NHS Jobs Application Download Guide
Table of Contents
Purpose....................................................................................................................................2
User Guide...............................................................................................................................2
Transfer Mechanism................................................................................................................6
Data Items................................................................................................................................7
Table 1: Field definitions for LONG CSV and XML files for ‘new’ applications forms (3009, 3010 and 3012)........................................................................................................................8
Table 2: Field definitions for SHORT CSV files for ‘new’ applications forms (3009, 3010 and 3012)......................................................................................................................................58
Table 3: Field definitions for LONG CSV and XML files for ‘old’ applications forms (2001 and 2002)......................................................................................................................................70
Table 4: Field definitions for SHORT CSV files for ‘old’ applications forms (2001 and 2002)99
Appendix A: List of values for questions available on at least one of the standard application forms....................................................................................................................................109
Appendix B: List of values for additional application form questions that may be added to any application form as decided per vacancy.............................................................................119
Appendix C: DTD for ‘new’ application forms (3009, 3010 and 3012).................................123
Appendix D: DTD for ‘old’ application forms (2001 and 2002).............................................149
Appendix E: Example files using ‘new’ application forms (3009, 3010 and 3012)...............164
Appendix F: Example files for ‘old’ application forms (2001 and 2002)...............................165
Appendix G: Welsh Language Skills Self-Assessment Guide.............................................166
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PurposeThe purpose of this document is to describe the process and file content of downloading applications from NHS Jobs in CSV or XML format using the NHS Jobs Application Download interface. This document and the interface service are only for the use of NHS organisations enabled and authorised to use NHS Jobs.
User Guide
Exporting Job Application Details from NHS JobsOnline applications made to your job adverts on NHS Jobs are accessible under ‘Vacancies – Applications’ on NHS Jobs.
Users with the relevant privileges are able to:
view details of each completed application, view and track the status of each application, perform a sift of applications to produce a longlist, review, score and shortlist applications, and view and track pre-employment checks for successful applicants.
The end-point of this sift and selection process may be the transfer of application details from NHS Jobs into your local HR Management System. It is possible to download applications at any stage after applications have been submitted.
To download application details you should use the “download application” action listed against each application or group of applications.
How to Download Applications from NHS JobsDownloading applications involves selecting the applications and selecting to download them in a CSV format (either long or short) or XML format, resulting in one or more appropriate files being created.
On the list of applications for the vacancy, you select to download them using the “download application” action on either the Actions button for each individual application or a number of applications on a page can be selected and the group action selected (see Figure 1 below). This action is available for all completed current applications and is not available for applications in states: Incomplete; Reset; Stopped; or Withdrawn. It is possible to download applications that are in different states but if you select group actions and include an application that cannot be downloaded you will not see the “download application” action.
To be explicit, the application download feature can be used with applications in any of the following statuses, and in any combination: “New”, “In Review”, “Shortlisted”, “Shortlist Reserve” “Invited to interview”, “Interview booked”, “Awaiting interview outcome”, “Offer
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(Conditional)”, “Offer Accepted”, “Offer Reserve”, “Recruited”, “Rejection Pending”, “Rejected”, or “Offer Declined”.
The CSV or XML application download feature is not available for vacancies that originated in ESR and/or where it is indicated on the vacancy that applications are to be transferred back to ESR. The interface with ESR is defined elsewhere.
Figure 1 - The list of applications
The Download ProcessStep 1a (group of applications): To download a number of applications, tick the boxes to the right of each application and select the ‘Group action’ button. In Figure 2, the top 2 applications have been chosen.
Step 1b (individual application): To download one application, select the ‘Action’ button for that application.
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Figure 2 – Applications selected to download
Step 2 (both group and individual applications): On the resulting actions screen, choose the action “Download application” and click the actions button.
Figure 3 – Select ‘Download application’ action
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Step 3 (both group and individual applications): A second page (Figure 3) will be displayed with a list of the selected application(s) and a selector for the download format. The options for file format include CSV or XML files with the full application data set and a shorter CSV file that includes only key data fields from the applications (to support local mail-merge or to reduce the file size and support its opening in older versions of Excel).
Figure 4 - Confirm the applications to download
Step 4 (both group and individual applications): Click the “Download” button to begin the download. This should bring up a dialogue box which enables you to select to Open or Save the file, depending on your local computer/browser settings. Clicking ‘Save’ will save the CSV or XML file onto your local computer or network.
Figure 5 – Options to open or save
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Transfer Mechanism
File type, file name and locationThe user will select the file type they wish to download. As part of the download process, the user will identify the location to save the file locally and be able to change the filename (either at the point of download or any time after).
File contentsThe contents of the CSV file will conform to the following rules:
The file will contain a header record; There will be at least one application within the file; Each application will start on a new line; There will be NO lines without an application; Any field containing embedded line breaks will be enclosed in double quotes; All fields will be terminated by the delimiter character, except for the last field in each
record, which will be delimited by a newline character; A field containing one or more comma delimiter characters will be enclosed in double
quotes; A field containing double quote characters will be enclosed in double quotes and the
double quote characters within the field will be doubled; An optional field may contain no text, but the required delimiters will still be included.
This means that ALL records will have the same number of fields and ALL fields will be present.
The contents of the XML file will conform to the following rules:
Each file starts with the statement <?xml version="1.0" encoding="UTF-8" ?>. There is at least one application within the file. Each application starts with the <application> tag and end with the </application> tag.
The contents of the XML file will conform to one of the XML document type definition files (DTDs) in Appendix A. The DTD will also be included in any XML file downloaded.
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Data ItemsEach file will contain the selected applications for one vacancy.
The following tables show the fields in the file that make up one single application. Note that there are 2 groups of application form currently in use in the NHS Jobs service. One set has been inherited from NHS Jobs 1, and includes 2 forms: Standard (2001); Medical (2002). The other set is new for NHS Jobs 2 and includes 3 forms: Standard (3010); Medical & Dental (3009); Short (3012).
Note: There may be blank columns in any downloaded CSV file. This is to accommodate all the questions for all the application forms in a single CSV interface. Where a question is not used on a particular form, the column will exist but the question and the answers will not.
Note: The set of application forms inherited from NHS Jobs 1 only exist on closed or open vacancies migrated at the point of transition. These forms are not available for use with any new vacancies and their use will rapidly diminish with time.
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Table 1: Field definitions for LONG CSV and XML files for ‘new’ applications forms (3009, 3010 and 3012)
Note: Where the format column is empty, it can be assumed to be Text.
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
1 form_ref Optional All forms Identifies the version of the application form being used for a vacancy (note that all online applications for a vacancy must use the same form).
4
2 vpd_code Optional All forms The identifier used to identify the NHS employer within the ESR system or NHS Jobs system if ESR is not used.
3
3 employer_id Mandatory All forms This field may be ignored unless the vpd_code is missing. This field contains the unique identifier for the employer used within the NHS Jobs system. It is included for error resolution purposes only.
38
4 display_ref Mandatory All forms The reference used when displaying a job advert to an applicant or employer in NHS Jobs. This begins with the VPD code
26
5 orig_vacancy_name Mandatory All forms The original reference or name used to identify the vacancy to the recruiter. This value is the value given to NHS Jobs which is then converted into the display_ref.
26
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Column Order
Field Name Required? Question on which form(s) Description Format Max Size
6 erec_vac_ref Mandatory All forms This field may be ignored. This field contains the unique identifier for the job advert used within the NHS Jobs system. It is included for error resolution purposes only.
26
7 application_ref Optional All forms This field contains the unique identifier for the job application used within the NHS Jobs system. This identifier is included on printed copies of the application form. It is therefore visible to both applicants and recruiters.
15
8 applicant_id Optional All forms This field may be ignored. This field contains the unique identifier for the job applicant used within the NHS Jobs system. It is included for error resolution purposes only.
38
9 application_date_received Mandatory All forms The date when the application was submitted for the vacancies via the job advert.
dd/mm/yyyy 10
10 applicant_email_address Mandatory All forms The email address of the applicant. Email address 24011 application_status Optional All forms The status the application has got to in
the recruitment process (using the status visible to the organisation).
30
12 offline_application_reference Optional All offline forms The reference to an application in the case where the application was not entered online by the applicant. In the case where an applicant sends an offline or hard copy application then the employer records the reference and location of the offline application.
500
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Column Order
Field Name Required? Question on which form(s) Description Format Max Size
13 offline_application_location Optional All offline forms The location of an application in the case where the application was not entered online by the applicant. In the case where an applicant sends an offline or hard copy application then the employer records the reference and location of the offline application.
500
14 where_seen Optional All forms A value indicating the applicant’s selection of where they saw the job advert.
100
15 agree Mandatory All forms The applicant's agreement to the systems Acceptable Use Policy
3
16 title Optional All forms The applicant’s title as selected from the list of values on the form.
List of values in Appendix A
35
17 surname_family_name Mandatory All forms The applicant's surname 15018 first_name Mandatory All forms The applicant's first name 15019 middle_names Optional All forms The applicant's middle name(s) Multiple
forenames will be passed as given
60
20 name_in_which_you_are_registered_with_a_professional_body_if_applicable
Optional All forms The name used when completing your registration if different from your current name
150
21 uk_national_insurance_number Optional All forms The applicant’s United Kingdom National Insurance Number.
9
22 address_line_1 Optional All forms Line 1 of the applicant's address 24023 address_line_2 Optional All forms Line 2 of the applicant's address 24024 address_line_3 Optional All forms Line 3 of the applicant's address 24025 town_city Optional All forms The town or city of the applicant's
address30
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Column Order
Field Name Required? Question on which form(s) Description Format Max Size
26 county_state Optional All forms The county or state of the applicant's address
30
27 country Optional All forms The country of the applicant's address List of values in Appendix A
300
28 postcode_zip_code Optional All forms The postcode or zip code of the applicant’s address.
20
29 home_telephone Optional All forms The applicant’s home telephone number.
60
30 work_telephone Optional All forms The applicant’s work telephone number.
60
31 mobile_telephone Optional All forms The applicant’s mobile telephone number.
60
32 do_you_wish_to_receive_updates_by_text_message
Mandatory All forms The applicant’s confirmation that they wish to receive updates by text message.
List of values in Appendix A
30
33 preferred_telephone_number_to_be_contacted_on
Optional All forms The applicant’s response to ‘Preferred telephone number’.
List of values in Appendix A
6
34 are_you_a_united_kingdom_uk_european_community_ec_or_european_economic_area_eea_national
Mandatory All forms The applicant’s response to ‘Are you a United Kingdom (UK), European Community (EC) or European Economic Area (EEA) National?’
Answer either Yes or No
3
35 please_select_the_category_that_relates_to_your_current_immigration_status_this_status_will_be_subject_to_checking_before_interview
Optional All forms The applicant’s immigration status. List of values in Appendix A
44
36 if_other_please_provide_details_below Optional All forms The applicant's immigration status if not contained in the list of values
500
37 visa_number Optional All forms Applicant's visa number 5038 start_date Optional All forms Start date of applicant's visa dd/mm/yyyy 1039 expiry_date Optional All forms End date of applicant's visa dd/mm/yyyy 10
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Column Order
Field Name Required? Question on which form(s) Description Format Max Size
40 does_your_visa_have_a_condition_restricting_employment_or_occupation_in_the_uk
Optional All forms The applicant’s response to ‘Does your visa have a condition restricting employment or occupation in the UK?’.
Answer either Yes or No
3
41 details_of_any_restrictions Optional All forms Details of any restrictions on the applicant's visa
500
42 are_you_an_nhs_professional_returning_to_practice
Optional Medical & Dental (3009) & Standard (3010) Only
The applicant’s response to ‘Are you an NHS Professional returning to practice?’.
Answer either Yes or No
3
43 please_provide_all_relevant_training_and_qualifications_also_indicate_subjects_currently_being_studied_and_expected_year_of_qualification_all_qualifications_disclosed_will_be_subject_to_a_satisfactory_check
Optional Short (3012) Only The applicant's response to "Please provide all relevant training and qualifications"
4000
44 education_professional_qualifications_1_of_11_subject_qualification
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the applicant's first professional qualification
120
45 education_professional_qualifications_1_of_11_place_of_study
Optional Medical & Dental (3009) & Standard (3010) Only
160
46 education_professional_qualifications_1_of_11_grade_result
Optional Medical & Dental (3009) & Standard (3010) Only
100
47 education_professional_qualifications_1_of_11_year_obtained
Optional Medical & Dental (3009) & Standard (3010) Only
yyyy 4
48 education_professional_qualifications_2_of_11_subject_qualification
Optional Medical & Dental (3009) & Standard (3010) Only
120
49 education_professional_qualifications_2_of_11_place_of_study
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the applicant's second professional qualification
160
50 education_professional_qualifications_2_of_11_grade_result
Optional Medical & Dental (3009) & Standard (3010) Only
100
51 education_professional_qualifications_2_of_11_year_obtained
Optional Medical & Dental (3009) & Standard (3010) Only
yyyy 4
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Column Order
Field Name Required? Question on which form(s) Description Format Max Size
52 education_professional_qualifications_3_of_11_subject_qualification
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the applicant's third professional qualification
120
53 education_professional_qualifications_3_of_11_place_of_study
Optional Medical & Dental (3009) & Standard (3010) Only
160
54 education_professional_qualifications_3_of_11_grade_result
Optional Medical & Dental (3009) & Standard (3010) Only
100
55 education_professional_qualifications_3_of_11_year_obtained
Optional Medical & Dental (3009) & Standard (3010) Only
yyyy 4
56 education_professional_qualifications_4_of_11_subject_qualification
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the applicant's fourth professional qualification
120
57 education_professional_qualifications_4_of_11_place_of_study
Optional Medical & Dental (3009) & Standard (3010) Only
160
58 education_professional_qualifications_4_of_11_grade_result
Optional Medical & Dental (3009) & Standard (3010) Only
100
59 education_professional_qualifications_4_of_11_year_obtained
Optional Medical & Dental (3009) & Standard (3010) Only
yyyy 4
60 education_professional_qualifications_5_of_11_subject_qualification
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the applicant's fifth professional qualification
120
61 education_professional_qualifications_5_of_11_place_of_study
Optional Medical & Dental (3009) & Standard (3010) Only
160
62 education_professional_qualifications_5_of_11_grade_result
Optional Medical & Dental (3009) & Standard (3010) Only
100
63 education_professional_qualifications_5_of_11_year_obtained
Optional Medical & Dental (3009) & Standard (3010) Only
yyyy 4
64 education_professional_qualifications_6_of_11_subject_qualification
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the applicant's sixth professional qualification
120
65 education_professional_qualifications_6_of_11_place_of_study
Optional Medical & Dental (3009) & Standard (3010) Only
160
66 education_professional_qualifications_6_of_11_grade_result
Optional Medical & Dental (3009) & Standard (3010) Only
100
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Column Order
Field Name Required? Question on which form(s) Description Format Max Size
67 education_professional_qualifications_6_of_11_year_obtained
Optional Medical & Dental (3009) & Standard (3010) Only
yyyy 4
68 education_professional_qualifications_7_of_11_subject_qualification
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the applicant's seventh professional qualification
120
69 education_professional_qualifications_7_of_11_place_of_study
Optional Medical & Dental (3009) & Standard (3010) Only
160
70 education_professional_qualifications_7_of_11_grade_result
Optional Medical & Dental (3009) & Standard (3010) Only
100
71 education_professional_qualifications_7_of_11_year_obtained
Optional Medical & Dental (3009) & Standard (3010) Only
yyyy 4
72 education_professional_qualifications_8_of_11_subject_qualification
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the applicant's eighth professional qualification
120
73 education_professional_qualifications_8_of_11_place_of_study
Optional Medical & Dental (3009) & Standard (3010) Only
160
74 education_professional_qualifications_8_of_11_grade_result
Optional Medical & Dental (3009) & Standard (3010) Only
100
75 education_professional_qualifications_8_of_11_year_obtained
Optional Medical & Dental (3009) & Standard (3010) Only
yyyy 4
76 education_professional_qualifications_9_of_11_subject_qualification
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the applicant's ninth professional qualification
120
77 education_professional_qualifications_9_of_11_place_of_study
Optional Medical & Dental (3009) & Standard (3010) Only
160
78 education_professional_qualifications_9_of_11_grade_result
Optional Medical & Dental (3009) & Standard (3010) Only
100
79 education_professional_qualifications_9_of_11_year_obtained
Optional Medical & Dental (3009) & Standard (3010) Only
yyyy 4
80 education_professional_qualifications_10_of_11_subject_qualification
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the applicant's tenth professional qualification
120
81 education_professional_qualifications_10_of_11_place_of_study
Optional Medical & Dental (3009) & Standard (3010) Only
160
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Column Order
Field Name Required? Question on which form(s) Description Format Max Size
82 education_professional_qualifications_10_of_11_grade_result
Optional Medical & Dental (3009) & Standard (3010) Only
100
83 education_professional_qualifications_10_of_11_year_obtained
Optional Medical & Dental (3009) & Standard (3010) Only
yyyy 4
84 education_professional_qualifications_11_of_11_subject_qualification
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the applicant's eleventh professional qualification
120
85 education_professional_qualifications_11_of_11_place_of_study
Optional Medical & Dental (3009) & Standard (3010) Only
160
86 education_professional_qualifications_11_of_11_grade_result
Optional Medical & Dental (3009) & Standard (3010) Only
100
87 education_professional_qualifications_11_of_11_year_obtained
Optional Medical & Dental (3009) & Standard (3010) Only
yyyy 4
88 relevant_training_courses_attended_1_of_7_course_title
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the applicant's first relevant training course
80
89 relevant_training_courses_attended_1_of_7_training_provider
Optional Medical & Dental (3009) & Standard (3010) Only
80
90 relevant_training_courses_attended_1_of_7_duration
Optional Medical & Dental (3009) & Standard (3010) Only
100
91 relevant_training_courses_attended_1_of_7_year_completed
Optional Medical & Dental (3009) & Standard (3010) Only
yyyy 4
92 relevant_training_courses_attended_2_of_7_course_title
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the applicant's second relevant training course
80
93 relevant_training_courses_attended_2_of_7_training_provider
Optional Medical & Dental (3009) & Standard (3010) Only
80
94 relevant_training_courses_attended_2_of_7_duration
Optional Medical & Dental (3009) & Standard (3010) Only
100
95 relevant_training_courses_attended_2_of_7_year_completed
Optional Medical & Dental (3009) & Standard (3010) Only
yyyy 4
96 relevant_training_courses_attended_3_of_7_course_title
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the applicant's third relevant training course
80
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Column Order
Field Name Required? Question on which form(s) Description Format Max Size
97 relevant_training_courses_attended_3_of_7_training_provider
Optional Medical & Dental (3009) & Standard (3010) Only
80
98 relevant_training_courses_attended_3_of_7_duration
Optional Medical & Dental (3009) & Standard (3010) Only
100
99 relevant_training_courses_attended_3_of_7_year_completed
Optional Medical & Dental (3009) & Standard (3010) Only
yyyy 4
100 relevant_training_courses_attended_4_of_7_course_title
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the applicant's fourth relevant training course
80
101 relevant_training_courses_attended_4_of_7_training_provider
Optional Medical & Dental (3009) & Standard (3010) Only
80
102 relevant_training_courses_attended_4_of_7_duration
Optional Medical & Dental (3009) & Standard (3010) Only
100
103 relevant_training_courses_attended_4_of_7_year_completed
Optional Medical & Dental (3009) & Standard (3010) Only
yyyy 4
104 relevant_training_courses_attended_5_of_7_course_title
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the applicant's fifth relevant training course
80
105 relevant_training_courses_attended_5_of_7_training_provider
Optional Medical & Dental (3009) & Standard (3010) Only
80
106 relevant_training_courses_attended_5_of_7_duration
Optional Medical & Dental (3009) & Standard (3010) Only
100
107 relevant_training_courses_attended_5_of_7_year_completed
Optional Medical & Dental (3009) & Standard (3010) Only
yyyy 4
108 relevant_training_courses_attended_6_of_7_course_title
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the applicant's sixth relevant training course
80
109 relevant_training_courses_attended_6_of_7_training_provider
Optional Medical & Dental (3009) & Standard (3010) Only
80
110 relevant_training_courses_attended_6_of_7_duration
Optional Medical & Dental (3009) & Standard (3010) Only
100
111 relevant_training_courses_attended_6_of_7_year_completed
Optional Medical & Dental (3009) & Standard (3010) Only
yyyy 4
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Column Order
Field Name Required? Question on which form(s) Description Format Max Size
112 relevant_training_courses_attended_7_of_7_course_title
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the applicant's seventh relevant training course
80
113 relevant_training_courses_attended_7_of_7_training_provider
Optional Medical & Dental (3009) & Standard (3010) Only
80
114 relevant_training_courses_attended_7_of_7_duration
Optional Medical & Dental (3009) & Standard (3010) Only
100
115 relevant_training_courses_attended_7_of_7_year_completed
Optional Medical & Dental (3009) & Standard (3010) Only
yyyy 4
116 please_indicate_your_professional_registration_status
Optional Medical & Dental (3009) & Standard (3010) Only
The applicant’s response to ‘Please indicate your Professional Registration status’.
