Job Application – Patient Services Navigator

Job Application - Patient Services Navigator

"*" indicates required fields

Name*
Address*
Max. file size: 50 MB.
Max. file size: 50 MB.
Are you a United Kingdom (UK), European Community (EC) or European Economic Area (EEA) National?*
Are you an NHS Professional returning to practice?*

Qualifications

Membership of Professional Bodies

Referees

Referee 1 of 2

Name*
Address*
Can the referee be approached prior to interview?*

Referee 2 of 2

Name*
Address*
Can the referee be approached prior to interview?*

Monitoring Information

Equality and Diversity Monitoring
MM slash DD slash YYYY
Please indicate your gender:*
According to the definition of disability do you consider yourself to have disability?*

Rehabilitation of Offenders Act 1974

Do you have any unspent convictions as outlined in the Rehabilitation of Offenders Act 1994?*
This includes any unspent convictions that may have been issued in any other country, where it would be an equivalent offence in England and Wales. It also includes all unspent convictions or Summary Hearings that have been issued under military law while serving in the Armed Forces in the UK or any other country, where it would be an equivalent offence in England and Wales. You are not required to disclose any information in relation to convictions that have become SPENT. In these circumstances you should select NO to this question.
Do you have any UNSPENT cautions, reprimands or final warnings as outlined in the Rehabilitation of Offenders Act 1974?*
This includes any unspent cautions, reprimands or final warnings that may have been issued in any other country, where it would be an equivalent offence in England and Wales. It also includes all unspent cautions that have been issued under military law while serving in the Armed Forces in the UK or any other country, where it would be an equivalent offence in England and Wales. You are not required to disclose any information in relation to cautions, reprimands or final warnings that have become SPENT. In these circumstances you should select NO to this question.
Do you have any convictions that are not protected (i.e. eligible for filtering) as outlined in the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended) (the Exceptions Order)?*
It also includes all convictions or Summary Hearings that have been issued under military law while serving in the Armed Forces, either in the UK or any other country, where the equivalent offence in England and Wales is not protected. You are not required to disclose any information in relation to the above if ALL convictions are protected (i.e. eligible for filtering) as outlined in the Exceptions Order. In these circumstances you should select NO to this question. This requirement is regardless as to whether any conviction is spent or remains unspent.
Do you have any convictions that are not protected (i.e. eligible for filtering) as outlined in the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended) (the Exceptions Order)?*
It also includes all convictions or Summary Hearings that have been issued under military law while serving in the Armed Forces, either in the UK or any other country, where the equivalent offence in England and Wales is not protected. You are not required to disclose any information in relation to the above if ALL convictions are protected (i.e. eligible for filtering) as outlined in the Exceptions Order. In these circumstances you should select NO to this question. This requirement is regardless as to whether any conviction is spent or remains unspent.
Do you have any cautions, reprimands or final warnings that are not protected (i.e. eligible for filtering) as outlined in the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended) (the Exceptions Order)?*
It also includes all cautions, reprimands or final warnings that have been issued under military law while serving in the Armed Forces, either in the UK or any other country, where the equivalent offence in England and Wales is not protected. You are not required to disclose any information in relation to the above if ALL convictions are protected (i.e. eligible for filtering) as outlined in the Exceptions Order. In these circumstances you should select NO to this question. This requirement is regardless as to whether any caution, reprimand or final warning is spent or remains unspent.