Apply for Job

General Details:

Title *
—Please choose an option—Mr.Mrs.Ms.MissDr.Prof.

First Name *

Last Name *

Street Address *

Apartment, Suite, etc. (optional)

Town / City *

County / State *

Postcode / Zip Code *

Country *
—Please choose an option—AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, Democratic RepublicCook IslandsCosta RicaCote D'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island & Mcdonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic OfIraqIrelandIsle Of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKoreaKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthelemySaint HelenaSaint Kitts And NevisSaint LuciaSaint MartinSaint Pierre And MiquelonSaint Vincent And GrenadinesSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia And Sandwich Isl.SpainSri LankaSudanSurinameSvalbard And Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis And FutunaWestern SaharaYemenZambiaZimbabwe

Email Address *

Phone Number (optional)

Position Applying for:

Role *

How did you hear about the position? *

You are applying for? *
Full-TimePart-TimeDay ShiftNight ShiftBank

Driving:

Do you hold a full UK or European Economic Area (EEA) driving licence? *
YesNo

If yes, has your driving licence been endorsed? *
YesNoN/A

Do you have a vehicle you can use for business purposes if required? *
YesNo

If yes, please explain *

Full Employment History:

Please list below your complete and full employment history, explaining all employment gaps, starting with your most recent employer, working backwards to when you left full-time education *

Please also attach a Resume / CV *

Eligibility To Work In The UK:

Do you have the Right to Work in the UK? *
YesNo

Other Employment:

To allow us to monitor your working hours and comply with current legislation, please complete the following section.

If you are successfully appointed to the post applied for, do you intend to continue with other employment? *
YesNo

Disclosure Of Criminal Record Information:

Due to the nature of work for which you are applying, this post is exempt from the Provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974, by virtue of the Rehabilitation of Offenders 1974 (exceptions) order 1975. This means that convictions that are 'spent' under the terms of the Rehabilitation of Offenders Act 1974 must be disclosed and will be taken into account in deciding whether to make an appointment. Any information will be completely confidential and will be considered only in relation to this application. Please read the above carefully and then answer the following questions.

Have you ever been convicted of a criminal offence? *
YesNo

Have you ever received any official cautions, reprimands or warnings? *
YesNo

To your knowledge, are you currently the subject of any criminal proceedings or any police investigation? *
YesNo

Data Protection:

The Blue Cliniczoid privacy statement is available on our website (www.bluecliniczoid.co.uk) or a copy can be requested from the human resources department. Please confirm you have accessed the Blue Cliniczoid privacy statement and you have read, understood and agree to all the terms stated.

GDPR agreement *
I can confirm that I have read and understood the Blue Cliniczoid privacy statement

Date *

Declaration:

I declare that the information given in this application is to the best of my knowledge, complete and correct. I accept that should any statement made by me in connection with this application be found to be false, incomplete or misleading then the application shall be void and consequently, Blue Cliniczoid may terminate any contract arising at any time.

Confirm your information*
I can confirm that the information provided is complete and correct.

Date *