List of values in Appendix A
85
117 professional_body_and_membership_1_of_2_professional_body_and_membership
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the first professional body listed on the application form.
List of values in Appendix A
100
118 professional_body_and_membership_1_of_2_if_other_please_provide_details_below
Optional Medical & Dental (3009) & Standard (3010) Only
500
119 professional_body_and_membership_1_of_2_membership_registration_number
Optional Medical & Dental (3009) & Standard (3010) Only
15
120 professional_body_and_membership_1_of_2_expiry_renewal_date
Optional Medical & Dental (3009) & Standard (3010) Only
mm/yyyy 7
121 professional_body_and_membership_2_of_2_professional_body_and_membership
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the second professional body listed on the application form.
100
122 professional_body_and_membership_2_of_2_if_other_please_provide_details_below
Optional Medical & Dental (3009) & Standard (3010) Only
500
123 professional_body_and_membership_2_of_2_membership_registration_number
Optional Medical & Dental (3009) & Standard (3010) Only
15
124 professional_body_and_membership_2_of_2_expiry_renewal_date
Optional Medical & Dental (3009) & Standard (3010) Only
mm/yyyy 7
Version 1.1 Page 17 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
125 are_you_currently_the_subject_of_a_fitness_to_practise_investigation_or_proceedings_by_a_licensing_or_regulatory_body_in_the_uk_or_in_any_other_country
Optional Medical & Dental (3009) & Standard (3010) Only
Answer either Yes or No
3
126 if_applicable_please_provide_details_of_any_investigations_or_proceedings_you_may_be_subject_to
Optional Medical & Dental (3009) & Standard (3010) Only
500
127 have_you_ever_been_removed_from_the_register_or_have_conditions_or_undertakings_been_made_on_your_registration_by_a_fitness_to_practise_committee_or_the_licensing_or_regulatory_body_in_the_uk_or_in_any_other_country
Optional Medical & Dental (3009) & Standard (3010) Only
Answer either Yes or No
3
128 if_applicable_please_provide_details_of_any_conditions_or_undertakings_currently_applied_to_your_professional_registration
Optional Medical & Dental (3009) & Standard (3010) Only
500
129 in_your_current_or_any_previous_employment_have_you_had_restrictions_placed_on_your_clinical_practice_as_part_of_the_revalidation_process
Optional Medical & Dental (3009) Only Answer either Yes or No
3
130 if_applicable_please_provide_details_of_any_restrictions_you_may_have
Optional Medical & Dental (3009) Only 500
131 please_confirm_what_you_believe_to_be_your_effective_start_date_of_continuous_nhs_service_if_applicable
Optional Medical & Dental (3009) Only mm/yyyy 7
132 start_date_of_continuous_nhs_service_if_applicable
Optional Standard (3010) Only mm/yyyy 7
133 months_since_most_recent_employment_ended_if_applicable
Optional Medical & Dental (3009) & Standard (3010) Only
4
134 have_you_ever_worked_for_the_nhs Optional Short (3012) Only 3
Version 1.1 Page 18 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
135 current_most_recent_employer_reference_always_required_employer_name
Optional All forms Details for the current or most recent employer
240
136 current_most_recent_employer_reference_always_required_employer_address
Optional All forms 1150
137 current_most_recent_employer_reference_always_required_type_of_business
Optional Medical & Dental (3009) & Standard (3010) Only
150
138 current_most_recent_employer_reference_always_required_name_of_educational_or_clinical_supervisor
Optional Medical & Dental (3009) Only 240
139 current_most_recent_employer_reference_always_required_job_title
Optional Medical & Dental (3009) Only 240
140 current_most_recent_employer_reference_always_required_reporting_to_job_title
Optional Standard (3010) Only 240
141 current_most_recent_employer_reference_always_required_email
Optional Medical & Dental (3009) Only Email address 240
142 current_most_recent_employer_reference_always_required_telephone
Optional Medical & Dental (3009) & Standard (3010) Only
150
143 current_most_recent_employer_reference_always_required_your_job_title
Optional All forms 240
144 current_most_recent_employer_reference_always_required_start_date
Optional All forms mm/yyyy 7
145 current_most_recent_employer_reference_always_required_end_date
Optional All forms mm/yyyy 7
146 current_most_recent_employer_reference_always_required_grade
Optional Medical & Dental (3009) & Standard (3010) Only
30
147 current_most_recent_employer_reference_always_required_salary
Optional Medical & Dental (3009) & Standard (3010) Only
30
148 current_most_recent_employer_reference_always_required_specialty
Optional Medical & Dental (3009) Only 50
Version 1.1 Page 19 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
149 current_most_recent_employer_reference_always_required_sub_specialty_if_applicable
Optional Medical & Dental (3009) Only 50
150 current_most_recent_employer_reference_always_required_hospital_base
Optional Medical & Dental (3009) Only 240
151 current_most_recent_employer_reference_always_required_contract_type
Optional Medical & Dental (3009) Only List of values in Appendix A
24
152 current_most_recent_employer_reference_always_required_if_other_please_provide_details_below
Optional Medical & Dental (3009) Only 150
153 current_most_recent_employer_reference_always_required_contract_duration_months
Optional Medical & Dental (3009) Only 10
154 current_most_recent_employer_reference_always_required_period_of_notice
Optional Standard (3010) Only 100
155 current_most_recent_employer_reference_always_required_reason_for_leaving_if_applicable
Optional All forms 400
156 current_most_recent_employer_reference_always_required_brief_description_of_your_duties_and_responsibilities
Optional All forms 4000
157 previous_employer_1_of_10_employer_name
Optional All forms Details for the first previous employer 240
158 previous_employer_1_of_10_employer_address
Optional All forms 1150
159 previous_employer_1_of_10_type_of_business
Optional Medical & Dental (3009) & Standard (3010) Only
150
160 previous_employer_1_of_10_name_of_educational_or_clinical_supervisor
Optional Medical & Dental (3009) Only 240
161 previous_employer_1_of_10_job_title Optional Medical & Dental (3009) Only 240
Version 1.1 Page 20 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
162 previous_employer_1_of_10_reporting_to_job_title
Optional Standard (3010) Only 240
163 previous_employer_1_of_10_email Optional Medical & Dental (3009) Only Email address 240164 previous_employer_1_of_10_telephone Optional Medical & Dental (3009) &
Standard (3010) Only150
165 previous_employer_1_of_10_your_job_title Optional All forms 240166 previous_employer_1_of_10_start_date Optional All forms mm/yyyy 7167 previous_employer_1_of_10_end_date Optional All forms mm/yyyy 7168 previous_employer_1_of_10_grade Optional Medical & Dental (3009) &
Standard (3010) Only30
169 previous_employer_1_of_10_salary Optional Medical & Dental (3009) & Standard (3010) Only
30
170 previous_employer_1_of_10_specialty Optional Medical & Dental (3009) Only 50171 previous_employer_1_of_10_sub_specialty
_if_applicableOptional Medical & Dental (3009) Only 50
172 previous_employer_1_of_10_hospital_base Optional Medical & Dental (3009) Only 240173 previous_employer_1_of_10_contract_type Optional Medical & Dental (3009) Only List of values in
Appendix A24
174 previous_employer_1_of_10_if_other_please_provide_details_below
Optional Medical & Dental (3009) Only 150
175 previous_employer_1_of_10_contract_duration_months
Optional Medical & Dental (3009) Only 10
176 previous_employer_1_of_10_period_of_notice
Optional Standard (3010) Only 100
177 previous_employer_1_of_10_reason_for_leaving_if_applicable
Optional All forms 400
178 previous_employer_1_of_10_brief_description_of_your_duties_and_responsibilities
Optional All forms 4000
Version 1.1 Page 21 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
179 previous_employer_2_of_10_employer_name
Optional All forms Details for the second previous employer
240
180 previous_employer_2_of_10_employer_address
Optional All forms 1150
181 previous_employer_2_of_10_type_of_business
Optional Medical & Dental (3009) & Standard (3010) Only
150
182 previous_employer_2_of_10_name_of_educational_or_clinical_supervisor
Optional Medical & Dental (3009) Only 240
183 previous_employer_2_of_10_job_title Optional Medical & Dental (3009) Only 240184 previous_employer_2_of_10_reporting_to_j
ob_titleOptional Standard (3010) Only 240
185 previous_employer_2_of_10_email Optional Medical & Dental (3009) Only Email address 240186 previous_employer_2_of_10_telephone Optional Medical & Dental (3009) &
Standard (3010) OnlyDetails for the current or most recent employer
150
187 previous_employer_2_of_10_your_job_title Optional All forms 240188 previous_employer_2_of_10_start_date Optional All forms mm/yyyy 7189 previous_employer_2_of_10_end_date Optional All forms mm/yyyy 7190 previous_employer_2_of_10_grade Optional Medical & Dental (3009) &
Standard (3010) Only30
191 previous_employer_2_of_10_salary Optional Medical & Dental (3009) & Standard (3010) Only
30
192 previous_employer_2_of_10_specialty Optional Medical & Dental (3009) Only 50193 previous_employer_2_of_10_sub_specialty
_if_applicableOptional Medical & Dental (3009) Only 50
194 previous_employer_2_of_10_hospital_base Optional Medical & Dental (3009) Only 240195 previous_employer_2_of_10_contract_type Optional Medical & Dental (3009) Only List of values in
Appendix A24
196 previous_employer_2_of_10_if_other_please_provide_details_below
Optional Medical & Dental (3009) Only 150
Version 1.1 Page 22 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
197 previous_employer_2_of_10_contract_duration_months
Optional Medical & Dental (3009) Only 10
198 previous_employer_2_of_10_period_of_notice
Optional Standard (3010) Only 100
199 previous_employer_2_of_10_reason_for_leaving_if_applicable
Optional All forms 400
200 previous_employer_2_of_10_brief_description_of_your_duties_and_responsibilities
Optional All forms 4000
201 previous_employer_3_of_10_employer_name
Optional All forms Details for the third previous employer 240
202 previous_employer_3_of_10_employer_address
Optional All forms Details for the first previous employer 1150
203 previous_employer_3_of_10_type_of_business
Optional Medical & Dental (3009) & Standard (3010) Only
150
204 previous_employer_3_of_10_name_of_educational_or_clinical_supervisor
Optional Medical & Dental (3009) Only 240
205 previous_employer_3_of_10_job_title Optional Medical & Dental (3009) Only 240206 previous_employer_3_of_10_reporting_to_j
ob_titleOptional Standard (3010) Only 240
207 previous_employer_3_of_10_email Optional Medical & Dental (3009) Only Email address 240208 previous_employer_3_of_10_telephone Optional Medical & Dental (3009) &
Standard (3010) Only150
209 previous_employer_3_of_10_your_job_title Optional All forms 240210 previous_employer_3_of_10_start_date Optional All forms mm/yyyy 7211 previous_employer_3_of_10_end_date Optional All forms mm/yyyy 7212 previous_employer_3_of_10_grade Optional Medical & Dental (3009) &
Standard (3010) OnlyDetails for the second previous employer
30
213 previous_employer_3_of_10_salary Optional Medical & Dental (3009) & Standard (3010) Only
30
Version 1.1 Page 23 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
214 previous_employer_3_of_10_specialty Optional Medical & Dental (3009) Only 50215 previous_employer_3_of_10_sub_specialty
_if_applicableOptional Medical & Dental (3009) Only 50
216 previous_employer_3_of_10_hospital_base Optional Medical & Dental (3009) Only 240217 previous_employer_3_of_10_contract_type Optional Medical & Dental (3009) Only List of values in
Appendix A24
218 previous_employer_3_of_10_if_other_please_provide_details_below
Optional Medical & Dental (3009) Only 150
219 previous_employer_3_of_10_contract_duration_months
Optional Medical & Dental (3009) Only 10
220 previous_employer_3_of_10_period_of_notice
Optional Standard (3010) Only 100
221 previous_employer_3_of_10_reason_for_leaving_if_applicable
Optional All forms 400
222 previous_employer_3_of_10_brief_description_of_your_duties_and_responsibilities
Optional All forms Details for the third previous employer 4000
223 previous_employer_4_of_10_employer_name
Optional All forms Details for the fourth previous employer
240
224 previous_employer_4_of_10_employer_address
Optional All forms 1150
225 previous_employer_4_of_10_type_of_business
Optional Medical & Dental (3009) & Standard (3010) Only
150
226 previous_employer_4_of_10_name_of_educational_or_clinical_supervisor
Optional Medical & Dental (3009) Only 240
227 previous_employer_4_of_10_job_title Optional Medical & Dental (3009) Only 240228 previous_employer_4_of_10_reporting_to_j
ob_titleOptional Standard (3010) Only 240
229 previous_employer_4_of_10_email Optional Medical & Dental (3009) Only Email address 240230 previous_employer_4_of_10_telephone Optional Medical & Dental (3009) &
Standard (3010) Only150
Version 1.1 Page 24 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
231 previous_employer_4_of_10_your_job_title Optional All forms 240232 previous_employer_4_of_10_start_date Optional All forms Details for the fourth previous
employermm/yyyy 7
233 previous_employer_4_of_10_end_date Optional All forms mm/yyyy 7234 previous_employer_4_of_10_grade Optional Medical & Dental (3009) &
Standard (3010) Only30
235 previous_employer_4_of_10_salary Optional Medical & Dental (3009) & Standard (3010) Only
30
236 previous_employer_4_of_10_specialty Optional Medical & Dental (3009) Only 50237 previous_employer_4_of_10_sub_specialty
_if_applicableOptional Medical & Dental (3009) Only 50
238 previous_employer_4_of_10_hospital_base Optional Medical & Dental (3009) Only 240239 previous_employer_4_of_10_contract_type Optional Medical & Dental (3009) Only List of values in
Appendix A24
240 previous_employer_4_of_10_if_other_please_provide_details_below
Optional Medical & Dental (3009) Only 150
241 previous_employer_4_of_10_contract_duration_months
Optional Medical & Dental (3009) Only 10
242 previous_employer_4_of_10_period_of_notice
Optional Standard (3010) Only Details for the fifth previous employer 100
243 previous_employer_4_of_10_reason_for_leaving_if_applicable
Optional All forms 400
244 previous_employer_4_of_10_brief_description_of_your_duties_and_responsibilities
Optional All forms 4000
245 previous_employer_5_of_10_employer_name
Optional All forms Details for the fifth previous employer 240
246 previous_employer_5_of_10_employer_address
Optional All forms 1150
247 previous_employer_5_of_10_type_of_business
Optional Medical & Dental (3009) & Standard (3010) Only
150
Version 1.1 Page 25 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
248 previous_employer_5_of_10_name_of_educational_or_clinical_supervisor
Optional Medical & Dental (3009) Only 240
249 previous_employer_5_of_10_job_title Optional Medical & Dental (3009) Only 240250 previous_employer_5_of_10_reporting_to_j
ob_titleOptional Standard (3010) Only 240
251 previous_employer_5_of_10_email Optional Medical & Dental (3009) Only Email address 240252 previous_employer_5_of_10_telephone Optional Medical & Dental (3009) &
Standard (3010) OnlyDetails for the sixth previous employer 150
253 previous_employer_5_of_10_your_job_title Optional All forms 240254 previous_employer_5_of_10_start_date Optional All forms mm/yyyy 7255 previous_employer_5_of_10_end_date Optional All forms mm/yyyy 7256 previous_employer_5_of_10_grade Optional Medical & Dental (3009) &
Standard (3010) Only30
257 previous_employer_5_of_10_salary Optional Medical & Dental (3009) & Standard (3010) Only
30
258 previous_employer_5_of_10_specialty Optional Medical & Dental (3009) Only 50259 previous_employer_5_of_10_sub_specialty
_if_applicableOptional Medical & Dental (3009) Only 50
260 previous_employer_5_of_10_hospital_base Optional Medical & Dental (3009) Only 240261 previous_employer_5_of_10_contract_type Optional Medical & Dental (3009) Only List of values in
Appendix A24
262 previous_employer_5_of_10_if_other_please_provide_details_below
Optional Medical & Dental (3009) Only Details for the seventh previous employer
150
263 previous_employer_5_of_10_contract_duration_months
Optional Medical & Dental (3009) Only 10
264 previous_employer_5_of_10_period_of_notice
Optional Standard (3010) Only 100
265 previous_employer_5_of_10_reason_for_leaving_if_applicable
Optional All forms 400
Version 1.1 Page 26 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
266 previous_employer_5_of_10_brief_description_of_your_duties_and_responsibilities
Optional All forms 4000
267 previous_employer_6_of_10_employer_name
Optional All forms Details for the sixth previous employer 240
268 previous_employer_6_of_10_employer_address
Optional All forms 1150
269 previous_employer_6_of_10_type_of_business
Optional Medical & Dental (3009) & Standard (3010) Only
150
270 previous_employer_6_of_10_name_of_educational_or_clinical_supervisor
Optional Medical & Dental (3009) Only 240
271 previous_employer_6_of_10_job_title Optional Medical & Dental (3009) Only 240272 previous_employer_6_of_10_reporting_to_j
ob_titleOptional Standard (3010) Only Details for the eighth previous
employer240
273 previous_employer_6_of_10_email Optional Medical & Dental (3009) Only Email address 240274 previous_employer_6_of_10_telephone Optional Medical & Dental (3009) &
Standard (3010) Only150
275 previous_employer_6_of_10_your_job_title Optional All forms 240276 previous_employer_6_of_10_start_date Optional All forms mm/yyyy 7277 previous_employer_6_of_10_end_date Optional All forms mm/yyyy 7278 previous_employer_6_of_10_grade Optional Medical & Dental (3009) &
Standard (3010) Only30
279 previous_employer_6_of_10_salary Optional Medical & Dental (3009) & Standard (3010) Only
30
280 previous_employer_6_of_10_specialty Optional Medical & Dental (3009) Only 50281 previous_employer_6_of_10_sub_specialty
_if_applicableOptional Medical & Dental (3009) Only 50
282 previous_employer_6_of_10_hospital_base Optional Medical & Dental (3009) Only Details for the ninth previous employer 240283 previous_employer_6_of_10_contract_type Optional Medical & Dental (3009) Only List of values in
Appendix A24
Version 1.1 Page 27 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
284 previous_employer_6_of_10_if_other_please_provide_details_below
Optional Medical & Dental (3009) Only 150
285 previous_employer_6_of_10_contract_duration_months
Optional Medical & Dental (3009) Only 10
286 previous_employer_6_of_10_period_of_notice
Optional Standard (3010) Only 100
287 previous_employer_6_of_10_reason_for_leaving_if_applicable
Optional All forms 400
288 previous_employer_6_of_10_brief_description_of_your_duties_and_responsibilities
Optional All forms 4000
289 previous_employer_7_of_10_employer_name
Optional All forms Details for the seventh previous employer
240
290 previous_employer_7_of_10_employer_address
Optional All forms 1150
291 previous_employer_7_of_10_type_of_business
Optional Medical & Dental (3009) & Standard (3010) Only
150
292 previous_employer_7_of_10_name_of_educational_or_clinical_supervisor
Optional Medical & Dental (3009) Only Details for the tenth previous employer 240
293 previous_employer_7_of_10_job_title Optional Medical & Dental (3009) Only 240294 previous_employer_7_of_10_reporting_to_j
ob_titleOptional Standard (3010) Only 240
295 previous_employer_7_of_10_email Optional Medical & Dental (3009) Only Email address 240296 previous_employer_7_of_10_telephone Optional Medical & Dental (3009) &
Standard (3010) Only150
297 previous_employer_7_of_10_your_job_title Optional All forms 240298 previous_employer_7_of_10_start_date Optional All forms mm/yyyy 7299 previous_employer_7_of_10_end_date Optional All forms mm/yyyy 7300 previous_employer_7_of_10_grade Optional Medical & Dental (3009) &
Standard (3010) Only30
Version 1.1 Page 28 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
301 previous_employer_7_of_10_salary Optional Medical & Dental (3009) & Standard (3010) Only
30
302 previous_employer_7_of_10_specialty Optional Medical & Dental (3009) Only 50303 previous_employer_7_of_10_sub_specialty
_if_applicableOptional Medical & Dental (3009) Only 50
304 previous_employer_7_of_10_hospital_base Optional Medical & Dental (3009) Only 240305 previous_employer_7_of_10_contract_type Optional Medical & Dental (3009) Only List of values in
Appendix A24
306 previous_employer_7_of_10_if_other_please_provide_details_below
Optional Medical & Dental (3009) Only 150
307 previous_employer_7_of_10_contract_duration_months
Optional Medical & Dental (3009) Only 10
308 previous_employer_7_of_10_period_of_notice
Optional Standard (3010) Only 100
309 previous_employer_7_of_10_reason_for_leaving_if_applicable
Optional All forms 400
310 previous_employer_7_of_10_brief_description_of_your_duties_and_responsibilities
Optional All forms 4000
311 previous_employer_8_of_10_employer_name
Optional All forms Details for the eighth previous employer
240
312 previous_employer_8_of_10_employer_address
Optional All forms 1150
313 previous_employer_8_of_10_type_of_business
Optional Medical & Dental (3009) & Standard (3010) Only
150
314 previous_employer_8_of_10_name_of_educational_or_clinical_supervisor
Optional Medical & Dental (3009) Only 240
315 previous_employer_8_of_10_job_title Optional Medical & Dental (3009) Only 240316 previous_employer_8_of_10_reporting_to_j
ob_titleOptional Standard (3010) Only 240
317 previous_employer_8_of_10_email Optional Medical & Dental (3009) Only Email address 240
Version 1.1 Page 29 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
318 previous_employer_8_of_10_telephone Optional Medical & Dental (3009) & Standard (3010) Only
150
