National Health Service – Finance Skills Development

NHS FINANCE WORK PLACEMENT OPPORTUNITIES

FOR UNDERGRADUATES

East of England

Please complete this application form and return it to.
The closing date for applications is Sunday 28January 2018.
Correspondence regarding your application will be via email using the address you give below. Please ensure that you check your email account regularly. We may also contact you on your preferred contact number.
  1. PLEASE INDICATE THE COUNTIES WITHIN THE EAST OF ENGLAND AND/OR AREAS OF LONDON THAT YOU ARE ABLE TO WORK IN AND PRIORITISE THEM BY PREFERENCE

Notes:

  • You should only select areas that you would realistically be able to commute or relocate to for the year
  • No minimum or maximum number of areas is required, and the more you are able to select the more opportunities will be open to you
  • If all areas are all equally possible for you, please write “any” in each box
  • Please cross out any parts of the county listed that are not suitable for you

Rank counties
as appropriate
(e.g. 1st, 2nd, 3rd, etc.)We currently have vacancies in the following areas (locations are indicative only)
BedfordshireIncluding Bedford Luton
CambridgeshireIncluding Cambridge, Fulbourn, PapworthSt Ives
EssexIncluding Chelmsford, Grays & Harlow
HertfordshireIncluding St Albans, WatfordWelwyn Garden City
NorfolkIncluding King’s Lynn & Norwich
SuffolkIncluding Bury St Edmunds
East LondonIncluding Ilford

2. PLEASE STATE WHY YOU WANT TO BE BASED IN THE AREA(S) THAT YOU HAVE CHOSEN ABOVE AND NOTE ANY LIMITATIONS REGARDING EXACT LOCATION

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3.PERSONAL DETAILS

MR
MRS
MS
MISS
DR
REV
Other: / Surname:
First Names:
Preferred Name:
Home Address
House Number and Street Name:
Town:
County:
Postcode: / Term Address
House Number and Street Name:
Town:
County:
Postcode:
National Insurance Number:
Home Telephone Number: / Preferred Contact Number:
Mobile: / E-mail address:

4.EDUCATIONAL AND PROFESSIONAL QUALIFICATIONS

Qualifications obtained /
Grades
/
Date
/ Qualifications obtained (cont) /
Grades
/
Date
/ 9.
/ 10.
/ 11.
/ 12.
/ 13.
/ 14.
/ 15.
/ 16.

5.CURRENT DEGREE PROGRAMME

Title of Degree:

Name of University:

Modules Covered / Result / Date / Modules Covered (cont) / Result / Date

6.WHY DID YOU CHOOSE TO STUDY THIS DEGREE PROGRAMME?

7.EMPLOYMENT HISTORY– Starting with the most recent:

Employer / Position Held/Job Title / Dates / Reasons for Leaving
To / From

8.PLEASE TELL US WHAT MAKES YOU WANT TO UNDERTAKE YOUR PLACEMENT WITHIN A FINANCE DEPARTMENT IN THE NATIONAL HEALTH SERVICE (up to 200 words)

9.TELL US ABOUT AN EXPERIENCE WHERE YOU HAVE WORKED AS PART OF A TEAM. DESCRIBE YOUR PERSONAL CONTRIBUTION, HOW THE GROUP FUNCTIONED AND WHAT WAS ACCOMPLISHED (up to 200 words)

10.PLEASE GIVE AN EXAMPLE, STATING YOUR REASONS, OF SOMETHING THAT YOU ARE PARTICULARLY PROUD OF. (THIS CAN BE FROM YOUR PERSONAL LIFE, LEISURE INTERESTS, EDUCATION OR EMPLOYMENT) (up to 200 words)

11.PLEASE OUTLINE YOUR I.T. SKILLS IN GENERAL AND WITH MICROSOFT EXCEL IN PARTICULAR (up to 200 words)

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12.REFERENCES – Please give details of two referees – one of whom must be your tutor/lecturer and one a previous employer (if possible)

Referee 1:
Name
Position held by referee:
Organisation: (if appropriate)
Address and postcode:
Telephone:
Fax:
E-mail: / Referee 2:
Name
Position held by referee:
Organisation: (if appropriate)
Address and postcode:
Telephone:
Fax:
E-mail:
If you DO NOT wish us to contact your referees prior to interview please check boxes, as appropriate
Referee (1) Referee (2)
NB If a provisional offer of employment is made; references WILL then be sought before the offer is confirmed.

