaction of the company any offer of employment may be withdrawn or my employment terminated.

  • Date
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  • Please give the names of two people (one of which should be your present or most recent employer) whom we may approach for a reference. 

  • Can we approach your current employer before an offer of employment is made?*
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