319 previous_employer_8_of_10_your_job_title Optional All forms 240320 previous_employer_8_of_10_start_date Optional All forms mm/yyyy 7321 previous_employer_8_of_10_end_date Optional All forms mm/yyyy 7322 previous_employer_8_of_10_grade Optional Medical & Dental (3009) &
Standard (3010) Only30
323 previous_employer_8_of_10_salary Optional Medical & Dental (3009) & Standard (3010) Only
30
324 previous_employer_8_of_10_specialty Optional Medical & Dental (3009) Only 50325 previous_employer_8_of_10_sub_specialty
_if_applicableOptional Medical & Dental (3009) Only 50
326 previous_employer_8_of_10_hospital_base Optional Medical & Dental (3009) Only 240327 previous_employer_8_of_10_contract_type Optional Medical & Dental (3009) Only List of values in
Appendix A24
328 previous_employer_8_of_10_if_other_please_provide_details_below
Optional Medical & Dental (3009) Only 150
329 previous_employer_8_of_10_contract_duration_months
Optional Medical & Dental (3009) Only 10
330 previous_employer_8_of_10_period_of_notice
Optional Standard (3010) Only 100
331 previous_employer_8_of_10_reason_for_leaving_if_applicable
Optional All forms 400
332 previous_employer_8_of_10_brief_description_of_your_duties_and_responsibilities
Optional All forms 4000
333 previous_employer_9_of_10_employer_name
Optional All forms Details for the ninth previous employer 240
334 previous_employer_9_of_10_employer_address
Optional All forms 1150
Version 1.1 Page 30 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
335 previous_employer_9_of_10_type_of_business
Optional Medical & Dental (3009) & Standard (3010) Only
150
336 previous_employer_9_of_10_name_of_educational_or_clinical_supervisor
Optional Medical & Dental (3009) Only 240
337 previous_employer_9_of_10_job_title Optional Medical & Dental (3009) Only 240338 previous_employer_9_of_10_reporting_to_j
ob_titleOptional Standard (3010) Only 240
339 previous_employer_9_of_10_email Optional Medical & Dental (3009) Only Email address 240340 previous_employer_9_of_10_telephone Optional Medical & Dental (3009) &
Standard (3010) Only150
341 previous_employer_9_of_10_your_job_title Optional All forms 240342 previous_employer_9_of_10_start_date Optional All forms mm/yyyy 7343 previous_employer_9_of_10_end_date Optional All forms mm/yyyy 7344 previous_employer_9_of_10_grade Optional Medical & Dental (3009) &
Standard (3010) Only30
345 previous_employer_9_of_10_salary Optional Medical & Dental (3009) & Standard (3010) Only
30
346 previous_employer_9_of_10_specialty Optional Medical & Dental (3009) Only 50347 previous_employer_9_of_10_sub_specialty
_if_applicableOptional Medical & Dental (3009) Only 50
348 previous_employer_9_of_10_hospital_base Optional Medical & Dental (3009) Only 240349 previous_employer_9_of_10_contract_type Optional Medical & Dental (3009) Only List of values in
Appendix A24
350 previous_employer_9_of_10_if_other_please_provide_details_below
Optional Medical & Dental (3009) Only 150
351 previous_employer_9_of_10_contract_duration_months
Optional Medical & Dental (3009) Only 10
352 previous_employer_9_of_10_period_of_notice
Optional Standard (3010) Only 100
Version 1.1 Page 31 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
353 previous_employer_9_of_10_reason_for_leaving_if_applicable
Optional All forms 400
354 previous_employer_9_of_10_brief_description_of_your_duties_and_responsibilities
Optional All forms 4000
355 previous_employer_10_of_10_employer_name
Optional All forms Details for the tenth previous employer 240
356 previous_employer_10_of_10_employer_address
Optional All forms 1150
357 previous_employer_10_of_10_type_of_business
Optional Medical & Dental (3009) & Standard (3010) Only
150
358 previous_employer_10_of_10_name_of_educational_or_clinical_supervisor
Optional Medical & Dental (3009) Only 240
359 previous_employer_10_of_10_job_title Optional Medical & Dental (3009) Only 240360 previous_employer_10_of_10_reporting_to
_job_titleOptional Standard (3010) Only 240
361 previous_employer_10_of_10_email Optional Medical & Dental (3009) Only Email address 240362 previous_employer_10_of_10_telephone Optional Medical & Dental (3009) &
Standard (3010) Only150
363 previous_employer_10_of_10_your_job_title
Optional All forms 240
364 previous_employer_10_of_10_start_date Optional All forms mm/yyyy 7365 previous_employer_10_of_10_end_date Optional All forms mm/yyyy 7366 previous_employer_10_of_10_grade Optional Medical & Dental (3009) &
Standard (3010) Only30
367 previous_employer_10_of_10_salary Optional Medical & Dental (3009) & Standard (3010) Only
30
368 previous_employer_10_of_10_specialty Optional Medical & Dental (3009) Only 50369 previous_employer_10_of_10_sub_specialt
y_if_applicableOptional Medical & Dental (3009) Only 50
Version 1.1 Page 32 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
370 previous_employer_10_of_10_hospital_base
Optional Medical & Dental (3009) Only 240
371 previous_employer_10_of_10_contract_type
Optional Medical & Dental (3009) Only List of values in Appendix A
24
372 previous_employer_10_of_10_if_other_please_provide_details_below
Optional Medical & Dental (3009) Only 150
373 previous_employer_10_of_10_contract_duration_months
Optional Medical & Dental (3009) Only 10
374 previous_employer_10_of_10_period_of_notice
Optional Standard (3010) Only 100
375 previous_employer_10_of_10_reason_for_leaving_if_applicable
Optional All forms 400
376 previous_employer_10_of_10_brief_description_of_your_duties_and_responsibilities
Optional All forms 4000
377 please_provide_in_this_section_explanations_for_any_gaps_in_your_employment_history_chronologically_most_recent_first_for_any_gaps_in_employment_of_6_months_or_more_over_the_past_5_years_please_include_contact_details_of_your_professional_mentor_or_educational_supervisor_who_can_verify_the_reason_for_the_gap_and_if_necessary_provide_you_with_an_appropriate_reference_for_the_period_not_worked
Optional Medical & Dental (3009) Only 500
378 if_you_have_any_gaps_within_your_employment_history_please_state_the_reasons_for_the_gaps_below
Optional Standard (3010) Only 500
379 referee_1_of_10_type_of_reference Optional All forms Details of the applicant's first referee List of values in Appendix A
11
380 referee_1_of_10_email Optional All forms Email address 150
Version 1.1 Page 33 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
381 referee_1_of_10_title Optional All forms 35382 referee_1_of_10_surname_family_name Optional All forms 30383 referee_1_of_10_first_name Optional All forms 30384 referee_1_of_10_relationship Optional All forms 1000385 referee_1_of_10_employer_name Optional All forms 240386 referee_1_of_10_referee_job_title Optional All forms 40387 referee_1_of_10_address_line_1 Optional All forms 240388 referee_1_of_10_address_line_2 Optional All forms 240389 referee_1_of_10_address_line_3 Optional All forms 240390 referee_1_of_10_town_city Optional All forms 30391 referee_1_of_10_county_state Optional All forms 30392 referee_1_of_10_country Optional All forms 300393 referee_1_of_10_postcode_zip_code Optional All forms 20394 referee_1_of_10_telephone Optional All forms 20395 referee_1_of_10_fax Optional All forms 150396 referee_1_of_10_can_the_referee_be_appr
oached_prior_to_interviewOptional All forms Answer either
Yes or No3
397 referee_2_of_10_type_of_reference Optional All forms Details of the applicant's second referee
List of values in Appendix A
11
398 referee_2_of_10_email Optional All forms Email address 150399 referee_2_of_10_title Optional All forms 35400 referee_2_of_10_surname_family_name Optional All forms 30401 referee_2_of_10_first_name Optional All forms 30402 referee_2_of_10_relationship Optional All forms 1000403 referee_2_of_10_employer_name Optional All forms 240404 referee_2_of_10_referee_job_title Optional All forms 40405 referee_2_of_10_address_line_1 Optional All forms 240
Version 1.1 Page 34 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
406 referee_2_of_10_address_line_2 Optional All forms 240407 referee_2_of_10_address_line_3 Optional All forms 240408 referee_2_of_10_town_city Optional All forms 30409 referee_2_of_10_county_state Optional All forms 30410 referee_2_of_10_country Optional All forms 300411 referee_2_of_10_postcode_zip_code Optional All forms 20412 referee_2_of_10_telephone Optional All forms 20413 referee_2_of_10_fax Optional All forms 150414 referee_2_of_10_can_the_referee_be_appr
oached_prior_to_interviewOptional All forms Answer either
Yes or No3
415 referee_3_of_10_type_of_reference Optional All forms Details of the applicant's third referee List of values in Appendix A
11
416 referee_3_of_10_email Optional All forms Email address 150417 referee_3_of_10_title Optional All forms 35418 referee_3_of_10_surname_family_name Optional All forms 30419 referee_3_of_10_first_name Optional All forms 30420 referee_3_of_10_relationship Optional All forms 1000421 referee_3_of_10_employer_name Optional All forms 240422 referee_3_of_10_referee_job_title Optional All forms 40423 referee_3_of_10_address_line_1 Optional All forms 240424 referee_3_of_10_address_line_2 Optional All forms 240425 referee_3_of_10_address_line_3 Optional All forms 240426 referee_3_of_10_town_city Optional All forms 30427 referee_3_of_10_county_state Optional All forms 30428 referee_3_of_10_country Optional All forms 300429 referee_3_of_10_postcode_zip_code Optional All forms 20430 referee_3_of_10_telephone Optional All forms 20
Version 1.1 Page 35 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
431 referee_3_of_10_fax Optional All forms 150432 referee_3_of_10_can_the_referee_be_appr
oached_prior_to_interviewOptional All forms Answer either
Yes or No3
433 referee_4_of_10_type_of_reference Optional All forms Details of the applicant's fourth referee List of values in Appendix A
11
434 referee_4_of_10_email Optional All forms Email address 150435 referee_4_of_10_title Optional All forms 35436 referee_4_of_10_surname_family_name Optional All forms 30437 referee_4_of_10_first_name Optional All forms 30438 referee_4_of_10_relationship Optional All forms 1000439 referee_4_of_10_employer_name Optional All forms 240440 referee_4_of_10_referee_job_title Optional All forms 40441 referee_4_of_10_address_line_1 Optional All forms 240442 referee_4_of_10_address_line_2 Optional All forms 240443 referee_4_of_10_address_line_3 Optional All forms 240444 referee_4_of_10_town_city Optional All forms 30445 referee_4_of_10_county_state Optional All forms 30446 referee_4_of_10_country Optional All forms 300447 referee_4_of_10_postcode_zip_code Optional All forms 20448 referee_4_of_10_telephone Optional All forms 20449 referee_4_of_10_fax Optional All forms 150450 referee_4_of_10_can_the_referee_be_appr
oached_prior_to_interviewOptional All forms Answer either
Yes or No3
451 referee_5_of_10_type_of_reference Optional All forms Details of the applicant's fifth referee List of values in Appendix A
11
452 referee_5_of_10_email Optional All forms Email address 150453 referee_5_of_10_title Optional All forms 35454 referee_5_of_10_surname_family_name Optional All forms 30
Version 1.1 Page 36 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
455 referee_5_of_10_first_name Optional All forms 30456 referee_5_of_10_relationship Optional All forms 1000457 referee_5_of_10_employer_name Optional All forms 240458 referee_5_of_10_referee_job_title Optional All forms 40459 referee_5_of_10_address_line_1 Optional All forms 240460 referee_5_of_10_address_line_2 Optional All forms 240461 referee_5_of_10_address_line_3 Optional All forms 240462 referee_5_of_10_town_city Optional All forms 30463 referee_5_of_10_county_state Optional All forms 30464 referee_5_of_10_country Optional All forms 300465 referee_5_of_10_postcode_zip_code Optional All forms 20466 referee_5_of_10_telephone Optional All forms 20467 referee_5_of_10_fax Optional All forms 150468 referee_5_of_10_can_the_referee_be_appr
oached_prior_to_interviewOptional All forms Answer either
Yes or No3
469 referee_6_of_10_type_of_reference Optional All forms Details of the applicant's sixth referee List of values in Appendix A
11
470 referee_6_of_10_email Optional All forms Email address 150471 referee_6_of_10_title Optional All forms 35472 referee_6_of_10_surname_family_name Optional All forms 30473 referee_6_of_10_first_name Optional All forms 30474 referee_6_of_10_relationship Optional All forms 1000475 referee_6_of_10_employer_name Optional All forms 240476 referee_6_of_10_referee_job_title Optional All forms 40477 referee_6_of_10_address_line_1 Optional All forms 240478 referee_6_of_10_address_line_2 Optional All forms 240479 referee_6_of_10_address_line_3 Optional All forms 240
Version 1.1 Page 37 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
480 referee_6_of_10_town_city Optional All forms 30481 referee_6_of_10_county_state Optional All forms 30482 referee_6_of_10_country Optional All forms 300483 referee_6_of_10_postcode_zip_code Optional All forms 20484 referee_6_of_10_telephone Optional All forms 20485 referee_6_of_10_fax Optional All forms 150486 referee_6_of_10_can_the_referee_be_appr
oached_prior_to_interviewOptional All forms Answer either
Yes or No3
487 referee_7_of_10_type_of_reference Optional All forms Details of the applicant's seventh referee
List of values in Appendix A
11
488 referee_7_of_10_email Optional All forms Email address 150489 referee_7_of_10_title Optional All forms 35490 referee_7_of_10_surname_family_name Optional All forms 30491 referee_7_of_10_first_name Optional All forms 30492 referee_7_of_10_relationship Optional All forms 1000493 referee_7_of_10_employer_name Optional All forms 240494 referee_7_of_10_referee_job_title Optional All forms 40495 referee_7_of_10_address_line_1 Optional All forms 240496 referee_7_of_10_address_line_2 Optional All forms 240497 referee_7_of_10_address_line_3 Optional All forms 240498 referee_7_of_10_town_city Optional All forms 30499 referee_7_of_10_county_state Optional All forms 30500 referee_7_of_10_country Optional All forms 300501 referee_7_of_10_postcode_zip_code Optional All forms 20502 referee_7_of_10_telephone Optional All forms 20503 referee_7_of_10_fax Optional All forms 150
Version 1.1 Page 38 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
504 referee_7_of_10_can_the_referee_be_approached_prior_to_interview
Optional All forms Answer either Yes or No
3
505 referee_8_of_10_type_of_reference Optional All forms Details of the applicant's eighth referee
List of values in Appendix A
11
506 referee_8_of_10_email Optional All forms Email address 150507 referee_8_of_10_title Optional All forms 35508 referee_8_of_10_surname_family_name Optional All forms 30509 referee_8_of_10_first_name Optional All forms 30510 referee_8_of_10_relationship Optional All forms 1000511 referee_8_of_10_employer_name Optional All forms 240512 referee_8_of_10_referee_job_title Optional All forms 40513 referee_8_of_10_address_line_1 Optional All forms 240514 referee_8_of_10_address_line_2 Optional All forms 240515 referee_8_of_10_address_line_3 Optional All forms 240516 referee_8_of_10_town_city Optional All forms 30517 referee_8_of_10_county_state Optional All forms 30518 referee_8_of_10_country Optional All forms 300519 referee_8_of_10_postcode_zip_code Optional All forms 20520 referee_8_of_10_telephone Optional All forms 20521 referee_8_of_10_fax Optional All forms 150522 referee_8_of_10_can_the_referee_be_appr
oached_prior_to_interviewOptional All forms Answer either
Yes or No3
523 referee_9_of_10_type_of_reference Optional All forms Details of the applicant's ninth referee List of values in Appendix A
11
524 referee_9_of_10_email Optional All forms Email address 150525 referee_9_of_10_title Optional All forms 35526 referee_9_of_10_surname_family_name Optional All forms 30527 referee_9_of_10_first_name Optional All forms 30
Version 1.1 Page 39 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
528 referee_9_of_10_relationship Optional All forms 1000529 referee_9_of_10_employer_name Optional All forms 240530 referee_9_of_10_referee_job_title Optional All forms 40531 referee_9_of_10_address_line_1 Optional All forms 240532 referee_9_of_10_address_line_2 Optional All forms 240533 referee_9_of_10_address_line_3 Optional All forms 240534 referee_9_of_10_town_city Optional All forms 30535 referee_9_of_10_county_state Optional All forms 30536 referee_9_of_10_country Optional All forms 300537 referee_9_of_10_postcode_zip_code Optional All forms 20538 referee_9_of_10_telephone Optional All forms 20539 referee_9_of_10_fax Optional All forms 150540 referee_9_of_10_can_the_referee_be_appr
oached_prior_to_interviewOptional All forms Answer either
Yes or No3
541 referee_10_of_10_type_of_reference Optional All forms Details of the applicant's tenth referee List of values in Appendix A
11
542 referee_10_of_10_email Optional All forms Email address 150543 referee_10_of_10_title Optional All forms 35544 referee_10_of_10_surname_family_name Optional All forms 30545 referee_10_of_10_first_name Optional All forms 30546 referee_10_of_10_relationship Optional All forms 1000547 referee_10_of_10_employer_name Optional All forms 240548 referee_10_of_10_referee_job_title Optional All forms 40549 referee_10_of_10_address_line_1 Optional All forms 240550 referee_10_of_10_address_line_2 Optional All forms 240551 referee_10_of_10_address_line_3 Optional All forms 240552 referee_10_of_10_town_city Optional All forms 30
Version 1.1 Page 40 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
553 referee_10_of_10_county_state Optional All forms 30554 referee_10_of_10_country Optional All forms 300555 referee_10_of_10_postcode_zip_code Optional All forms 20556 referee_10_of_10_telephone Optional All forms 20557 referee_10_of_10_fax Optional All forms 150558 referee_10_of_10_can_the_referee_be_ap
proached_prior_to_interviewOptional All forms 3
559 if_you_have_applied_to_us_within_the_last_3_months_in_the_same_grade_and_specialty_are_you_happy_for_us_to_use_the_references_from_your_earlier_application
Optional Medical & Dental (3009) Only Answer either Yes or No
3
560 if_you_have_applied_to_us_within_the_last_3_months_are_you_happy_for_us_to_use_the_references_from_your_earlier_application
Optional Standard (3010) & Short (3012) Only
3
561 declaration_of_practical_experience_1_of_8_practical_experience
Optional Medical & Dental (3009) Only Details of the applicant's declaration of practical experience
250
562 declaration_of_practical_experience_1_of_8_under_senior_supervision
Optional Medical & Dental (3009) Only 4
563 declaration_of_practical_experience_1_of_8_independently
Optional Medical & Dental (3009) Only 4
564 declaration_of_practical_experience_2_of_8_practical_experience
Optional Medical & Dental (3009) Only 250
565 declaration_of_practical_experience_2_of_8_under_senior_supervision
Optional Medical & Dental (3009) Only 4
566 declaration_of_practical_experience_2_of_8_independently
Optional Medical & Dental (3009) Only 4
567 declaration_of_practical_experience_3_of_8_practical_experience
Optional Medical & Dental (3009) Only 250
Version 1.1 Page 41 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
568 declaration_of_practical_experience_3_of_8_under_senior_supervision
Optional Medical & Dental (3009) Only 4
569 declaration_of_practical_experience_3_of_8_independently
Optional Medical & Dental (3009) Only 4
570 declaration_of_practical_experience_4_of_8_practical_experience
Optional Medical & Dental (3009) Only 250
571 declaration_of_practical_experience_4_of_8_under_senior_supervision
Optional Medical & Dental (3009) Only 4
572 declaration_of_practical_experience_4_of_8_independently
Optional Medical & Dental (3009) Only 4
573 declaration_of_practical_experience_5_of_8_practical_experience
Optional Medical & Dental (3009) Only 250
574 declaration_of_practical_experience_5_of_8_under_senior_supervision
Optional Medical & Dental (3009) Only 4
575 declaration_of_practical_experience_5_of_8_independently
Optional Medical & Dental (3009) Only 4
576 declaration_of_practical_experience_6_of_8_practical_experience
Optional Medical & Dental (3009) Only 250
577 declaration_of_practical_experience_6_of_8_under_senior_supervision
Optional Medical & Dental (3009) Only 4
578 declaration_of_practical_experience_6_of_8_independently
Optional Medical & Dental (3009) Only 4
579 declaration_of_practical_experience_7_of_8_practical_experience
Optional Medical & Dental (3009) Only 250
580 declaration_of_practical_experience_7_of_8_under_senior_supervision
Optional Medical & Dental (3009) Only 4
581 declaration_of_practical_experience_7_of_8_independently
Optional Medical & Dental (3009) Only 4
582 declaration_of_practical_experience_8_of_8_practical_experience
Optional Medical & Dental (3009) Only 250
Version 1.1 Page 42 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
583 declaration_of_practical_experience_8_of_8_under_senior_supervision
Optional Medical & Dental (3009) Only 4
584 declaration_of_practical_experience_8_of_8_independently
Optional Medical & Dental (3009) Only 4
585 please_briefly_describe_the_extent_of_your_proficiency_and_experience_in_the_procedures_highlighted_above_along_with_any_particular_clinical_skills_experience_special_interests_you_possess_that_you_may_wish_to_highlight
Optional Medical & Dental (3009) Only 800
586 in_the_context_of_this_post_in_reflecting_on_your_own_skills_and_abilities_are_there_any_areas_where_you_might_seek_further_development_and_support
Optional Medical & Dental (3009) Only 800
587 do_you_have_any_relevant_formal_and_informal_teaching_experience
Optional Medical & Dental (3009) Only Applicant's teaching experience Answer either Yes or No
3
588 please_provide_details_about_your_teaching_experience
Optional Medical & Dental (3009) Only 2000
589 do_you_hold_any_particular_qualifications_in_teaching
Optional Medical & Dental (3009) Only 800