13.RELATIVES – Please state below the name, designation and place of employment of any relative who is presently employed by, or is a member of, any NHS Trust. Failure to disclose this information can disqualify your application or, if appointed, render you liable to dismissal. Canvassing of officers or members of the Trust shall disqualify a candidate for appointment. This does not preclude a member or officer from giving a written testimonial of a candidate’s ability, experience or character.

14.MEDICAL CLEARANCE

You may be required to complete a detailed medical questionnaire and may be required to attend a medical examination prior to being appointed.

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15.REHABILITATION OF OFFENDERS ACT 1974

Because of the nature of the 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 Rehabilitation of Offenders Act (Exceptions) Order 1975 as amended. You are therefore required to disclose information about ALL cautions and/or convictions in a court of law, which for other purposes are considered as ‘spent’ under the Act.
Have you ever been cautioned and/or convicted in a court of law? Please put X in appropriate box YES NO
If you have any convictions you are required to supply details of these in a separate sealed envelope. Please request the postal address for this via the appropriate email address above.
This information will be completely confidential and will only be considered in relation to an application for a post that the Order applies. In certain circumstances where posts involve substantial access to children and/or vulnerable adults, applicants will also be subject to a Disclosure and Barring Service check (DBS).

16.ASYLUM AND IMMIGRATION ACT 1996

Are you a United Kingdom (UK), European Community (EC) or European Economic Area (EEA) National? YES NO
Please select the category that relates to your current immigration status. This status will be subject to checking before interview.HSMP/Tier 1 Indefinite Leave to remain/enter
Work Permit/Tier 2 Dependant/Spouse visa
Clinical attachment visa Student
Visitor Post Graduate Doctors and Dentists
Tier 5 Temporary Workers Working Holiday Visa/Tier 5 Youth Mobility
Refugee Other, please specify
Please supply details of any visa currently held, including number, start/expiry dates and details of any restrictions.
Visa No. Start Date
Expiry Date Details of Restriction
Does your visa have a condition restricting employment or occupation in the UK? YES NO

17.DECLARATION

I understand that any offer of employment will be subject to the information on this application being complete and correct. Any false information or a failure to supply details required, could make an offer of employment invalid or lead to termination of employment.
Signed: Date:

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Equal Opportunities Monitoring Form

This section of the application form will be detached from your application form. The information collected will only be used for monitoring purposes in an anonymised format and will help the organisation analyse the profile and make up of applicants and appointees to jobs in support of their equal opportunities policies.

NHS organisations recognise and actively promote the benefits of a diverse workforce and are committed to treating all employees with dignity and respect regardless of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex and sexual orientation. We therefore welcome applications from all sections of the community.

Please indicate your cultural/ethnic origin:

White / British / Irish / Any other white background
Mixed / White & Black Caribbean / White & Black African / White & Asian / Any other mixed background
Asian or Asian British / Indian / Pakistani / Bangladeshi / Any other Asian Background
Black or Black British / Caribbean / African / Any other Black background
Other Ethnic groups / Chinese / Any other ethnic group / Not disclosed

Please select your gender:Please state your date of birth:

Female / Male / I do not wish to disclose / Date of Birth: / I do not wish to disclose

Please select the option which best describes your sexual orientation:

Lesbian / Gay / Bisexual / Heterosexual / I do not wish to disclose

Please indicate your religion or belief:

Atheism / Buddhism / Christianity / Islam / Jainism
Sikhism / Judaism / Hinduism / Other / I do not wish to disclose

Equality Act 2010

The Equality Act 2010 protects disabled people - including those with long term health conditions, learning disabilities and so called "hidden" disabilities such as dyslexia. If you tell us that you have a disability we can make reasonable adjustments to ensure that any selection processes - including the interview - are fair and equitable.

* Do you consider yourself to have a disability? / Yes
No
I do not wish to disclose this information
If YES, are there any adjustments we should consider during the recruitment process (e.g. at interview), or the job itself, which might be helpful to you?
Please state the type of impairment which applies to you. People may experience more than one type of impairment, in which case you may indicate more than one. If none of the categories apply, please mark ‘other’.
Physical Impairment
Mental Health Problem
Learning Disability/Difficulty
Long Standing Illness
Sensory Impairment
Other

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