Indigo Advanced Speech and Language Therapist

LGBT Foundation Application Form
Indigo Advanced Speech and Language Therapist

Sept 2025
We’re delighted to hear you’re thinking about joining us. We are taking positive action to encourage applications from people of colour (PoC) and other racially minoritised communities, trans, non-binary and/or people aged 50+, to continue to improve the representation of colleagues from these communities in our staff team.
Please read the job description carefully to think about how you are suitable for the role. In this application form you will be asked to answer some questions based on your knowledge, understanding and experience so we can shortlist and evaluate whether you the right person for this role. You can choose to answer these as a video, audio (nothing fancy, just using your phone is fine) or written format.

	APPLICATION QUESTIONS
1	Please tell us about your experience working with trans and non-binary people in healthcare. What are some barriers you've identified to them accessing healthcare?
2	What relevant experience do you have working in an SLT / VCT role?
3	Please describe a time when you have shown flexibility and changed your delivery to fit the needs of the service and your service users?

Please complete all sections of the form in black ink or type directly into the boxes.

Application forms that are not completed in full will be automatically rejected. CV’s will not be accepted

Closing date and time is 10th October at noon.

Interviews will take place on in Person in Manchester.

If you require this form or any of the accompanying information in large print or a different format, please contact Recruitment@lgbt.foundation.

We look forward to receiving your application and if you would like some more information or want to get more of a sense of what we are about, please email emine.akkunt@lgbt.foundation and they will happily answer any questions or give you a call to discuss the role further.

The lawful condition for processing this data under GDPR is ‘fulfilment of contract’. LGBT Foundation will use this information to shortlist during and as part of the application process. If successful, we will add you to payroll and to our pension provider, as well as our own internal HR system. We will not share this information with anyone else for any other purposes. We use authorised third parties to help us process our data who are also GDPR compliant.

Personal Details

Please fill in all of the below details. This section of the application form will be treated as confidential and will only be used to contact you.
First name(s)*
Surname*
Other Names / Known as*
Other Names you may want us to know you by
Pronouns do you use? *
e.g. He/Him, She/Her, They/Them, Xe/Xem
Address*
Post code*
Home telephone number

Region CodePhone Number
Mobile telephone number*
Please include Area Code (if international)
Email address*
example@example.com
What is your preferred method of contact?*

Home telephoneMobileEmail
Are there any restrictions on you taking up employment in the UK? (if yes, please provide more details)

YesNo
Are there any restrictions on you taking up employment in the UK? (if yes, please provide more details)

References

Please provide two references that we are able to approach should you be offered the position. These references will not be taken up until we have offered the post and received confirmation of acceptance.
Current Employer/ First Referee
Name of referee
Email
example@example.com
Name you are known by to referee
If you have changed your name or you are known to them under a different name, please let is know
Capacity in which you know them
e.g. Current Employer
Second Referee
Name of referee
Email
example@example.com
Name you are known by to referee
If you have changed your name or you are known to them under a different name, please let is know
Capacity in which you know them
e.g. Current Employer

Working, Training and Experience

Please complete this section listing details of your current employer and the duties you perform in your current role. Also citing listing the most relevant (and highest) qualifications / training you have achieved as well as examples of lived experience to support your application
Employment History
Current / Most Recent Employer*
Employer’s Address*
Position Held*
Start Date Employed*

DayMonthYear
Date
Main Duties and Responsibilities*
Include an outline of your key responsibilities or remit as well as any relevant skills and experience
How much notice would you be required to give your current employer?*
Are you still Employed here?*

YesNo
Reason for leaving
Additional Work Experience*
Training and Experience
Volunteering
Training & Qualifications
Lived Experience

We really value lived experience, so feel free to share experiences from work, from voluntary work and from your non-work life, equally, if who you are connects you to particular communities of LGBTQ+ people, please let us know that. Rather than just formal work experience, we are also looking for your capabilities, as we are aware that LGBTQ+ people may have not had the opportunities to grow their job experience in ways other people may have.

Declarations & Conflict of Interests
Are you related to or known by anyone at LGBT Foundation who is either a volunteer or an employee?*

YesNo
Name

First NameLast Name
Please give details
Are you aware of, or have reason to believe that either - (1) there is something from your past which would constitute as a conflict of interest for LGBT Foundation OR (2) could have the potential to bring the organisation into disrepute?*

YesNo
Please give details
Declaration of criminal convictions
The Rehabilitation of Offenders Act 1974 (ROA) ensures that ex-offenders who have not re-offended for a period of time since the date of their conviction are not discriminated against when applying for jobs. The ROA enables ex-offenders to ‘wipe the slate clean’ of their criminal records in the sense that they are no longer legally required to disclose to an organisation conviction that are ‘spent’, unless the role they are applying for is exempted from the Act.

Any declaration you make will be kept confidential as part of the recruitment process and each case will be decided on its own merits (Note some people are banned from working with children under the Protection of Children Act 1999 & Criminal Justice and Court Services Act 2000 When looking at declarations the recruitment panel will consider:
- Whether the information revealed is relevant to the position
- The seriousness of the offence(s)
- The length of time since the offence(s)
- Whether this was part of a pattern of offending or a one-off incident
- The age of the applicant at the time and circumstances of the offence and explanation(s) of the applicant.
Please be as honest as possible at this stage as an Enhanced Criminal Records Disclosure may be requested prior to confirmation of appointment and your appointment will be subject to this being received and satisfactory as part of your recruitment. If you are unsure whether you need to declare something please contact the NACRO Resettlement Plus Helpline on 0207 8406464.
HAVE YOU EVER BEEN CONVICTED OF ANY CRIMINAL OFFENCE/S OR RECEIVED A CAUTION*

YesNo
If yes, please give particulars and dates
Date

DayMonthYear
Date
I agree to LGBT Foundation holding the information supplied subject to the Data Protection Act 1998. I also consent to LGBT Foundation obtaining a criminal record disclosure (DBS check) if this is required by the role. The information supplied will remain confidential within LGBT Foundation, and will only be accessible by authorised staff and volunteers, and will not be supplied to any third parties.*

I certify that the information given on this form is correct to the best of my knowledge.I agree to LGBT Foundation holding the information supplied subject to the Data Protection Act 1998.I also consent to LGBT Foundation obtaining a criminal record disclosure (DBS check) if this is required by the role
Signature*

Clear
Date*

DayMonthYear
of signing

LGBT Foundation Application Form

Indigo Advanced Speech and Language Therapist

Personal Details

References

Current Employer/ First Referee

Second Referee

Working, Training and Experience

Employment History

Training and Experience

Experience, skills, abilities and knowledge

Advanced Speech and Language Therapist

Declarations & Conflict of Interests

Declaration of criminal convictions

Equal Opportunities Monitoring Form