590 do_you_wish_to_highlight_any_changes_youve_personally_implemented_in_the_past_5_years
Optional Medical & Dental (3009) Only Applicant's experience of change management
3
591 change_1_of_5_description_of_change Optional Medical & Dental (3009) Only 500592 change_1_of_5_date Optional Medical & Dental (3009) Only mm/yyyy 7593 change_1_of_5_aim_measure_of_the_cha
ngeOptional Medical & Dental (3009) Only 500
594 change_1_of_5_conclusions_actions Optional Medical & Dental (3009) Only 500595 change_2_of_5_description_of_change Optional Medical & Dental (3009) Only 500596 change_2_of_5_date Optional Medical & Dental (3009) Only mm/yyyy 7
Version 1.1 Page 43 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
597 change_2_of_5_aim_measure_of_the_change
Optional Medical & Dental (3009) Only 500
598 change_2_of_5_conclusions_actions Optional Medical & Dental (3009) Only 500599 change_3_of_5_description_of_change Optional Medical & Dental (3009) Only 500600 change_3_of_5_date Optional Medical & Dental (3009) Only mm/yyyy 7601 change_3_of_5_aim_measure_of_the_cha
ngeOptional Medical & Dental (3009) Only 500
602 change_3_of_5_conclusions_actions Optional Medical & Dental (3009) Only 500603 change_4_of_5_description_of_change Optional Medical & Dental (3009) Only 500604 change_4_of_5_date Optional Medical & Dental (3009) Only mm/yyyy 7605 change_4_of_5_aim_measure_of_the_cha
ngeOptional Medical & Dental (3009) Only 500
606 change_4_of_5_conclusions_actions Optional Medical & Dental (3009) Only 500607 change_5_of_5_description_of_change Optional Medical & Dental (3009) Only 500608 change_5_of_5_date Optional Medical & Dental (3009) Only mm/yyyy 7609 change_5_of_5_aim_measure_of_the_cha
ngeOptional Medical & Dental (3009) Only 500
610 change_5_of_5_conclusions_actions Optional Medical & Dental (3009) Only 500611 of_the_change_audits_projects_you_have_
undertaken_which_has_been_of_most_value_and_why
Optional Medical & Dental (3009) Only 800
612 describe_the_impact_of_a_change_initiated_by_you_on_wider_members_of_your_team
Optional Medical & Dental (3009) Only 800
613 do_you_wish_to_provide_details_of_any_research_undertaken_in_the_last_5_years
Optional Medical & Dental (3009) Only Applicant's experience in research Answer either Yes or No
3
614 project_1_of_5_project_title Optional Medical & Dental (3009) Only 500615 project_1_of_5_date Optional Medical & Dental (3009) Only mm/yyyy 7616 project_1_of_5_aim_of_research Optional Medical & Dental (3009) Only 250
Version 1.1 Page 44 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
617 project_1_of_5_conclusions_actions Optional Medical & Dental (3009) Only 250618 project_2_of_5_project_title Optional Medical & Dental (3009) Only 500619 project_2_of_5_date Optional Medical & Dental (3009) Only mm/yyyy 7620 project_2_of_5_aim_of_research Optional Medical & Dental (3009) Only 250621 project_2_of_5_conclusions_actions Optional Medical & Dental (3009) Only 250622 project_3_of_5_project_title Optional Medical & Dental (3009) Only 500623 project_3_of_5_date Optional Medical & Dental (3009) Only mm/yyyy 7624 project_3_of_5_aim_of_research Optional Medical & Dental (3009) Only 250625 project_3_of_5_conclusions_actions Optional Medical & Dental (3009) Only 250626 project_4_of_5_project_title Optional Medical & Dental (3009) Only 500627 project_4_of_5_date Optional Medical & Dental (3009) Only mm/yyyy 7628 project_4_of_5_aim_of_research Optional Medical & Dental (3009) Only 250629 project_4_of_5_conclusions_actions Optional Medical & Dental (3009) Only 250630 project_5_of_5_project_title Optional Medical & Dental (3009) Only 500631 project_5_of_5_date Optional Medical & Dental (3009) Only mm/yyyy 7632 project_5_of_5_aim_of_research Optional Medical & Dental (3009) Only 250633 project_5_of_5_conclusions_actions Optional Medical & Dental (3009) Only 250634 please_summarise_your_main_learning_po
int_from_an_effective_audit_quality_improvement_project_you_have_undertaken
Optional Medical & Dental (3009) Only 800
635 do_you_hold_any_particular_qualifications_in_research
Optional Medical & Dental (3009) Only 800
636 do_you_wish_to_provide_details_of_any_publications_in_peer_reviewed_journals
Optional Medical & Dental (3009) Only Applicant's experience of academic publishing
Answer either Yes or No
3
637 publication_1_of_6_category_of_publication
Optional Medical & Dental (3009) Only 500
638 publication_1_of_6_date_of_publication Optional Medical & Dental (3009) Only dd/mm/yyyy 10639 publication_1_of_6_journal_title Optional Medical & Dental (3009) Only 500
Version 1.1 Page 45 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
640 publication_1_of_6_publication_title Optional Medical & Dental (3009) Only 500641 publication_1_of_6_authors Optional Medical & Dental (3009) Only 500642 publication_2_of_6_category_of_publicatio
nOptional Medical & Dental (3009) Only 500
643 publication_2_of_6_date_of_publication Optional Medical & Dental (3009) Only dd/mm/yyyy 10644 publication_2_of_6_journal_title Optional Medical & Dental (3009) Only 500645 publication_2_of_6_publication_title Optional Medical & Dental (3009) Only 500646 publication_2_of_6_authors Optional Medical & Dental (3009) Only 500647 publication_3_of_6_category_of_publicatio
nOptional Medical & Dental (3009) Only 500
648 publication_3_of_6_date_of_publication Optional Medical & Dental (3009) Only dd/mm/yyyy 10649 publication_3_of_6_journal_title Optional Medical & Dental (3009) Only 500650 publication_3_of_6_publication_title Optional Medical & Dental (3009) Only 500651 publication_3_of_6_authors Optional Medical & Dental (3009) Only 500652 publication_4_of_6_category_of_publicatio
nOptional Medical & Dental (3009) Only 500
653 publication_4_of_6_date_of_publication Optional Medical & Dental (3009) Only dd/mm/yyyy 10654 publication_4_of_6_journal_title Optional Medical & Dental (3009) Only 500655 publication_4_of_6_publication_title Optional Medical & Dental (3009) Only 500656 publication_4_of_6_authors Optional Medical & Dental (3009) Only 500657 publication_5_of_6_category_of_publicatio
nOptional Medical & Dental (3009) Only 500
658 publication_5_of_6_date_of_publication Optional Medical & Dental (3009) Only dd/mm/yyyy 10659 publication_5_of_6_journal_title Optional Medical & Dental (3009) Only 500660 publication_5_of_6_publication_title Optional Medical & Dental (3009) Only 500661 publication_5_of_6_authors Optional Medical & Dental (3009) Only 500662 publication_6_of_6_category_of_publicatio
nOptional Medical & Dental (3009) Only 500
Version 1.1 Page 46 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
663 publication_6_of_6_date_of_publication Optional Medical & Dental (3009) Only dd/mm/yyyy 10664 publication_6_of_6_journal_title Optional Medical & Dental (3009) Only 500665 publication_6_of_6_publication_title Optional Medical & Dental (3009) Only 500666 publication_6_of_6_authors Optional Medical & Dental (3009) Only 500667 do_you_wish_to_provide_details_of_any_p
resentations_you_have_madeOptional Medical & Dental (3009) Only Applicant's presentation experience Answer either
Yes or No3
668 presentation_1_of_6_title Optional Medical & Dental (3009) Only 500669 presentation_1_of_6_type Optional Medical & Dental (3009) Only 13670 presentation_1_of_6_year_presented Optional Medical & Dental (3009) Only yyyy 4671 presentation_2_of_6_title Optional Medical & Dental (3009) Only 500672 presentation_2_of_6_type Optional Medical & Dental (3009) Only 13673 presentation_2_of_6_year_presented Optional Medical & Dental (3009) Only yyyy 4674 presentation_3_of_6_title Optional Medical & Dental (3009) Only 500675 presentation_3_of_6_type Optional Medical & Dental (3009) Only 13676 presentation_3_of_6_year_presented Optional Medical & Dental (3009) Only yyyy 4677 presentation_4_of_6_title Optional Medical & Dental (3009) Only 500678 presentation_4_of_6_type Optional Medical & Dental (3009) Only 13679 presentation_4_of_6_year_presented Optional Medical & Dental (3009) Only yyyy 4680 presentation_5_of_6_title Optional Medical & Dental (3009) Only 500681 presentation_5_of_6_type Optional Medical & Dental (3009) Only 13682 presentation_5_of_6_year_presented Optional Medical & Dental (3009) Only yyyy 4683 presentation_6_of_6_title Optional Medical & Dental (3009) Only 500684 presentation_6_of_6_type Optional Medical & Dental (3009) Only 13685 presentation_6_of_6_year_presented Optional Medical & Dental (3009) Only yyyy 4686 do_you_wish_to_provide_details_of_any_p
rizes_or_other_academic_distinctions_you_have_received
Optional Medical & Dental (3009) Only Applicant's prizes or academic distinctions
Answer either Yes or No
3
Version 1.1 Page 47 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
687 prize_distinction_1_of_6_awarding_body Optional Medical & Dental (3009) Only 250688 prize_distinction_1_of_6_description_and_
purpose_of_awardOptional Medical & Dental (3009) Only 500
689 prize_distinction_1_of_6_year_received Optional Medical & Dental (3009) Only yyyy 4690 prize_distinction_2_of_6_awarding_body Optional Medical & Dental (3009) Only 250691 prize_distinction_2_of_6_description_and_
purpose_of_awardOptional Medical & Dental (3009) Only 500
692 prize_distinction_2_of_6_year_received Optional Medical & Dental (3009) Only yyyy 4693 prize_distinction_3_of_6_awarding_body Optional Medical & Dental (3009) Only 250694 prize_distinction_3_of_6_description_and_
purpose_of_awardOptional Medical & Dental (3009) Only 500
695 prize_distinction_3_of_6_year_received Optional Medical & Dental (3009) Only yyyy 4696 prize_distinction_4_of_6_awarding_body Optional Medical & Dental (3009) Only 250697 prize_distinction_4_of_6_description_and_
purpose_of_awardOptional Medical & Dental (3009) Only 500
698 prize_distinction_4_of_6_year_received Optional Medical & Dental (3009) Only yyyy 4699 prize_distinction_5_of_6_awarding_body Optional Medical & Dental (3009) Only 250700 prize_distinction_5_of_6_description_and_
purpose_of_awardOptional Medical & Dental (3009) Only 500
701 prize_distinction_5_of_6_year_received Optional Medical & Dental (3009) Only yyyy 4702 prize_distinction_6_of_6_awarding_body Optional Medical & Dental (3009) Only 250703 prize_distinction_6_of_6_description_and_
purpose_of_awardOptional Medical & Dental (3009) Only 500
704 prize_distinction_6_of_6_year_received Optional Medical & Dental (3009) Only yyyy 4705 please_highlight_experience_you_may_hav
e_which_is_relevant_to_this_post_not_necessarily_limited_to_professional_activities
Optional Medical & Dental (3009) Only 2000
Version 1.1 Page 48 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
706 describe_situations_where_you_have_been_involved_in_working_in_a_team_not_necessarily_limited_to_professional_activities
Optional Medical & Dental (3009) Only 2000
707 supporting_information Optional All forms Applicant's supporting information, where they give further information to support their application
10000
708 preferred_employment_type Optional Medical & Dental (3009) & Standard (3010) Only
List of values in Appendix A
59
709 please_state_your_date_of_birth Optional All forms dd/mm/yyyy 10710 please_indicate_your_gender Mandatory All forms List of values in
Appendix A50
711 please_indicate_the_option_which_best_describes_your_marital_status
Mandatory All forms List of values in Appendix A
100
712 please_indicate_your_ethnic_origin Mandatory All forms List of values in Appendix A
100
713 please_indicate_the_option_which_best_describes_your_sexual_orientation
Mandatory All forms List of values in Appendix A
47
714 please_indicate_your_religion_or_belief Mandatory All forms List of values in Appendix A
44
715 do_you_consider_yourself_to_have_a_disability
Mandatory All forms List of values in Appendix A
60
716 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
Optional All forms List of values in Appendix A
126
717 please_give_details Optional All forms Details of impairment 500
Version 1.1 Page 49 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
718 if_you_have_a_disability_do_you_wish_to_be_considered_under_the_guaranteed_interview_scheme_if_you_meet_the_minimum_criteria_as_specified_in_the_personal_specification
Optional All forms Answer either Yes or No
3
719 are_you_currently_bound_over_or_do_you_have_any_current_unspent_convictions_or_cautions_including_reprimands_or_warnings_that_have_been_issued_by_a_court_or_court_martial_in_the_united_kingdom_or_in_any_other_country
Optional All forms Answer either Yes or No
3
720 if_yes_please_include_details_of_the_order_binding_you_over_and_or_the_nature_of_the_offence_the_penalty_sentence_or_order_of_the_court_and_the_date_and_place_of_the_court_hearing_you_do_not_need_to_tell_us_about_parking_offences
Optional All forms 1000
721 if_you_are_related_to_a_director_or_have_a_relationship_with_a_director_or_employee_of_an_appointing_organisation_please_state_the_relationship
Optional All forms 500
722–741
Intentionally blank
742 g1_do_you_possess_xxxxx_qualification_or_an_equivalent
Optional All forms Question from the “General” question set
Answer Yes or No
743 g2_do_you_have_relevant_teaching_or_training_experience_as_required_by_the_person_specification
Optional All forms Question from the “General” question set
List of values in Appendix A
Version 1.1 Page 50 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
744 n1_do_you_possess_xxxxx_registration Optional All forms Question from the “Nursing” question set
Answer Yes or No
745 n2_does_the_nmc_require_you_to_have_a_period_of_supervised_practice_or_to_undergo_the_overseas_nurses_programme_onp
Optional All forms Question from the “Nursing” question set
List of values in Appendix A
746 n3_if_you_have_a_decision_letter_for_nmc_registration_please_enter_its_date
Optional All forms Question from the “Nursing” question set
128
747 m1_please_state_your_gmc_registration_status
Optional All forms Question from the “Medical” question set
List of values in Appendix A
748 m1a_please_state_your_specialty Optional All forms Question from the “Medical” question set
128
749 m2_have_you_completed_research_work_relevant_to_this_post
Optional All forms Question from the “Medical” question set
List of values in Appendix A
750 m3_please_state_who_is_your_current_responsible_officer
Optional All forms Question from the “Medical” question set
128
751 m4_please_state_the_date_of_your_last_revalidation
Optional All forms Question from the “Medical” question set
128
752 m5_please_state_the_date_of_your_last_appraisal
Optional All forms Question from the “Medical” question set
128
753 m6_are_you_currently_on_the_general_medical_councils_specialist_register_or_due_to_obtain_a_relevant_cct_cesrcp_within_6_months_of_interview
Optional All forms Question from the “Medical” question set
Answer Yes or No
Version 1.1 Page 51 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
754 m6a_please_confirm_your_anticipated_cct_cesrcp_date
Optional All forms Question from the “Medical” question set
128
755 m7_are_you_currently_on_the_general_medical_councils_gp_register_or_a_gp_registrar_within_3_months_of_anticipated_cct_cegpr_or_equivalent_at_the_time_of_interview
Optional All forms Question from the “Medical” question set
Answer Yes or No
756 m8_are_you_included_on_this_employers_regional_performers_list_or_do_you_have_an_expectation_for_inclusion_within_3_months_of_the_date_of_interview
Optional All forms Question from the “Medical” question set
Answer Yes or No
757 m8a_please_confirm_where_your_performers_list_is_currently_held
Optional All forms Question from the “Medical” question set
128
758 m9_do_you_have_current_section_12_mental_health_act_england_and_wales_approval_for_working_in_this_nhs_region
Optional All forms Question from the “Medical” question set
Answer Yes or No
759 m10_are_you_currently_registered_in_this_employers_region_as_a_responsible_clinician
Optional All forms Question from the “Medical” question set
Answer Yes or No
760 m11_have_your_foundation_programme_1_competencies_been_formally_signed_off
Optional All forms Question from the “Medical” question set
Answer Yes or No
761 m12_have_your_foundation_programme_2_competencies_been_formally_signed_off
Optional All forms Question from the “Medical” question set
Answer Yes or No
Version 1.1 Page 52 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
762 m12a_if_you_have_not_completed_foundation_training_please_provide_an_explanation_below_eg_equivalent_competency_formally_recognised_by_deanery_evidence_of_this_will_be_required
Optional All forms Question from the “Medical” question set
128
763 p1_what_grade_of_psychology_degree_do_you_hold
Optional All forms Question from the “Psychologists” question set
List of values in Appendix A
764 a1_are_you_registered_with_the_hcpc Optional All forms Question from the “Allied Health Professionals / Healthcare Scientists” question set
List of values in Appendix A
765 a2_do_you_hold_a_relevant_degree_or_graduate_diploma_as_required_by_the_person_specification
Optional All forms Question from the “Allied Health Professionals / Healthcare Scientists” question set
List of values in Appendix A
766 d1_please_state_your_gdc_registration_status
Optional All forms Question from the “Dental” question set
List of values in Appendix A
767 d2_please_select_your_royal_college Optional All forms Question from the “Dental” question set
List of values in Appendix A
768 d3_please_select_your_royal_college_membership_status
Optional All forms Question from the “Dental” question set
List of values in Appendix A
769 d4_are_you_currently_on_the_general_dental_councils_specialist_register_or_an_spr_due_to_obtain_a_relevant_cct_cesrcp_within_6_months_of_interview
Optional All forms Question from the “Dental” question set
Answer Yes or No
770 d4a_please_confirm_your_anticipated_cct_cesrcp_date
Optional All forms Question from the “Dental” question set
128
Version 1.1 Page 53 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
771 d5_have_you_had_an_imer_update_in_the_past_5_years
Optional All forms Question from the “Dental” question set
Answer Yes or No
772 Intentionally blank
773 Intentionally blank
774 s3_are_you_currently_bound_over_or_do_you_have_any_convictions_or_cautions_including_warnings_and_reprimands_which_are_not_deemed_protected_under_the_amendment_to_the_exceptions_order_1975_issued_by_a_court_or_court_martial_in_the_united_kingdom_or_in_any_other_country
Optional All forms Question from the “Safeguarding” question set
Answer Yes or No
775 s3a_if_yes_please_include_details_of_the_order_binding_you_over_and_or_the_nature_of_the_offence_the_penalty_sentence_or_order_of_the_court_and_the_date_and_place_of_the_court_hearing
Optional All forms Question from the “Safeguarding” question set
4000
776 s4_are_you_currently_bound_by_any_barring_decision_made_by_the_disclosure_and_barring_service_dbs_from_working_with_children
Optional All forms Question from the “Safeguarding” question set
Answer Yes or No
777 s5_are_you_currently_bound_by_any_barring_decision_made_by_the_disclosure_and_barring_service_dbs_from_working_with_vulnerable_adults
Optional All forms Question from the “Safeguarding” question set
Answer Yes or No
778 dv1_do_you_have_access_to_a_vehicle_which_can_be_used_for_work_purposes
Optional All forms Question from the “Driving” question set
Answer Yes or No
Version 1.1 Page 54 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
779 dv2_do_you_have_a_valid_driving_licence_for_the_uk
Optional All forms Question from the “Driving” question set
Answer Yes or No
780 dv3_please_specify_the_vehicle_categories_for_which_you_hold_a_licence
Optional All forms Question from the “Driving” question set
List of values in Appendix A
781 dv4_how_many_penalty_points_do_you_currently_have_on_your_driving_licence
Optional All forms Question from the “Driving” question set
List of values in Appendix A
782 dv4a_if_you_have_penalty_points_please_state_the_endorsement_offence_codes_and_the_date_of_issue
Optional All forms Question from the “Driving” question set
128
783 Intentionally blank
784 w2_can_you_speak_and_understand_spoken_welsh
Optional All forms Question from the “Welsh Language” question set
Answer Yes or No
785 w2a_please_select_the_level_that_best_fits_your_ability_to_speak_and_understand_spoken_welsh
Optional All forms Question from the “Welsh Language” question set
List of values in Appendix A
786 w3_can_you_read_welsh Optional All forms Question from the “Welsh Language” question set
Answer Yes or No
787 w3a_please_select_the_level_that_best_fits_your_ability_to_read_welsh
Optional All forms Question from the “Welsh Language” question set
List of values in Appendix A
788 w4_can_you_write_in_welsh Optional All forms Question from the “Welsh Language” question set
Answer Yes or No
Version 1.1 Page 55 of 167
Column Order
Field Name Required? Question on which form(s) Description Format Max Size
789 w4a_please_select_the_level_that_best_fits_your_ability_to_write_in_welsh
Optional All forms Question from the “Welsh Language” question set
List of values in Appendix A
790 i1_are_you_currently_employed_by_the_employer_advertising_this_vacancy
Optional All forms Question from the “Internal Vacancies” question set
Answer Yes or No
791 i1a_which_organisation_are_you_currently_employed_by
Optional All forms Question from the “Internal Vacancies” question set
128
792 i2_what_is_your_current_position_title Optional All forms Question from the “Internal Vacancies” question set
128
793 i3_which_is_your_current_department Optional All forms Question from the “Internal Vacancies” question set
128
794 i4_who_is_your_current_manager Optional All forms Question from the “Internal Vacancies” question set
128
795+ Organisation specific additional questions Optional All forms Any additional questions added by the organisation which are selected for the vacancy will be included in lines 795+.
