Application form

Thank you for your interest in a career at medDigital.

If we do not already have your CV, please email it to careers@meddigital.com.

Which role are you applying for?

Full Name:

Email:

Address:

Telephone (Home):

Telephone (Mobile):

National Insurance No:

Nationality:

Do you currently have the right to work in the UK?

Preferred work arrangements:

Full-time

Job share

Term time only

30 hrs a week

Do you hold a current UK Full driving licence?

Do you have access to a car?

If selected for interview, do you require any special arrangements to be made on account of a disability?

If yes, please give brief details of the effects of your disability on your day-to-day activities, and any other information that you feel would help us:

Have you any convictions that are not spent under the Rehabilitation of Offenders Act?

If yes, please provide further details of your unspent convictions:

References

Referee 1

Name:

Job Title:

Organisation:

Telephone:

Email:

Can we obtain this reference prior to interview?

Referee 2

Name:

Job Title:

Organisation:

Telephone:

Email:

Can we obtain this reference prior to interview?

Declaration

I declare that the information given in this application is true and complete. I understand that if I have given any misleading information on this form or made any omissions, this will be sufficient grounds for terminating my employment.

Successful candidates who accept a role will be subject to a background check. This comprises a standard identity check, a basic criminal records check, and an adverse financial check. I consent to these checks.

The information on this form will be stored on a computer system in accordance with the Data Protection Act 1998 and will be processed solely in connection with recruitment.