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The recruitment process within this Organization has a minimum of two stages.

The completion of this application form is part of stage one. This application will be reviewed and a decision made as to whether you are shortlisted for interview, if your application form is not completed in full it cannot be processed. If you are not contacted within 14 days of submitting this application form you have not been shortlisted for interview.

Your Information

Personal Details

Current Address

Right to Work

Before any employment is offered you must be able to provide proof of identity and eligibility to work in UK

NMC Membership

Position & Location

Education & Training

For any examinations passed or qualifications gained, please provide evidence below. You can do this by uploading a document or photo of your certificate(s).

Add more training or education history using the + icon.

Employment History

Please give details of all employment since leaving education, including any breaks, giving your current or most recent employment first. This includes any voluntary work.

Current/Most Recent Employer

Previous employer(s)

Gaps in Employment

Health Details

GP Contact Details

Your GP will not be contacted without your permission

Next of Kin


Please give details of two referees; one MUST be your present or most recent employer. The persons named for an employer reference must be authorised to give references on behalf of the company, you must provide their work contact details. If you have just completed full time education, then your referee should be from your educational establishment.

Referees will automatically be approached after an offer of employment is made.

Current/Most Recent Employer

Previous Employer

Reference Authorisation


Rehabilitation of Offenders

Workers in this establishment are subject to the Care Standards Act, and will be subject to a Police Record Check through the Disclosure & Barring Service. Please declare all criminal convictions, whether spent or not, charges, whether proceeded with or not, and warning and cautions.


Important. Please read and confirm before submitting your application.

I declare that to the best of my knowledge and belief the information given by me in this application is true, and I understand that the above information forms the basis of my contract of employment. I understand that if any of the information supplied by me is found to be falsely declared, my contract may have been fundamentally breached and my employment may be terminated immediately.

I understand that I cannot be offered a post until receipt of two satisfactory references, one of which must be from my previous employer, and that confirmation of the employment will be subject to a satisfactory criminal record check from the Disclosure & Barring Service.

If the post I have applied for is as a Registered Nurse, my confirmation of employment will also be subject to a satisfactory search of the Nursing and Midwifery Council records and registers.

By my signature, I authorise SLW LTD to request a criminal records check from the DBS application process and online services when registered, on initial employment and at any time during my employment thereafter.

I undertake to inform my employer immediately if my criminal status changes at any time during my employment, such as by being charged with an offence (other than motoring offences), the administering of a warning, criminal conviction, referral to any register of barred care workers, or withdrawal of any registration required by my employment status.

GDPR Statement

The information that you provide on this form will be used to process your application for employment in line with SLW LTD Privacy Policy.

If you succeed in your application for employment, the information will be used in the administration of your employment with us. Further details on the processing of your data at this stage will be provided to you on offer of employment.

If you would like further information, please read our employee privacy notice available to download from SLW LTD’s website: then select GDPR.