Depends on answer type. Max = 4000
Version 1.1 Page 56 of 167
Table 2: Field definitions for SHORT CSV files for ‘new’ applications forms (3009, 3010 and 3012)
Note: Where the format column is empty, it can be assumed to be Text.
Column Order
Field Name Required? Question on which form(s)
Description Format Max Size
1 form_ref Mandatory All forms Identifies the version of the application form being used for a vacancy (note that all online applications for a vacancy must use the same form).
4
2 vpd_code Optional All forms The identifier used to identify the NHS employer within the ESR system or NHS Jobs system if ESR is not used.
3
3 employer_id Mandatory All forms This field may be ignored unless the vpd_code is missing. This field contains the unique identifier for the employer used within the NHS Jobs system. It is included for error resolution purposes only.
38
4 display_ref Mandatory All forms The reference used when displaying a job advert to an applicant or employer in NHS Jobs. This begins with the VPD code
26
5 orig_vacancy_name Mandatory All forms The original reference or name used to identify the vacancy to the recruiter. This value is the value given to NHS Jobs which is then converted into the display_ref.
26
6 erec_vac_ref Mandatory All forms This field may be ignored. This field contains the unique identifier for the job advert used within the NHS Jobs system. It is included for error resolution purposes only.
26
7 application_ref Optional All forms This field contains the unique identifier for the job application used within the NHS Jobs system. This identifier is included on printed copies of the application form. It is therefore visible to both applicants and recruiters.
15
Version 1.1 Page 57 of 167
Column Order
Field Name Required? Question on which form(s)
Description Format Max Size
8 applicant_id Optional All forms This field may be ignored. This field contains the unique identifier for the job applicant used within the NHS Jobs system. It is included for error resolution purposes only.
38
9 application_date_received Mandatory All forms The date when the application was submitted for the vacancies via the job advert.
dd/mm/yyyy 10
10 applicant_email_address Mandatory All forms The email address of the applicant. Email address 24011 application_status Optional All forms The status the application has got to in the
recruitment process (using the status visible to the organisation).
30
12 offline_application_reference Optional All offline forms The reference to an application in the case where the application was not entered online by the applicant. In the case where an applicant sends an offline or hard copy application then the employer records the reference and location of the offline application.
500
13 offline_application_location Optional All offline forms The location of an application in the case where the application was not entered online by the applicant. In the case where an applicant sends an offline or hard copy application then the employer records the reference and location of the offline application.
500
14 where_seen Optional All forms A value indicating the applicant’s selection of where they saw the job advert.
100
15 agree Mandatory All forms The applicant's agreement to the systems Acceptable Use Policy
3
16 title Optional All forms The applicant’s title as selected from the list of values on the form.
List of values in Appendix A
35
17 surname_family_name Mandatory All forms The applicant's surname 15018 first_name Mandatory All forms The applicant's first name 15019 middle_names Optional All forms The applicant's middle name(s) 60
Version 1.1 Page 58 of 167
Column Order
Field Name Required? Question on which form(s)
Description Format Max Size
20 name_in_which_you_are_registered_with_a_professional_body_if_applicable
Optional All forms The name used when the applicant registered, if different from your current name
150
21 uk_national_insurance_number Optional All forms The applicant’s United Kingdom National Insurance Number.
9
22 address_line_1 Optional All forms Line 1 of the applicant's address 24023 address_line_2 Optional All forms Line 2 of the applicant's address 24024 address_line_3 Optional All forms Line 3 of the applicant's address 24025 town_city Optional All forms The town or city of the applicant's address 3026 county_state Optional All forms The county or state of the applicant's address 3027 country Optional All forms The country of the applicant's address List of values in
Appendix A300
28 postcode_zip_code Optional All forms The postcode or zipcode of the applicant’s address.
20
29 home_telephone Optional All forms The applicant’s home telephone number. 6030 work_telephone Optional All forms The applicant’s work telephone number. 6031 mobile_telephone Optional All forms The applicant’s mobile telephone number. 6032 do_you_wish_to_receive_updates_by
_text_messageMandatory All forms The applicant’s confirmation that they wish to
receive updates by text message.List of values in Appendix A
30
33 preferred_telephone_number_to_be_contacted_on
Optional All forms The applicant’s response to ‘Preferred telephone number’.
List of values in Appendix A
6
34 are_you_a_united_kingdom_uk_european_community_ec_or_european_economic_area_eea_national
Mandatory All forms The applicant’s response to ‘Are you a United Kingdom (UK), European Community (EC) or European Economic Area (EEA) National?’
Answer either Yes or No
3
35 please_select_the_category_that_relates_to_your_current_immigration_status_this_status_will_be_subject_to_checking_before_interview
Optional All forms The applicant’s immigration status. List of values in Appendix A
44
36 if_other_please_provide_details_below
Optional All forms The applicant's immigration status if not contained in the list of values
500
37 visa_number Optional All forms Applicant's visa number 5038 start_date Optional All forms Start date of applicant's visa dd/mm/yyyy 10
Version 1.1 Page 59 of 167
Column Order
Field Name Required? Question on which form(s)
Description Format Max Size
39 expiry_date Optional All forms End date of applicant's visa dd/mm/yyyy 1040 does_your_visa_have_a_condition_re
stricting_employment_or_occupation_in_the_uk
Optional All forms The applicant’s response to ‘Does your visa have a condition restricting employment or occupation in the UK?’.
Answer either Yes or No
3
41 details_of_any_restrictions Optional All forms Details of any restrictions on the applicant's visa
500
42 are_you_an_nhs_professional_returning_to_practice
Optional Medical & Dental (3009) & Standard (3010) Only
The applicant’s response to ‘Are you an NHS Professional returning to practice?’.
Answer either Yes or No
3
43 please_indicate_your_professional_registration_status
Optional Medical & Dental (3009) & Standard (3010) Only
The applicant's answer to 'Please indicate your professional registration status'
List of values in Appendix A
85
44 professional_body_and_membership_1_of_2_professional_body_and_membership
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the first professional body listed on the application form.
List of values in Appendix A
100
45 professional_body_and_membership_1_of_2_if_other_please_provide_details_below
Optional Medical & Dental (3009) & Standard (3010) Only
500
46 professional_body_and_membership_1_of_2_membership_registration_number
Optional Medical & Dental (3009) & Standard (3010) Only
15
47 professional_body_and_membership_1_of_2_expiry_renewal_date
Optional Medical & Dental (3009) & Standard (3010) Only
mm/yyyy 7
48 professional_body_and_membership_2_of_2_professional_body_and_membership
Optional Medical & Dental (3009) & Standard (3010) Only
Details of the second professional body listed on the application form.
List of values in Appendix A
100
49 professional_body_and_membership_2_of_2_if_other_please_provide_details_below
Optional Medical & Dental (3009) & Standard (3010) Only
500
50 professional_body_and_membership_2_of_2_membership_registration_number
Optional Medical & Dental (3009) & Standard (3010) Only
15
51 professional_body_and_membership_2_of_2_expiry_renewal_date
Optional Medical & Dental (3009) & Standard (3010) Only
mm/yyyy 7
Version 1.1 Page 60 of 167
Column Order
Field Name Required? Question on which form(s)
Description Format Max Size
52 are_you_currently_the_subject_of_a_fitness_to_practise_investigation_or_proceedings_by_a_licensing_or_regulatory_body_in_the_uk_or_in_any_other_country
Optional Medical & Dental (3009) & Standard (3010) Only
Answer either Yes or No
3
53 if_applicable_please_provide_details_of_any_investigations_or_proceedings_you_may_be_subject_to
Optional Medical & Dental (3009) & Standard (3010) Only
500
54 have_you_ever_been_removed_from_the_register_or_have_conditions_or_undertakings_been_made_on_your_registration_by_a_fitness_to_practise_committee_or_the_licensing_or_regulatory_body_in_the_uk_or_in_any_other_country
Optional Medical & Dental (3009) & Standard (3010) Only
Answer either Yes or No
3
55 if_applicable_please_provide_details_of_any_conditions_or_undertakings_currently_applied_to_your_professional_registration
Optional Medical & Dental (3009) & Standard (3010) Only
500
56 in_your_current_or_any_previous_employment_have_you_had_restrictions_placed_on_your_clinical_practice_as_part_of_the_revalidation_process
Optional Medical & Dental (3009) Only
Answer either Yes or No
3
57 if_applicable_please_provide_details_of_any_restrictions_you_may_have
Optional Medical & Dental (3009) Only
500
58 please_confirm_what_you_believe_to_be_your_effective_start_date_of_continuous_nhs_service_if_applicable
Optional Medical & Dental (3009) Only
mm/yyyy 7
59 start_date_of_continuous_nhs_service_if_applicable
Optional Standard (3010) Only mm/yyyy 7
60 months_since_most_recent_employment_ended_if_applicable
Optional Medical & Dental (3009) & Standard (3010) Only
4
61 have_you_ever_worked_for_the_nhs Optional Short (3012) Only 3
Version 1.1 Page 61 of 167
Column Order
Field Name Required? Question on which form(s)
Description Format Max Size
62 current_most_recent_employer_reference_always_required_employer_name
Optional All forms Details for the current or most recent employer 240
63 current_most_recent_employer_reference_always_required_employer_address
Optional All forms 1150
64 current_most_recent_employer_reference_always_required_type_of_business
Optional Medical & Dental (3009) & Standard (3010) Only
150
65 current_most_recent_employer_reference_always_required_name_of_educational_or_clinical_supervisor
Optional Medical & Dental (3009) Only
240
66 current_most_recent_employer_reference_always_required_job_title
Optional Medical & Dental (3009) Only
240
67 current_most_recent_employer_reference_always_required_reporting_to_job_title
Optional Standard (3010) Only 240
68 current_most_recent_employer_reference_always_required_email
Optional Medical & Dental (3009) Only
Email address 240
69 current_most_recent_employer_reference_always_required_telephone
Optional Medical & Dental (3009) & Standard (3010) Only
150
70 current_most_recent_employer_reference_always_required_your_job_title
Optional All forms 240
71 current_most_recent_employer_reference_always_required_start_date
Optional All forms mm/yyyy 7
72 current_most_recent_employer_reference_always_required_end_date
Optional All forms mm/yyyy 7
73 current_most_recent_employer_reference_always_required_grade
Optional Medical & Dental (3009) & Standard (3010) Only
30
74 current_most_recent_employer_reference_always_required_salary
Optional Medical & Dental (3009) & Standard (3010) Only
30
Version 1.1 Page 62 of 167
Column Order
Field Name Required? Question on which form(s)
Description Format Max Size
75 current_most_recent_employer_reference_always_required_specialty
Optional Medical & Dental (3009) Only
50
76 current_most_recent_employer_reference_always_required_sub_specialty_if_applicable
Optional Medical & Dental (3009) Only
50
77 current_most_recent_employer_reference_always_required_hospital_base
Optional Medical & Dental (3009) Only
240
78 current_most_recent_employer_reference_always_required_contract_type
Optional Medical & Dental (3009) Only
List of values in Appendix A
24
79 current_most_recent_employer_reference_always_required_if_other_please_provide_details_below
Optional Medical & Dental (3009) Only
150
80 current_most_recent_employer_reference_always_required_contract_duration_months
Optional Medical & Dental (3009) Only
10
81 current_most_recent_employer_reference_always_required_period_of_notice
Optional Standard (3010) Only 100
82 current_most_recent_employer_reference_always_required_reason_for_leaving_if_applicable
Optional All forms 400
83 current_most_recent_employer_reference_always_required_brief_description_of_your_duties_and_responsibilities
Optional All forms 4000
84 referee_1_of_10_type_of_reference Optional All forms Details of the applicant's first referee List of values in Appendix A
11
85 referee_1_of_10_email Optional All forms Email address 15086 referee_1_of_10_title Optional All forms 3587 referee_1_of_10_surname_family_na
meOptional All forms 30
88 referee_1_of_10_first_name Optional All forms 3089 referee_1_of_10_relationship Optional All forms 100090 referee_1_of_10_employer_name Optional All forms 240
Version 1.1 Page 63 of 167
Column Order
Field Name Required? Question on which form(s)
Description Format Max Size
91 referee_1_of_10_referee_job_title Optional All forms 4092 referee_1_of_10_address_line_1 Optional All forms 24093 referee_1_of_10_address_line_2 Optional All forms 24094 referee_1_of_10_address_line_3 Optional All forms 24095 referee_1_of_10_town_city Optional All forms 3096 referee_1_of_10_county_state Optional All forms 3097 referee_1_of_10_country Optional All forms 30098 referee_1_of_10_postcode_zip_code Optional All forms 2099 referee_1_of_10_telephone Optional All forms 20
100 referee_1_of_10_fax Optional All forms 150101 referee_1_of_10_can_the_referee_be
_approached_prior_to_interviewOptional All forms Answer either
Yes or No3
102 referee_2_of_10_type_of_reference Optional All forms Details of the applicant's second referee List of values in Appendix A
11
103 referee_2_of_10_email Optional All forms Email address 150104 referee_2_of_10_title Optional All forms 35105 referee_2_of_10_surname_family_na
meOptional All forms 30
106 referee_2_of_10_first_name Optional All forms 30107 referee_2_of_10_relationship Optional All forms 1000108 referee_2_of_10_employer_name Optional All forms 240109 referee_2_of_10_referee_job_title Optional All forms 40110 referee_2_of_10_address_line_1 Optional All forms 240111 referee_2_of_10_address_line_2 Optional All forms 240112 referee_2_of_10_address_line_3 Optional All forms 240113 referee_2_of_10_town_city Optional All forms 30114 referee_2_of_10_county_state Optional All forms 30115 referee_2_of_10_country Optional All forms 300
Version 1.1 Page 64 of 167
Column Order
Field Name Required? Question on which form(s)
Description Format Max Size
116 referee_2_of_10_postcode_zip_code Optional All forms 20117 referee_2_of_10_telephone Optional All forms 20118 referee_2_of_10_fax Optional All forms 150119 referee_2_of_10_can_the_referee_be
_approached_prior_to_interviewOptional All forms Answer either
Yes or No3
120 referee_3_of_10_type_of_reference Optional All forms Details of the applicant's third referee List of values in Appendix A
11
121 referee_3_of_10_email Optional All forms Email address 150122 referee_3_of_10_title Optional All forms 35123 referee_3_of_10_surname_family_na
meOptional All forms 30
124 referee_3_of_10_first_name Optional All forms 30125 referee_3_of_10_relationship Optional All forms 1000126 referee_3_of_10_employer_name Optional All forms 240127 referee_3_of_10_referee_job_title Optional All forms 40128 referee_3_of_10_address_line_1 Optional All forms 240129 referee_3_of_10_address_line_2 Optional All forms 240130 referee_3_of_10_address_line_3 Optional All forms 240131 referee_3_of_10_town_city Optional All forms 30132 referee_3_of_10_county_state Optional All forms 30133 referee_3_of_10_country Optional All forms 300134 referee_3_of_10_postcode_zip_code Optional All forms 20135 referee_3_of_10_telephone Optional All forms 20136 referee_3_of_10_fax Optional All forms 150137 referee_3_of_10_can_the_referee_be
_approached_prior_to_interviewOptional All forms Answer either
Yes or No3
138 referee_4_of_10_type_of_reference Optional All forms Details of the applicant's fourth referee List of values in Appendix A
11
139 referee_4_of_10_email Optional All forms Email address 150
Version 1.1 Page 65 of 167
Column Order
Field Name Required? Question on which form(s)
Description Format Max Size
140 referee_4_of_10_title Optional All forms 35141 referee_4_of_10_surname_family_na
meOptional All forms 30
142 referee_4_of_10_first_name Optional All forms 30143 referee_4_of_10_relationship Optional All forms 1000144 referee_4_of_10_employer_name Optional All forms 240145 referee_4_of_10_referee_job_title Optional All forms 40146 referee_4_of_10_address_line_1 Optional All forms 240147 referee_4_of_10_address_line_2 Optional All forms 240148 referee_4_of_10_address_line_3 Optional All forms 240149 referee_4_of_10_town_city Optional All forms 30150 referee_4_of_10_county_state Optional All forms 30151 referee_4_of_10_country Optional All forms 300152 referee_4_of_10_postcode_zip_code Optional All forms 20153 referee_4_of_10_telephone Optional All forms 20154 referee_4_of_10_fax Optional All forms 150155 referee_4_of_10_can_the_referee_be
_approached_prior_to_interviewOptional All forms Answer either
Yes or No3
156 referee_5_of_10_type_of_reference Optional All forms Details of the applicant's fifth referee List of values in Appendix A
11
157 referee_5_of_10_email Optional All forms Email address 150
158 referee_5_of_10_title Optional All forms 35
159 referee_5_of_10_surname_family_name
Optional All forms 30
160 referee_5_of_10_first_name Optional All forms 30
161 referee_5_of_10_relationship Optional All forms 1000
Version 1.1 Page 66 of 167
Column Order
Field Name Required? Question on which form(s)
Description Format Max Size
162 referee_5_of_10_employer_name Optional All forms 240
163 referee_5_of_10_referee_job_title Optional All forms 40
164 referee_5_of_10_address_line_1 Optional All forms 240
165 referee_5_of_10_address_line_2 Optional All forms 240
166 referee_5_of_10_address_line_3 Optional All forms 240
167 referee_5_of_10_town_city Optional All forms 30
168 referee_5_of_10_county_state Optional All forms 30
169 referee_5_of_10_country Optional All forms 300
170 referee_5_of_10_postcode_zip_code Optional All forms 20
171 referee_5_of_10_telephone Optional All forms 20
172 referee_5_of_10_fax Optional All forms 150
173 referee_5_of_10_can_the_referee_be_approached_prior_to_interview
Optional All forms Answer either Yes or No
3
174 preferred_employment_type Optional Medical & Dental (3009) & Standard (3010) Only
Applicant's preferred employment type List of values in Appendix A
59
Version 1.1 Page 67 of 167
Table 3: Field definitions for LONG CSV and XML files for ‘old’ applications forms (2001 and 2002)
Note: Where the format column is empty, it can be assumed to be Text.
