Job Application Form

Thank you for your interest in our job vacancy. Please complete the following form.

Should you have any questions please contact

Have you previously worked for the Hospice?

Have you/do you volunteer for the Hospice?


Personal Details

If required


Employment History

Please upload your CV (PDF or Word)


Supporting Statement

This box can be expanded



Please provide two referees who are previous employers (including your current employer) whom we may approach should you be successful. References will only be sought once a job offer has been made.
Reference 1
Reference 2



Are you legally eligible for employment in the UK?

Do you have proof of eligibility to work in the UK?

Do you have any unspent convictions for a criminal offence as defined by the Rehabilitation of Offenders Act 1974?

Disclosures must be in accordance with the Rehabilitation of Offenders Act 1974 – please seek advice if you are not sure about what has to be disclosed. Please note that The Hospice of St Francis may carry out a Disclosure Barring Service (DBS) check to verify this information.
Do you hold a full UK driving licence?



Data Protection: The Hospice of St Francis will process your personal data solely for the purpose of communicating with you about your application.

We never share or sell an individual's data. Please see our privacy policy for more information.

An Equal Opportunities Monitoring Form will follow submission of this application.

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