Column Order Field Name Required?Question on which form(s) Description Format Max Size
1 form_ref Mandatory All forms
Identifies the version of the application form being used for a vacancy (note that all online applications for a vacancy must use the same form). 4
2 vpd_code Optional All forms
The identifier used to identify the NHS employer within the ESR system or NHS Jobs system if ESR is not used. 3
3 employer_id Mandatory All forms
This field may be ignored unless the vpd_code is missing. This field contains the unique identifier for the employer used within the NHS Jobs system. It is included for error resolution purposes only. 38
4 display_ref Mandatory All forms
The reference used when displaying a job advert to an applicant or employer in NHS Jobs. This begins with the VPD code 26
5 orig_vacancy_name Mandatory All forms
The original reference or name used to identify the vacancy to the recruiter. This value is the value given to NHS Jobs which is then converted into the display_ref. 26
Version 1.1 Page 68 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
6 erec_vac_ref Mandatory All forms
This field may be ignored. This field contains the unique identifier for the job advert used within the NHS Jobs system. It is included for error resolution purposes only. 26
7 application_ref Optional All forms
This field contains the unique identifier for the job application used within the NHS Jobs system. This identifier is included on printed copies of the application form. It is therefore visible to both applicants and recruiters. 15
8 applicant_id Optional All forms
This field may be ignored. This field contains the unique identifier for the job applicant used within the NHS Jobs system. It is included for error resolution purposes only. 38
9 application_date_received Mandatory All forms
The date when the application was submitted for the vacancies via the job advert. dd/mm/yyyy 10
10 applicant_email_address Mandatory All forms The email address of the applicant. Email address 240
11 application_status Optional All forms
The status the application has got to in the recruitment process (using the status visible to the organisation). 30
12 offline_application_reference Optional All forms
The reference to an application in the case where the application was not entered online by the applicant. In the case where an applicant sends an offline or hard copy application then the employer records the reference and location of the offline application. 500
Version 1.1 Page 69 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
13 offline_application_location Optional All forms
The location of an application in the case where the application was not entered online by the applicant. In the case where an applicant sends an offline or hard copy application then the employer records the reference and location of the offline application. 500
14 where_seen Optional All forms
A value indicating the applicant’s selection of where they saw the job advert. 100
15 agree Mandatory All formsThe applicant's agreement to the systems Acceptable Use Policy 3
16 title Optional All formsThe applicant’s title as selected from the list of values on the form.
List of values in Appendix A 35
17 surname_family_name Mandatory All forms The applicant's surname 15018 first_name Mandatory All forms The applicant's first name 15019 middle_names Optional All forms The applicant's middle name(s) 60
20name_in_which_you_are_registered_with_a_professional_body_if_applicable Optional All forms
The name used when the applicant registered, if different from your current name 150
21 uk_national_insurance_number Optional All formsThe applicant’s United Kingdom National Insurance Number. 9
22 address_line_1 Optional All forms Line 1 of the applicant's address 24023 address_line_2 Optional All forms Line 2 of the applicant's address 24024 address_line_3 Optional All forms Line 3 of the applicant's address 240
25 town_city Optional All formsThe town or city of the applicant's address 30
26 county_state Optional All formsThe county or state of the applicant's address 30
27 country Optional All formsThe country of the applicant's address
List of values in Appendix A 300
Version 1.1 Page 70 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
28 postcode_zip_code Optional All formsThe postcode or zipcode of the applicant’s address. 20
29 home_telephone Optional All formsThe applicant’s home telephone number. 60
30 work_telephone Optional All formsThe applicant’s work telephone number. 60
31 mobile_telephone Optional All formsThe applicant’s mobile telephone number. 60
32 may_we_contact_you_at_work Optional All formsApplicant's answer to 'May we contact you at work?'
Answer Yes or No 3
33
are_you_a_united_kingdom_uk_european_community_ec_or_european_economic_area_eea_national Mandatory All forms
The applicant’s response to ‘Are you a United Kingdom (UK), European Community (EC) or European Economic Area (EEA) National?’
Answer Yes or No 3
34
please_select_the_category_that_relates_to_your_current_immigration_status_this_status_will_be_subject_to_checking_before_interview Optional All forms The applicant’s immigration status.
List of values in Appendix A 44
35 if_other_please_provide_details_below Optional All formsThe applicant's immigration status if not contained in the list of values 500
36does_your_visa_have_a_condition_restricting_employment_or_occupation_in_the_uk Optional All forms
The applicant’s response to ‘Does your visa have a condition restricting employment or occupation in the UK?’.
Answer Yes or No 3
37
please_supply_details_of_any_visa_currently_held_number_start_expiry_dates_and_details_of_any_restrictions Optional All forms The applicant's visa information 500
38are_you_a_department_of_work_and_pensions_new_deal_candidate Optional
Standard (2001) Only
The applicant’s response to ‘Are you a department of work and pensions new deal candidate?’.
Answer Yes or No 3
39are_you_an_nhs_professional_returning_to_practice Optional
Standard (2001) Only
The applicant’s response to ‘Are you an NHS Professional returning to practice?’.
Answer Yes or No 3
Version 1.1 Page 71 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
40 do_you_currently_work_in_the_nhs Optional All formsThe applicant’s response to ‘Do you currently work in the NHS?’. 3
41
if_you_have_a_disability_do_you_require_any_reasonable_adjustments_to_be_made_during_the_recruitment_process_including_interview Optional All forms
Applicant's comment regarding need for adjustments due to disability 3
42 if_so_please_give_details Optional All forms Applicant's details of disability 1000
43
if_you_have_a_disability_do_you_wish_to_be_considered_under_the_guaranteed_interview_scheme_if_you_meet_the_minimum_criteria_as_specified_in_the_personal_specification Optional All forms
Applicant's decision as to whether to be considered under the guaranteed interview scheme
Answer Yes or No 3
44essential_qualification_1_of_5_subject_qualification Optional
Medical & Dental (2002) Only
Applicant's first essential qualification 120
45 essential_qualification_1_of_5_place_of_study Optional
Medical & Dental (2002) Only 160
46 essential_qualification_1_of_5_grade_result Optional
Medical & Dental (2002) Only 100
47 essential_qualification_1_of_5_year_obtained Optional
Medical & Dental (2002) Only yyyy 4
48essential_qualification_1_of_5_prizes_or_other_academic_distinctions Optional
Medical & Dental (2002) Only 150
49essential_qualification_2_of_5_subject_qualification Optional
Medical & Dental (2002) Only
Applicant's essential qualifications (1-5) 120
50 essential_qualification_2_of_5_place_of_study Optional
Medical & Dental (2002) Only 160
51 essential_qualification_2_of_5_grade_result Optional
Medical & Dental (2002) Only 100
Version 1.1 Page 72 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
52 essential_qualification_2_of_5_year_obtained Optional
Medical & Dental (2002) Only yyyy 4
53essential_qualification_2_of_5_prizes_or_other_academic_distinctions Optional
Medical & Dental (2002) Only 150
54essential_qualification_3_of_5_subject_qualification Optional
Medical & Dental (2002) Only 120
55 essential_qualification_3_of_5_place_of_study Optional
Medical & Dental (2002) Only 160
56 essential_qualification_3_of_5_grade_result Optional
Medical & Dental (2002) Only 100
57 essential_qualification_3_of_5_year_obtained Optional
Medical & Dental (2002) Only yyyy 4
58essential_qualification_3_of_5_prizes_or_other_academic_distinctions Optional
Medical & Dental (2002) Only 150
59essential_qualification_4_of_5_subject_qualification Optional
Medical & Dental (2002) Only 120
60 essential_qualification_4_of_5_place_of_study Optional
Medical & Dental (2002) Only 160
61 essential_qualification_4_of_5_grade_result Optional
Medical & Dental (2002) Only 100
62 essential_qualification_4_of_5_year_obtained Optional
Medical & Dental (2002) Only yyyy 4
63essential_qualification_4_of_5_prizes_or_other_academic_distinctions Optional
Medical & Dental (2002) Only 150
Version 1.1 Page 73 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
64essential_qualification_5_of_5_subject_qualification Optional
Medical & Dental (2002) Only 120
65 essential_qualification_5_of_5_place_of_study Optional
Medical & Dental (2002) Only 160
66 essential_qualification_5_of_5_grade_result Optional
Medical & Dental (2002) Only 100
67 essential_qualification_5_of_5_year_obtained Optional
Medical & Dental (2002) Only yyyy 4
68essential_qualification_5_of_5_prizes_or_other_academic_distinctions Optional
Medical & Dental (2002) Only 150
69desirable_qualification_1_of_6_subject_qualification Optional
Medical & Dental (2002) Only
Applicant's desirable qualifications (1-6) 120
70 desirable_qualification_1_of_6_place_of_study Optional
Medical & Dental (2002) Only 160
71 desirable_qualification_1_of_6_grade_result Optional
Medical & Dental (2002) Only 100
72 desirable_qualification_1_of_6_year_obtained Optional
Medical & Dental (2002) Only yyyy 4
73desirable_qualification_1_of_6_prizes_or_other_academic_distinctions Optional
Medical & Dental (2002) Only 150
74desirable_qualification_2_of_6_subject_qualification Optional
Medical & Dental (2002) Only 120
75 desirable_qualification_2_of_6_place_of_study Optional
Medical & Dental (2002) Only 160
Version 1.1 Page 74 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
76 desirable_qualification_2_of_6_grade_result Optional
Medical & Dental (2002) Only 100
77 desirable_qualification_2_of_6_year_obtained Optional
Medical & Dental (2002) Only yyyy 4
78desirable_qualification_2_of_6_prizes_or_other_academic_distinctions Optional
Medical & Dental (2002) Only 150
79desirable_qualification_3_of_6_subject_qualification Optional
Medical & Dental (2002) Only 120
80 desirable_qualification_3_of_6_place_of_study Optional
Medical & Dental (2002) Only 160
81 desirable_qualification_3_of_6_grade_result Optional
Medical & Dental (2002) Only 100
82 desirable_qualification_3_of_6_year_obtained Optional
Medical & Dental (2002) Only yyyy 4
83desirable_qualification_3_of_6_prizes_or_other_academic_distinctions Optional
Medical & Dental (2002) Only 150
84desirable_qualification_4_of_6_subject_qualification Optional
Medical & Dental (2002) Only 120
85 desirable_qualification_4_of_6_place_of_study Optional
Medical & Dental (2002) Only 160
86 desirable_qualification_4_of_6_grade_result Optional
Medical & Dental (2002) Only 100
87 desirable_qualification_4_of_6_year_obtained Optional
Medical & Dental (2002) Only yyyy 4
Version 1.1 Page 75 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
88desirable_qualification_4_of_6_prizes_or_other_academic_distinctions Optional
Medical & Dental (2002) Only 150
89desirable_qualification_5_of_6_subject_qualification Optional
Medical & Dental (2002) Only 120
90 desirable_qualification_5_of_6_place_of_study Optional
Medical & Dental (2002) Only 160
91 desirable_qualification_5_of_6_grade_result Optional
Medical & Dental (2002) Only 100
92 desirable_qualification_5_of_6_year_obtained Optional
Medical & Dental (2002) Only yyyy 4
93desirable_qualification_5_of_6_prizes_or_other_academic_distinctions Optional
Medical & Dental (2002) Only 150
94desirable_qualification_6_of_6_subject_qualification Optional
Medical & Dental (2002) Only 120
95 desirable_qualification_6_of_6_place_of_study Optional
Medical & Dental (2002) Only 160
96 desirable_qualification_6_of_6_grade_result Optional
Medical & Dental (2002) Only 100
97 desirable_qualification_6_of_6_year_obtained Optional
Medical & Dental (2002) Only yyyy 4
98desirable_qualification_6_of_6_prizes_or_other_academic_distinctions Optional
Medical & Dental (2002) Only 150
99education_professional_qualification_1_of_11_subject_qualification Optional
Standard (2001) Only
Applicants professional qualifications (1-11) 120
Version 1.1 Page 76 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
100education_professional_qualification_1_of_11_place_of_study Optional
Standard (2001) Only 160
101education_professional_qualification_1_of_11_grade_result Optional
Standard (2001) Only 100
102education_professional_qualification_1_of_11_year_obtained Optional
Standard (2001) Only yyyy 4
103education_professional_qualification_2_of_11_subject_qualification Optional
Standard (2001) Only 120
104education_professional_qualification_2_of_11_place_of_study Optional
Standard (2001) Only 160
105education_professional_qualification_2_of_11_grade_result Optional
Standard (2001) Only 100
106education_professional_qualification_2_of_11_year_obtained Optional
Standard (2001) Only yyyy 4
107education_professional_qualification_3_of_11_subject_qualification Optional
Standard (2001) Only 120
108education_professional_qualification_3_of_11_place_of_study Optional
Standard (2001) Only 160
109education_professional_qualification_3_of_11_grade_result Optional
Standard (2001) Only 100
110education_professional_qualification_3_of_11_year_obtained Optional
Standard (2001) Only yyyy 4
111education_professional_qualification_4_of_11_subject_qualification Optional
Standard (2001) Only 120
112education_professional_qualification_4_of_11_place_of_study Optional
Standard (2001) Only 160
113education_professional_qualification_4_of_11_grade_result Optional
Standard (2001) Only 100
114education_professional_qualification_4_of_11_year_obtained Optional
Standard (2001) Only yyyy 4
115education_professional_qualification_5_of_11_subject_qualification Optional
Standard (2001) Only 120
Version 1.1 Page 77 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
116education_professional_qualification_5_of_11_place_of_study Optional
Standard (2001) Only 160
117education_professional_qualification_5_of_11_grade_result Optional
Standard (2001) Only 100
118education_professional_qualification_5_of_11_year_obtained Optional
Standard (2001) Only yyyy 4
119education_professional_qualification_6_of_11_subject_qualification Optional
Standard (2001) Only 120
120education_professional_qualification_6_of_11_place_of_study Optional
Standard (2001) Only 160
121education_professional_qualification_6_of_11_grade_result Optional
Standard (2001) Only 100
122education_professional_qualification_6_of_11_year_obtained Optional
Standard (2001) Only yyyy 4
123education_professional_qualification_7_of_11_subject_qualification Optional
Standard (2001) Only 120
124education_professional_qualification_7_of_11_place_of_study Optional
Standard (2001) Only 160
125education_professional_qualification_7_of_11_grade_result Optional
Standard (2001) Only 100
126education_professional_qualification_7_of_11_year_obtained Optional
Standard (2001) Only yyyy 4
127education_professional_qualification_8_of_11_subject_qualification Optional
Standard (2001) Only 120
128education_professional_qualification_8_of_11_place_of_study Optional
Standard (2001) Only 160
129education_professional_qualification_8_of_11_grade_result Optional
Standard (2001) Only 100
130education_professional_qualification_8_of_11_year_obtained Optional
Standard (2001) Only yyyy 4
131education_professional_qualification_9_of_11_subject_qualification Optional
Standard (2001) Only 120
Version 1.1 Page 78 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
132education_professional_qualification_9_of_11_place_of_study Optional
Standard (2001) Only 160
133education_professional_qualification_9_of_11_grade_result Optional
Standard (2001) Only 100
134education_professional_qualification_9_of_11_year_obtained Optional
Standard (2001) Only yyyy 4
135education_professional_qualification_10_of_11_subject_qualification Optional
Standard (2001) Only 120
136education_professional_qualification_10_of_11_place_of_study Optional
Standard (2001) Only 160
137education_professional_qualification_10_of_11_grade_result Optional
Standard (2001) Only 100
138education_professional_qualification_10_of_11_year_obtained Optional
Standard (2001) Only yyyy 4
139education_professional_qualification_11_of_11_subject_qualification Optional
Standard (2001) Only 120
140education_professional_qualification_11_of_11_place_of_study Optional
Standard (2001) Only 160
141education_professional_qualification_11_of_11_grade_result Optional
Standard (2001) Only 100
142education_professional_qualification_11_of_11_year_obtained Optional
Standard (2001) Only yyyy 4
143 training_courses_attended_1_of_7_course_title Optional All forms Applicants training courses (1-7) 80
144training_courses_attended_1_of_7_training_provider Optional All forms 80
145 training_courses_attended_1_of_7_duration Optional All forms 100
146training_courses_attended_1_of_7_year_obtained Optional All forms yyyy 4
147 training_courses_attended_2_of_7_course_title Optional All forms 80
148training_courses_attended_2_of_7_training_provider Optional All forms 80
149 training_courses_attended_2_of_7_duration Optional All forms 100
Version 1.1 Page 79 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
150training_courses_attended_2_of_7_year_obtained Optional All forms yyyy 4
151 training_courses_attended_3_of_7_course_title Optional All forms 80
152training_courses_attended_3_of_7_training_provider Optional All forms 80
153 training_courses_attended_3_of_7_duration Optional All forms 100
154training_courses_attended_3_of_7_year_obtained Optional All forms yyyy 4
155 training_courses_attended_4_of_7_course_title Optional All forms 80
156training_courses_attended_4_of_7_training_provider Optional All forms 80
157 training_courses_attended_4_of_7_duration Optional All forms 100
158training_courses_attended_4_of_7_year_obtained Optional All forms yyyy 4
159 training_courses_attended_5_of_7_course_title Optional All forms 80
160training_courses_attended_5_of_7_training_provider Optional All forms 80
161 training_courses_attended_5_of_7_duration Optional All forms 100
162training_courses_attended_5_of_7_year_obtained Optional All forms yyyy 4
163 training_courses_attended_6_of_7_course_title Optional All forms 80
164training_courses_attended_6_of_7_training_provider Optional All forms 80
165 training_courses_attended_6_of_7_duration Optional All forms 100
166training_courses_attended_6_of_7_year_obtained Optional All forms yyyy 4
167 training_courses_attended_7_of_7_course_title Optional All forms 80
168training_courses_attended_7_of_7_training_provider Optional All forms 80
169 training_courses_attended_7_of_7_duration Optional All forms 100
170training_courses_attended_7_of_7_year_obtained Optional All forms yyyy 4
Version 1.1 Page 80 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
171please_indicate_your_uk_professional_registration_status Optional All forms
The applicant's answer to 'Please indicate your professional registration status'
List of values in Appendix A 57
172
if_the_name_under_which_you_are_registered_is_different_from_your_current_name_please_give_details Optional
Medical & Dental (2002) Only
The name used when the applicant registered, if different from your current name 150
173 do_you_have_a_cct Optional
Medical & Dental (2002) Only
The applicant’s response to ‘Do you have a CCT?’.
Answer Yes or No 3
174 if_not_what_is_your_anticipated_cct_date Optional
Medical & Dental (2002) Only
The applicant’s response to ‘If not, what is your anticipated CCT date?’. dd/mm/yyyy 10
175professional_body_and_membership_1_of_2_professional_body_and_membership Optional All forms
Applicant's professional body membership 1
List of values in Appendix A 100
176professional_body_and_membership_1_of_2_if_other_please_provide_details_below Optional All forms 500
177professional_body_and_membership_1_of_2_membership_registration_pin_number Optional All forms 15
178professional_body_and_membership_1_of_2_expiry_renewal_date Optional All forms mm/yyyy 7
179professional_body_and_membership_2_of_2_professional_body_and_membership Optional All forms
Applicant's professional body membership 2
List of values in Appendix A 100
180professional_body_and_membership_2_of_2_if_other_please_provide_details_below Optional All forms 500
181professional_body_and_membership_2_of_2_membership_registration_pin_number Optional All forms 15
182professional_body_and_membership_2_of_2_expiry_renewal_date Optional All forms mm/yyyy 7
183
are_you_currently_the_subject_of_a_fitness_to_practise_investigation_or_proceedings_by_a_licensing_or_regulatory_body_in_the_uk_or_in_any_other_country Optional All forms
The applicant’s response to ‘Are you currently the subject of a fitness to practise investigation or proceedings by a licensing or regulatory body in the UK or in any other country?’.
Answer Yes or No 3
Version 1.1 Page 81 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
184
have_you_been_removed_from_the_register_or_have_conditions_been_made_on_your_registration_by_a_fitness_to_practise_committee_or_the_licensing_or_regulatory_body_in_the_uk_or_in_any_other_country Optional All forms
The applicant’s response to ‘Have you been removed from the register or have conditions been made on your registration by a fitness to practise committee or the licensing or regulatory body in the UK or in any other country?’.
Answer Yes or No 3
185if_applicable_please_provide_details_of_any_conditions_restrictions_you_may_have All forms Applicant's restrictions, if any
186 employer_name Optional All formsDetails for the current or most recent employer 240
187 employer_address Optional All forms 4000188 type_of_business Optional All forms 150
189 reporting_to_job_title OptionalStandard (2001) Only 240
190 telephone_number Optional All forms 150191 job_title Optional All forms 240192 start_date Optional All forms mm/yyyy 7193 end_date_if_applicable Optional All forms mm/yyyy 7
194start_date_of_continuous_nhs_service_if_applicable Optional All forms mm/yyyy 7
195 grade Optional All forms 30196 salary Optional All forms 30
197 specialty Optional
Medical & Dental (2002) Only 150
198 job_type Optional
Medical & Dental (2002) Only 100
199 period_of_notice OptionalStandard (2001) Only 100
200 reason_for_leaving_if_applicable Optional All forms 150
Version 1.1 Page 82 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
201brief_description_of_your_duties_and_responsibilities Optional All forms 4000
202 previous_employer_1_of_10_employer_name Optional All formsDetails for the first previous employer 240
203 previous_employer_1_of_10_employer_address Optional All forms 4000204 previous_employer_1_of_10_from Optional All forms mm/yyyy 7205 previous_employer_1_of_10_to Optional All forms mm/yyyy 7206 previous_employer_1_of_10_grade Optional All forms 150
207 previous_employer_1_of_10_specialty Optional
Medical & Dental (2002) Only 150
208 previous_employer_1_of_10_job_type Optional
Medical & Dental (2002) Only 100
209 previous_employer_1_of_10_reason_for_leaving OptionalStandard (2001) Only 150
210previous_employer_1_of_10_brief_description_of_duties_and_responsibilities Optional
Standard (2001) Only 4000
211 previous_employer_1_of_10_job_title Optional All forms 240
212 previous_employer_2_of_10_employer_name Optional All formsDetails for the second previous employer 240
213 previous_employer_2_of_10_employer_address Optional All forms 4000214 previous_employer_2_of_10_from Optional All forms mm/yyyy 7215 previous_employer_2_of_10_to Optional All forms mm/yyyy 7216 previous_employer_2_of_10_grade Optional All forms 150
217 previous_employer_2_of_10_specialty Optional
Medical & Dental (2002) Only 150
218 previous_employer_2_of_10_job_type Optional
Medical & Dental (2002) Only 100
Version 1.1 Page 83 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
219 previous_employer_2_of_10_reason_for_leaving OptionalStandard (2001) Only 150
220previous_employer_2_of_10_brief_description_of_duties_and_responsibilities Optional
Standard (2001) Only 4000
221 previous_employer_2_of_10_job_title Optional All forms 240
222 previous_employer_3_of_10_employer_name Optional All formsDetails for the third previous employer 240
223 previous_employer_3_of_10_employer_address Optional All forms 4000224 previous_employer_3_of_10_from Optional All forms mm/yyyy 7225 previous_employer_3_of_10_to Optional All forms mm/yyyy 7226 previous_employer_3_of_10_grade Optional All forms 150
227 previous_employer_3_of_10_specialty Optional
Medical & Dental (2002) Only 150
228 previous_employer_3_of_10_job_type Optional
Medical & Dental (2002) Only 100
229 previous_employer_3_of_10_reason_for_leaving OptionalStandard (2001) Only 150
230previous_employer_3_of_10_brief_description_of_duties_and_responsibilities Optional
Standard (2001) Only 4000
231 previous_employer_3_of_10_job_title Optional All forms 240
232 previous_employer_4_of_10_employer_name Optional All formsDetails for the fourth previous employer 240
233 previous_employer_4_of_10_employer_address Optional All forms 4000234 previous_employer_4_of_10_from Optional All forms mm/yyyy 7235 previous_employer_4_of_10_to Optional All forms mm/yyyy 7236 previous_employer_4_of_10_grade Optional All forms 150
237 previous_employer_4_of_10_specialty Optional
Medical & Dental (2002) Only 150
Version 1.1 Page 84 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
238 previous_employer_4_of_10_job_type Optional
Medical & Dental (2002) Only 100
239 previous_employer_4_of_10_reason_for_leaving OptionalStandard (2001) Only 150
240previous_employer_4_of_10_brief_description_of_duties_and_responsibilities Optional
Standard (2001) Only 4000
241 previous_employer_4_of_10_job_title Optional All forms 240
242 previous_employer_5_of_10_employer_name Optional All formsDetails for the fifth previous employer 240
243 previous_employer_5_of_10_employer_address Optional All forms 4000244 previous_employer_5_of_10_from Optional All forms mm/yyyy 7245 previous_employer_5_of_10_to Optional All forms mm/yyyy 7246 previous_employer_5_of_10_grade Optional All forms 150
247 previous_employer_5_of_10_specialty Optional
Medical & Dental (2002) Only 150
248 previous_employer_5_of_10_job_type Optional
Medical & Dental (2002) Only 100
249 previous_employer_5_of_10_reason_for_leaving OptionalStandard (2001) Only 150
250previous_employer_5_of_10_brief_description_of_duties_and_responsibilities Optional
Standard (2001) Only 4000
251 previous_employer_5_of_10_job_title Optional All forms 240
252 previous_employer_6_of_10_employer_name Optional All formsDetails for the sixth previous employer 240
253 previous_employer_6_of_10_employer_address Optional All forms 4000254 previous_employer_6_of_10_from Optional All forms mm/yyyy 7255 previous_employer_6_of_10_to Optional All forms mm/yyyy 7256 previous_employer_6_of_10_grade Optional All forms 150
Version 1.1 Page 85 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
257 previous_employer_6_of_10_specialty Optional
Medical & Dental (2002) Only 150
258 previous_employer_6_of_10_job_type Optional
Medical & Dental (2002) Only 100
259 previous_employer_6_of_10_reason_for_leaving OptionalStandard (2001) Only 150
260previous_employer_6_of_10_brief_description_of_duties_and_responsibilities Optional
Standard (2001) Only 4000
261 previous_employer_6_of_10_job_title Optional All forms 240
262 previous_employer_7_of_10_employer_name Optional All formsDetails for the seventh previous employer 240
263 previous_employer_7_of_10_employer_address Optional All forms 4000264 previous_employer_7_of_10_from Optional All forms mm/yyyy 7265 previous_employer_7_of_10_to Optional All forms mm/yyyy 7266 previous_employer_7_of_10_grade Optional All forms 150
267 previous_employer_7_of_10_specialty Optional
Medical & Dental (2002) Only 150
268 previous_employer_7_of_10_job_type Optional
Medical & Dental (2002) Only 100
269 previous_employer_7_of_10_reason_for_leaving OptionalStandard (2001) Only 150
270previous_employer_7_of_10_brief_description_of_duties_and_responsibilities Optional
Standard (2001) Only 4000
271 previous_employer_7_of_10_job_title Optional All forms 240
272 previous_employer_8_of_10_employer_name Optional All formsDetails for the eighth previous employer 240
273 previous_employer_8_of_10_employer_address Optional All forms 4000274 previous_employer_8_of_10_from Optional All forms mm/yyyy 7
Version 1.1 Page 86 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
275 previous_employer_8_of_10_to Optional All forms mm/yyyy 7276 previous_employer_8_of_10_grade Optional All forms 150
277 previous_employer_8_of_10_specialty Optional
Medical & Dental (2002) Only 150
278 previous_employer_8_of_10_job_type Optional
Medical & Dental (2002) Only 100
279 previous_employer_8_of_10_reason_for_leaving OptionalStandard (2001) Only 150
280previous_employer_8_of_10_brief_description_of_duties_and_responsibilities Optional
Standard (2001) Only 4000
281 previous_employer_8_of_10_job_title Optional All forms 240
282 previous_employer_9_of_10_employer_name Optional All formsDetails for the ninth previous employer 240
283 previous_employer_9_of_10_employer_address Optional All forms 4000284 previous_employer_9_of_10_from Optional All forms mm/yyyy 7285 previous_employer_9_of_10_to Optional All forms mm/yyyy 7286 previous_employer_9_of_10_grade Optional All forms 150
287 previous_employer_9_of_10_specialty Optional
Medical & Dental (2002) Only 150
288 previous_employer_9_of_10_job_type Optional
Medical & Dental (2002) Only 100
289 previous_employer_9_of_10_reason_for_leaving OptionalStandard (2001) Only 150
290previous_employer_9_of_10_brief_description_of_duties_and_responsibilities Optional
Standard (2001) Only 4000
291 previous_employer_9_of_10_job_title Optional All forms 240
292 previous_employer_10_of_10_employer_name Optional All formsDetails for the tenth previous employer 240
Version 1.1 Page 87 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
293 previous_employer_10_of_10_employer_address Optional All forms 4000294 previous_employer_10_of_10_from Optional All forms mm/yyyy 7295 previous_employer_10_of_10_to Optional All forms mm/yyyy 7296 previous_employer_10_of_10_grade Optional All forms 150
297 previous_employer_10_of_10_specialty Optional
Medical & Dental (2002) Only 150
298 previous_employer_10_of_10_job_type Optional
Medical & Dental (2002) Only 100
299previous_employer_10_of_10_reason_for_leaving Optional
Standard (2001) Only 150
300previous_employer_10_of_10_brief_description_of_duties_and_responsibilities Optional
Standard (2001) Only 4000
301 previous_employer_10_of_10_job_title Optional All forms 240
302if_you_have_any_gaps_within_your_employment_history_please_state_below Optional All forms 500
303 referee_1_of_5_email Optional All forms Details of applicant's first referee Email address 150304 referee_1_of_5_title Optional All forms 35305 referee_1_of_5_surname_family_name Optional All forms 30306 referee_1_of_5_first_name Optional All forms 30307 referee_1_of_5_relationship Optional All forms 1000308 referee_1_of_5_job_title Optional All forms 40309 referee_1_of_5_address_line_1 Optional All forms 240310 referee_1_of_5_address_line_2 Optional All forms 240311 referee_1_of_5_address_line_3 Optional All forms 240312 referee_1_of_5_town_city Optional All forms 30313 referee_1_of_5_county_state Optional All forms 30314 referee_1_of_5_country Optional All forms 300
Version 1.1 Page 88 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
315 referee_1_of_5_postcode_zip_code Optional All forms 20316 referee_1_of_5_telephone Optional All forms 20317 referee_1_of_5_fax Optional All forms 150
318referee_1_of_5_can_the_referee_be_approached_prior_to_interview Optional All forms
Answer Yes or No 3
319 referee_2_of_5_email Optional All forms Details of applicant's second referee Email address 150320 referee_2_of_5_title Optional All forms 35321 referee_2_of_5_surname_family_name Optional All forms 30322 referee_2_of_5_first_name Optional All forms 30323 referee_2_of_5_relationship Optional All forms 1000324 referee_2_of_5_job_title Optional All forms 40325 referee_2_of_5_address_line_1 Optional All forms 240326 referee_2_of_5_address_line_2 Optional All forms 240327 referee_2_of_5_address_line_3 Optional All forms 240328 referee_2_of_5_town_city Optional All forms 30329 referee_2_of_5_county_state Optional All forms 30330 referee_2_of_5_country Optional All forms 300331 referee_2_of_5_postcode_zip_code Optional All forms 20332 referee_2_of_5_telephone Optional All forms 20333 referee_2_of_5_fax Optional All forms 150
334referee_2_of_5_can_the_referee_be_approached_prior_to_interview Optional All forms
Answer Yes or No 3
335 referee_3_of_5_email Optional All forms Details of applicant's third referee Email address 150336 referee_3_of_5_title Optional All forms 35337 referee_3_of_5_surname_family_name Optional All forms 30338 referee_3_of_5_first_name Optional All forms 30339 referee_3_of_5_relationship Optional All forms 1000340 referee_3_of_5_job_title Optional All forms 40
Version 1.1 Page 89 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
341 referee_3_of_5_address_line_1 Optional All forms 240342 referee_3_of_5_address_line_2 Optional All forms 240343 referee_3_of_5_address_line_3 Optional All forms 240344 referee_3_of_5_town_city Optional All forms 30345 referee_3_of_5_county_state Optional All forms 30346 referee_3_of_5_country Optional All forms 300347 referee_3_of_5_postcode_zip_code Optional All forms 20348 referee_3_of_5_telephone Optional All forms 20349 referee_3_of_5_fax Optional All forms 150
350referee_3_of_5_can_the_referee_be_approached_prior_to_interview Optional All forms
Answer Yes or No 3
351 referee_4_of_5_email Optional All forms Details of applicant's fourth referee Email address 150352 referee_4_of_5_title Optional All forms 35353 referee_4_of_5_surname_family_name Optional All forms 30354 referee_4_of_5_first_name Optional All forms 30355 referee_4_of_5_relationship Optional All forms 1000356 referee_4_of_5_job_title Optional All forms 40357 referee_4_of_5_address_line_1 Optional All forms 240358 referee_4_of_5_address_line_2 Optional All forms 240359 referee_4_of_5_address_line_3 Optional All forms 240360 referee_4_of_5_town_city Optional All forms 30361 referee_4_of_5_county_state Optional All forms 30362 referee_4_of_5_country Optional All forms 300363 referee_4_of_5_postcode_zip_code Optional All forms 20364 referee_4_of_5_telephone Optional All forms 20365 referee_4_of_5_fax Optional All forms 150
366referee_4_of_5_can_the_referee_be_approached_prior_to_interview Optional All forms
Answer Yes or No 3
Version 1.1 Page 90 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
367 referee_5_of_5_email Optional All forms Details of applicant's fifth referee Email address 150368 referee_5_of_5_title Optional All forms 35369 referee_5_of_5_surname_family_name Optional All forms 30370 referee_5_of_5_first_name Optional All forms 30371 referee_5_of_5_relationship Optional All forms 1000372 referee_5_of_5_job_title Optional All forms 40373 referee_5_of_5_address_line_1 Optional All forms 240374 referee_5_of_5_address_line_2 Optional All forms 240375 referee_5_of_5_address_line_3 Optional All forms 240376 referee_5_of_5_town_city Optional All forms 30377 referee_5_of_5_county_state Optional All forms 30378 referee_5_of_5_country Optional All forms 300379 referee_5_of_5_postcode_zip_code Optional All forms 20380 referee_5_of_5_telephone Optional All forms 20381 referee_5_of_5_fax Optional All forms 150
382referee_5_of_5_can_the_referee_be_approached_prior_to_interview Optional All forms 3
383
if_you_have_applied_to_us_within_the_last_3_months_are_you_happy_for_us_to_use_the_references_from_your_earlier_application Optional All forms
Answer Yes or No 3
384 supporting_information OptionalStandard (2001) Only
Applicant's supporting information, where they give further information to support their application 5000
385 describe_your_experience_of_clinical_audit Optional
Medical & Dental (2002) Only Applicant's details of clinical audit 4000
386 describe_your_relevant_teaching_experience Optional
Medical & Dental (2002) Only
Applicant's details of teaching experience 4000
Version 1.1 Page 91 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
387details_of_your_most_relevant_research_work_and_publications_in_peerreviewed_journals Optional
Medical & Dental (2002) Only
Applicant's details of academic publications 4000
388give_examples_of_your_approach_to_working_in_a_team Optional
Medical & Dental (2002) Only
Applicant's examples of working in a team 4000
389please_explain_your_areas_of_clinical_skill_and_competence_relevant_to_this_post Optional
Medical & Dental (2002) Only
Applicant's clinical skills and competence 4000
390
please_provide_any_other_supporting_information_that_you_think_may_be_helpful_or_that_is_requested_in_the_person_specification_please_ensure_that_this_does_not_contain_any_duplicate_information_already_provided_elsewhere_in_the_application_form_or_any_personal_details Optional
Medical & Dental (2002) Only
Applicant's supporting information, where they give further information to support their application 4000
391 preferred_employment_type Optional All formsApplicant's preferred employment type
List of values in Appendix A 59
392
if_applicable_to_the_post_do_you_hold_a_certificate_to_support_your_responsibilities_under_irmer_2000 Optional All forms
Answer Yes or No 3
393 date_of_birth_dd_mm_yyyy Optional All forms dd/mm/yyyy 10
394 gender Mandatory All formsList of values in Appendix A 50
395 i_would_describe_my_ethnic_origin_as_follows Mandatory All formsList of values in Appendix A 100
396please_indicate_which_term_would_best_describe_your_sexual_orientation Mandatory All forms
List of values in Appendix A 47
397 please_indicate_your_religion_or_belief Mandatory All formsList of values in Appendix A 44
398 do_you_consider_yourself_to_have_a_disability Mandatory All formsList of values in Appendix A 60
399
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 Optional All forms
List of values in Appendix A 126
Version 1.1 Page 92 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
400
are_you_currently_bound_over_or_do_you_have_any_unspent_convictions_issued_by_a_court_or_court_martial_in_the_uk_or_any_other_country Optional All forms
Answer Yes or No 3
401
if_yes_please_include_details_of_the_order_binding_you_over_and_or_the_nature_of_the_offence_the_penalty_sentence_or_order_of_the_court_and_the_date_and_place_of_the_court_hearing_please_note_you_do_not_need_to_tell_us_about_parking_offences Optional All forms 1000
402
if_you_are_related_to_a_director_or_have_a_relationship_with_a_director_or_employee_of_an_appointing_organisation_please_state_the_relationship Optional All forms 1000
403–741 Intentionally blank
742g1_do_you_have_xxxxx_qualification_or_an_equivalent Optional All forms
Question from the “General” question set
Answer Yes or No
743
g2_do_you_have_relevant_teaching_or_training_experience_as_required_by_the_person_specification Optional All forms
Question from the “General” question set
List of values in Appendix A
744 n1_do_you_have_xxxxx_registration Optional All formsQuestion from the “Nursing” question set
Answer Yes or No
745
n2_does_the_nmc_require_you_to_have_a_period_of_supervised_practice_or_to_undergo_the_overseas_nurses_programme_onp Optional All forms
Question from the “Nursing” question set
List of values in Appendix A
746n3_if_you_have_a_decision_letter_for_nmc_registration_please_enter_its_date Optional All forms
Question from the “Nursing” question set 128
Version 1.1 Page 93 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
747
m1_please_state_your_gmc_registration_status__if_you_have_limited_registration_please_explain_these_limitations_in_the_supporting_information Optional All forms
Question from the “Medical” question set
List of values in Appendix A
748 Intentionally blank
749m2_have_you_completed_research_work_relevant_to_this_post Optional All forms
Question from the “Medical” question set
List of values in Appendix A
750-762 Intentionally blank
763p1_what_grade_of_psychology_degree_do_you_hold Optional All forms
Question from the “Psychologists” question set
List of values in Appendix A
764 a1_are_you_registered_with_the_hpc Optional All forms
Question from the “Allied Health Professionals / Healthcare Scientists” question set
List of values in Appendix A
765
a2_do_you_hold_a_relevant_degree_or_graduate_diploma_as_required_by_the_person_specification Optional All forms
Question from the “Allied Health Professionals / Healthcare Scientists” question set
List of values in Appendix A
766 d1_please_state_your_gdc_registration_status Optional All formsQuestion from the “Dental” question set
List of values in Appendix A
767 d2_please_select_your_royal_college Optional All formsQuestion from the “Dental” question set
List of values in Appendix A
768d3_please_select_your_royal_college_membership_status Optional All forms
Question from the “Dental” question set
List of values in Appendix A
Version 1.1 Page 94 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
769-771 Intentionally blank
772
s1_has_your_name_ever_appeared_on_the_protection_of_childrens_list_or_have_you_ever_been_referred_to_the_independent_safeguarding_authority_isa_for_consideration_of_barring_against_the_childrens_list Optional All forms
Question from the “Safeguarding” question set
Answer Yes or No
773
s2_has_your_name_ever_appeared_on_the_protection_of_vulnerable_adults_list_or_have_you_ever_been_referred_to_the_independent_safeguarding_authority_isa_for_consideration_of_barring_against_the_vulnerable_adults_list Optional All forms
Question from the “Safeguarding” question set
Answer Yes or No
774
s3_have_you_at_any_time_received_or_had_pending_a_criminal_conviction_caution_warning_reprimand_or_bind-over Optional All forms
Question from the “Safeguarding” question set
Answer Yes or No
775
s3a_if_yes_please_include_details_of_the_order_binding_you_over_and_or_the_nature_of_the_offence_the_penalty_sentence_or_order_of_the_court_and_the_date_and_place_of_the_court_hearing_please_note_you_do_not_need_to_tell_us_about_parking_offences Optional All forms
Question from the “Safeguarding” question set 4000
776
s4_are_you_currently_bound_by_any_barring_decision_made_by_the_disclosure_and_barring_service_dbs_from_working_with_children Optional All forms
Question from the “Safeguarding” question set
Answer Yes or No
777
s5_are_you_currently_bound_by_any_barring_decision_made_by_the_disclosure_and_barring_service_dbs_from_working_with_vulnerable_adults Optional All forms
Question from the “Safeguarding” question set
Answer Yes or No
778dv1_do_you_have_access_to_a_vehicle_which_can_be_used_for_work_purposes Optional All forms
Question from the “Driving” question set
Answer Yes or No
Version 1.1 Page 95 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
779dv2_do_you_have_a_valid_driving_licence_for_the_uk Optional All forms
Question from the “Driving” question set
Answer Yes or No
780dv3_please_specify_the_vehicle_categories_for_which_you_hold_a_licence Optional All forms
Question from the “Driving” question set
List of values in Appendix A
781dv4_how_many_penalty_points_do_you_currently_have_on_your_driving_licence Optional All forms
Question from the “Driving” question set
List of values in Appendix A
782
dv4a_if_you_have_penalty_points_please_state_the_endorsement_offence_codes_and_the_date_of_issue Optional All forms
Question from the “Driving” question set 128
783 w1_are_you_a_welsh_speaker Optional All formsQuestion from the “Welsh Language” question set
Answer Yes or No
Version 1.1 Page 96 of 167
Table 4: Field definitions for SHORT CSV files for ‘old’ applications forms (2001 and 2002)
Note: Where the format column is empty, it can be assumed to be Text.
Column Order Field Name Required?Question on which form(s) Description Format Max Size
1 form_ref Mandatory All forms
Identifies the version of the application form being used for a vacancy (note that all online applications for a vacancy must use the same form). 4
2 vpd_code Optional All forms
The identifier used to identify the NHS employer within the ESR system or NHS Jobs system if ESR is not used. 3
3 employer_id Mandatory All forms
This field may be ignored unless the vpd_code is missing. This field contains the unique identifier for the employer used within the NHS Jobs system. It is included for error resolution purposes only. 38
4 display_ref Mandatory All forms
The reference used when displaying a job advert to an applicant or employer in NHS Jobs. This begins with the VPD code 26
5 orig_vacancy_name Mandatory All forms
The original reference or name used to identify the vacancy to the recruiter. This value is the value given to NHS Jobs which is then converted into the display_ref. 26
Version 1.1 Page 97 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
6 erec_vac_ref Mandatory All forms
This field may be ignored. This field contains the unique identifier for the job advert used within the NHS Jobs system. It is included for error resolution purposes only. 26
7 application_ref Optional All forms
This field contains the unique identifier for the job application used within the NHS Jobs system. This identifier is included on printed copies of the application form. It is therefore visible to both applicants and recruiters. 15
8 applicant_id Optional All forms
This field may be ignored. This field contains the unique identifier for the job applicant used within the NHS Jobs system. It is included for error resolution purposes only. 38
9 application_date_received Mandatory All forms
The date when the application was submitted for the vacancies via the job advert. dd/mm/yyyy 10
10 applicant_email_address Mandatory All forms The email address of the applicant. Email address 240
11 application_status Optional All forms
The status the application has got to in the recruitment process (using the status visible to the organisation). 30
12 offline_application_reference Optional All forms
The reference to an application in the case where the application was not entered online by the applicant. In the case where an applicant sends an offline or hard copy application then the employer records the reference and location of the offline application. 500
Version 1.1 Page 98 of 167
Column Order Field Name Required?Question on which form(s) Description Format Max Size
13 offline_application_location Optional All forms
The location of an application in the case where the application was not entered online by the applicant. In the case where an applicant sends an offline or hard copy application then the employer records the reference and location of the offline application. 500
14 where_seen Optional All forms
A value indicating the applicant’s selection of where they saw the job advert. 100
15 agree Mandatory All formsThe applicant's agreement to the systems Acceptable Use Policy 3
16 title Optional All formsThe applicant’s title as selected from the list of values on the form.
List of values in Appendix A 35
17 surname_family_name Mandatory All forms The applicant's surname 15018 first_name Mandatory All forms The applicant's first name 15019 middle_names Optional All forms The applicant's middle name(s) 60
20
name_in_which_you_are_registered_with_a_professional_body_if_applicable Optional All forms
The name used when the applicant registered, if different from your current name 150
21 uk_national_insurance_number Optional All formsThe applicant’s United Kingdom National Insurance Number. 9
22 address_line_1 Optional All forms Line 1 of the applicant's address 24023 address_line_2 Optional All forms Line 2 of the applicant's address 24024 address_line_3 Optional All forms Line 3 of the applicant's address 240
25 town_city Optional All formsThe town or city of the applicant's address 30
26 county_state Optional All formsThe county or state of the applicant's address 30
27 country Optional All formsThe country of the applicant's address
List of values in Appendix A 300
28 postcode_zip_code Optional All formsThe postcode or zipcode of the applicant’s address. 20
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Column Order Field Name Required?Question on which form(s) Description Format Max Size
29 home_telephone Optional All formsThe applicant’s home telephone number. 60
30 work_telephone Optional All formsThe applicant’s work telephone number. 60
31 mobile_telephone Optional All formsThe applicant’s mobile telephone number. 60
32 may_we_contact_you_at_work Optional All forms 3
33
are_you_a_united_kingdom_uk_european_community_ec_or_european_economic_area_eea_national Mandatory All forms
The applicant’s response to ‘Are you a United Kingdom (UK), European Community (EC) or European Economic Area (EEA) National?’ Answer Yes or No 3
34
please_select_the_category_that_relates_to_your_current_immigration_status_this_status_will_be_subject_to_checking_before_interview Optional All forms The applicant’s immigration status.
List of values in Appendix A 44
35if_other_please_provide_details_below Optional All forms
The applicant's immigration status if not contained in the list of values 500
36
does_your_visa_have_a_condition_restricting_employment_or_occupation_in_the_uk Optional All forms
The applicant’s response to ‘Does your visa have a condition restricting employment or occupation in the UK?’. Answer Yes or No 3
37
please_supply_details_of_any_visa_currently_held_number_start_expiry_dates_and_details_of_any_restrictions Optional All forms The applicant's visa information 500
38are_you_a_department_of_work_and_pensions_new_deal_candidate Optional Standard (2001) Only
The applicant’s response to ‘Are you a department of work and pensions new deal candidate?’. Answer Yes or No 3
39are_you_an_nhs_professional_returning_to_practice Optional Standard (2001) Only
The applicant’s response to ‘Are you an NHS Professional returning to practice?’. Answer Yes or No 3
40 do_you_currently_work_in_the_nhs Optional All formsThe applicant’s response to ‘Do you currently work in the NHS?’. 3
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Column Order Field Name Required?Question on which form(s) Description Format Max Size
41please_indicate_your_uk_professional_registration_status Optional All forms
The applicant's answer to 'Please indicate your professional registration status'
List of values in Appendix A 57
42
if_the_name_under_which_you_are_registered_is_different_from_your_current_name_please_give_details Optional
Medical & Dental (2002) Only
The name used when the applicant registered, if different from your current name 150
43 do_you_have_a_cct OptionalMedical & Dental (2002) Only
The applicant’s response to ‘Do you have a CCT?’. Answer Yes or No 3
44if_not_what_is_your_anticipated_cct_date Optional
Medical & Dental (2002) Only
The applicant’s response to ‘If not, what is your anticipated CCT date?’. dd/mm/yyyy 10
45
professional_body_and_membership_1_of_2_professional_body_and_membership Optional All forms
Details of the first professional body listed on the application form.
List of values in Appendix A 100
46
professional_body_and_membership_1_of_2_if_other_please_provide_details_below Optional All forms 500
47
professional_body_and_membership_1_of_2_membership_registration_pin_number Optional All forms 15
48professional_body_and_membership_1_of_2_expiry_renewal_date Optional All forms mm/yyyy 7
49
professional_body_and_membership_2_of_2_professional_body_and_membership Optional All forms
Details of applicant's second professional body membership
List of values in Appendix A 100
50
professional_body_and_membership_2_of_2_if_other_please_provide_details_below Optional All forms 500
51
professional_body_and_membership_2_of_2_membership_registration_pin_number Optional All forms 15
52professional_body_and_membership_2_of_2_expiry_renewal_date Optional All forms mm/yyyy 7
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Column Order Field Name Required?Question on which form(s) Description Format Max Size
53
are_you_currently_the_subject_of_a_fitness_to_practise_investigation_or_proceedings_by_a_licensing_or_regulatory_body_in_the_uk_or_in_any_other_country Optional All forms
The applicant’s response to ‘Are you currently the subject of a fitness to practise investigation or proceedings by a licensing or regulatory body in the UK or in any other country?’. Answer Yes or No 3
54
have_you_been_removed_from_the_register_or_have_conditions_been_made_on_your_registration_by_a_fitness_to_practise_committee_or_the_licensing_or_regulatory_body_in_the_uk_or_in_any_other_country Optional All forms
The applicant’s response to ‘Have you been removed from the register or have conditions been made on your registration by a fitness to practise committee or the licensing or regulatory body in the UK or in any other country?’. Answer Yes or No 3
55 employer_name Optional All formsDetails of current or most recent employer 240
56 employer_address Optional All forms 400057 type_of_business Optional All forms 15058 reporting_to_job_title Optional Standard (2001) Only 24059 telephone_number Optional All forms 15060 job_title Optional All forms 24061 start_date Optional All forms mm/yyyy 762 end_date_if_applicable Optional All forms mm/yyyy 7
63start_date_of_continuous_nhs_service_if_applicable Optional All forms mm/yyyy 7
64 grade Optional All forms 3065 salary Optional All forms 30
66 specialty OptionalMedical & Dental (2002) Only 150
67 job_type OptionalMedical & Dental (2002) Only 100
68 period_of_notice Optional Standard (2001) Only 10069 reason_for_leaving_if_applicable Optional All forms 150
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Column Order Field Name Required?Question on which form(s) Description Format Max Size
70brief_description_of_your_duties_and_responsibilities Optional All forms 4000
71 referee_1_of_5_email Optional All forms Details of applicant's first referee Email address 15072 referee_1_of_5_title Optional All forms 35
73referee_1_of_5_surname_family_name Optional All forms 30
74 referee_1_of_5_first_name Optional All forms 3075 referee_1_of_5_relationship Optional All forms 100076 referee_1_of_5_job_title Optional All forms 4077 referee_1_of_5_address_line_1 Optional All forms 24078 referee_1_of_5_address_line_2 Optional All forms 24079 referee_1_of_5_address_line_3 Optional All forms 24080 referee_1_of_5_town_city Optional All forms 3081 referee_1_of_5_county_state Optional All forms 3082 referee_1_of_5_country Optional All forms 30083 referee_1_of_5_postcode_zip_code Optional All forms 2084 referee_1_of_5_telephone Optional All forms 2085 referee_1_of_5_fax Optional All forms 150
86referee_1_of_5_can_the_referee_be_approached_prior_to_interview Optional All forms Answer Yes or No 3
87 referee_2_of_5_email Optional All forms Details of applicant's second referee Email address 15088 referee_2_of_5_title Optional All forms 35
89referee_2_of_5_surname_family_name Optional All forms 30
90 referee_2_of_5_first_name Optional All forms 3091 referee_2_of_5_relationship Optional All forms 100092 referee_2_of_5_job_title Optional All forms 4093 referee_2_of_5_address_line_1 Optional All forms 240
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Column Order Field Name Required?Question on which form(s) Description Format Max Size
94 referee_2_of_5_address_line_2 Optional All forms 24095 referee_2_of_5_address_line_3 Optional All forms 24096 referee_2_of_5_town_city Optional All forms 3097 referee_2_of_5_county_state Optional All forms 3098 referee_2_of_5_country Optional All forms 30099 referee_2_of_5_postcode_zip_code Optional All forms 20
100 referee_2_of_5_telephone Optional All forms 20101 referee_2_of_5_fax Optional All forms 150
102referee_2_of_5_can_the_referee_be_approached_prior_to_interview Optional All forms Answer Yes or No 3
103 referee_3_of_5_email Optional All forms Details of applicant's third referee Email address 150104 referee_3_of_5_title Optional All forms 35
105referee_3_of_5_surname_family_name Optional All forms 30
106 referee_3_of_5_first_name Optional All forms 30107 referee_3_of_5_relationship Optional All forms 1000108 referee_3_of_5_job_title Optional All forms 40109 referee_3_of_5_address_line_1 Optional All forms 240110 referee_3_of_5_address_line_2 Optional All forms 240111 referee_3_of_5_address_line_3 Optional All forms 240112 referee_3_of_5_town_city Optional All forms 30113 referee_3_of_5_county_state Optional All forms 30114 referee_3_of_5_country Optional All forms 300115 referee_3_of_5_postcode_zip_code Optional All forms 20116 referee_3_of_5_telephone Optional All forms 20117 referee_3_of_5_fax Optional All forms 150
118referee_3_of_5_can_the_referee_be_approached_prior_to_interview Optional All forms Answer Yes or No 3
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Column Order Field Name Required?Question on which form(s) Description Format Max Size
119 referee_4_of_5_email Optional All forms Details of applicant's fourth referee Email address 150120 referee_4_of_5_title Optional All forms 35
121referee_4_of_5_surname_family_name Optional All forms 30
122 referee_4_of_5_first_name Optional All forms 30123 referee_4_of_5_relationship Optional All forms 1000124 referee_4_of_5_job_title Optional All forms 40125 referee_4_of_5_address_line_1 Optional All forms 240126 referee_4_of_5_address_line_2 Optional All forms 240127 referee_4_of_5_address_line_3 Optional All forms 240128 referee_4_of_5_town_city Optional All forms 30129 referee_4_of_5_county_state Optional All forms 30130 referee_4_of_5_country Optional All forms 300131 referee_4_of_5_postcode_zip_code Optional All forms 20132 referee_4_of_5_telephone Optional All forms 20133 referee_4_of_5_fax Optional All forms 150
134referee_4_of_5_can_the_referee_be_approached_prior_to_interview Optional All forms Answer Yes or No 3
135 referee_5_of_5_email Optional All forms Details of applicant's fifth referee Email address 150136 referee_5_of_5_title Optional All forms 35
137referee_5_of_5_surname_family_name Optional All forms 30
138 referee_5_of_5_first_name Optional All forms 30139 referee_5_of_5_relationship Optional All forms 1000140 referee_5_of_5_job_title Optional All forms 40141 referee_5_of_5_address_line_1 Optional All forms 240142 referee_5_of_5_address_line_2 Optional All forms 240143 referee_5_of_5_address_line_3 Optional All forms 240
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Column Order Field Name Required?Question on which form(s) Description Format Max Size
144 referee_5_of_5_town_city Optional All forms 30145 referee_5_of_5_county_state Optional All forms 30146 referee_5_of_5_country Optional All forms 300147 referee_5_of_5_postcode_zip_code Optional All forms 20148 referee_5_of_5_telephone Optional All forms 20149 referee_5_of_5_fax Optional All forms 150
150referee_5_of_5_can_the_referee_be_approached_prior_to_interview Optional All forms Answer Yes or No 3
151 preferred_employment_type Optional All formsApplicant's preferred employment type
List of values in Appendix A 59
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Appendix A: List of values for questions available on at least one of the standard application forms
CountryAvailable options:-
Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus
Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile
China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, Republic of Congo, Democratic Republic of Cook Islands Costa Rica East Timor Dominican Republic Dominica Djibouti Denmark Czech Republic Cyprus Cuba Croatia Cote DIvoire Ecuador Egypt El Salvador Equatorial Guinea
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Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France (Metropolitan) French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti
Heard and Mc Donald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Lao Peoples Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya
Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia (Federated States of) Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal
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Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palestinian Territory,Occupied Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation
Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia and South Sandwich
Island Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden
Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Vietnam Virgin Islands (British)
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Virgin Islands (U.S.) Wallis And Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe
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TitleAvailable options:-
Brother Canon Dame Dr Father Lady Lord Major Miss Mr Mrs Ms Nurse Professor Rabbi Reverend Right Reverend Monsignor Sir Sister Other Baroness Baron Mx
Do you wish to receive updates by text message?Available options:-
Yes No My mobile is not UK registered
Preferred telephone number to be contacted onAvailable options:-
Mobile Home Work
Please select the category that relates to your current immigration status. This status will be subject to checking before interview.Available options:-
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Indefinite leave to remain/enter Highly Skilled Migrant Programme / Tier 1 Work Permit / Tier 2 Dependant / Spouse Visa Working Holiday Visa / Tier 5 Youth Mobility Clinical Attachment Visa Refugee Visitor Tier 5 Temporary Workers Tier 4 Student Post Graduate Doctors and Dentists Other - Please specify below
Please indicate your professional registration status. (Form 3009)Available options:-
I have current UK professional registration relevant for this post I have current UK professional registration and licence to practise for this post UK professional registration required and applied for UK professional registration and licence to practise required and applied for I do not have the relevant UK professional registration UK professional registration required but not yet applied for UK professional registration and licence to practise required but not yet applied for
Please indicate your professional registration status. (Form 3010)Available options:-
I do not have the relevant UK professional registration status I have current UK professional registration relevant for this post UK professional registration required and applied for UK professional registration required but not yet applied for I am a student Not required for this post
Please indicate your UK professional registration status. (Forms 2001, 2002)Available options:-
Not required for this post I do not have the relevant UK professional registration I have current UK professional registration UK professional registration required and applied for UK professional registration required but not applied for I am a student
Professional body and membershipAvailable options:-Version 1.1
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ACCA ~ Affiliate Certificate ACCA ~ Full Membership British Psychological Society CIMA ~ ACMA (Associate Membership) CIMA ~ FCMA (Fellow Membership) CIMA ~ Passed Finalist CIMA ~ Student CIPD ~ Associate Member CIPD ~ Companion CIPD ~ Fellow CIPD ~ Graduate Member CIPD ~ Licentiate Member CIPD ~ Member General Chiropractic Council General Dental Council ~ Registered General Dental Council ~ Registered with Condition General Dental Council ~ Registered with Warning General Medical Council ~ Registered with Licence General Medical Council ~ Registered no Licence General Medical Council ~ Not Registered Relinquish General Optical Council General Osteopathic Council General Social Care Council ~ Registered Social Worker General Social Care Council ~ Registered Student Health Profs. Council ~ Arts Therapist Health Profs. Council ~ Biomedical Scientist Health Profs. Council ~ Chiropodist/Podiatrist Health Profs. Council ~ Clinical Scientist Health Profs. Council ~ Dietitian Health Profs. Council ~ Occ. Therapist Health Profs. Council ~ Operating Dept Practitioner Health Profs. Council ~ Orthoptist Health Profs. Council ~ Paramedic Health Profs. Council ~ Physiotherapist Health Profs. Council ~ Practitioner Psychologist Health Profs. Council ~ Prosthetists & Orthotists Health Profs. Council ~ Radiographer Health Profs. Council ~ Speech & Language Therapist NMC ~ Midwives NMC ~ Specialist Community Public Health Nurse (FHN) NMC ~ Specialist Community Public Health Nurse (HV) NMC ~ Specialist Community Public Health Nurse (OH) NMC ~ Specialist Community Public Health Nurse (SN) NMC ~ Sub-Part 1 NMC ~ Sub-Part 1 (Adult) NMC ~ Sub-Part 1 (Children)
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NMC ~ Sub-Part 1 (Learning Disabilities) NMC ~ Sub-Part 1 (Mental Health) NMC ~ Sub-Part 2 NMC ~ Sub-Part 2 (Adult) NMC ~ Sub-Part 2 (Fever) NMC ~ Sub-Part 2 (General) NMC ~ Sub-Part 2 (Learning Disabilities) NMC ~ Sub-Part 2 (Mental Health) General Pharmaceutical Council ~ Pharmacy Technician General Pharmaceutical Council ~ Pharmacist General Pharmaceutical Council ~ Reg. Student Other
Contract typeAvailable options:-
Permanent Fixed Term Ad Hoc Contract Rotational Post with NTN NHS Locum Agency Locum Sessional GP Salaried GP OOH GP Other
Type of referenceAvailable options:-
Educational Employer Personal
Preferred employment typeAvailable options (can select multiple options):-
Full time Part time Job share Secondment Flexible hours
Please indicate your gender:Available options:-
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Male Female I do not wish to disclose
Please indicate the option which best describes your marital status:Available options:-
Married Single Civil partnership Legally separated Divorced Widowed I do not wish to disclose this
Please indicate your ethnic origin:Available options:-
WHITE - British WHITE - Irish WHITE - Any other white background ASIAN or ASIAN BRITISH - Indian ASIAN or ASIAN BRITISH - Pakistani ASIAN or ASIAN BRITISH - Bangladeshi ASIAN or ASIAN BRITISH - Any other Asian backround MIXED - White & Black Caribbean MIXED - White & Black African MIXED - White & Asian MIXED - any other mixed background BLACK or BLACK BRITISH - Caribbean BLACK or BLACK BRITISH - African BLACK or BLACK BRITISH - Any other black background OTHER ETHNIC GROUP - Chinese OTHER ETHNIC GROUP - Any other ethnic group I do not wish to disclose my ethnic origin
Please indicate the option which best describes your sexual orientation:Available options:-
Lesbian Gay Bisexual Heterosexual I do not wish to disclose my sexual orientation
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Please indicate your religion or belief:Available options:-
Atheism Buddhism Christianity Hinduism Islam Jainism Judaism Sikhism Other I do not wish to disclose my religion/belief
Do you consider yourself to have a disability?Available options:-
Yes No I do not wish to disclose whether or not I have a disability
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'.Available options (can select multiple options):-
Physical impairment Sensory impairment Mental health condition Learning disability/difficulty Long-standing illness Other
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Appendix B: List of values for additional application form questions that may be added to any application form as decided per vacancy
Do you have relevant teaching or training experience (as required by the Person Specification)?Available options:-
Yes No Not applicable
Does the NMC require you to have a period of supervised practice or to undergo the Overseas Nurses Programme (ONP)?Available options:-
No Yes, 3 months supervised practise Yes, 6 months supervised practise Yes, ONP Yes, ONP + 3 months supervised practise Yes, ONP + 6 months supervised practise I don’t have NMC registration
Please state your GMC registration status.Available options:-
I have full registration with a licence to practise I have full registration with a licence to practise and an approved practice setting (APS)
restriction I have provisional registration with a licence to practise I am fully registered with a licence to practise and on the Specialist Register I am fully registered with a licence to practise and on the GP Register I have passed PLAB2 I need to pass PLAB2 before applying for registration I have applied for registration I have not yet applied for registration I have (provisional/full/full and GP/full and specialist) registration only (I do not have a
licence to practise)
Have you completed research work relevant to this post?Available options:-
Yes
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No Not relevant
What grade of Psychology degree do you hold?Available options:-
First Upper second Lower second Other
Are you registered with the HCPC?Available options:-
Yes No No - I need up to 3 months adaption No - I need up to 3-6 months adaption No - I need up to 6-12 months adaption No - I need more than 12 months adaption
Do you hold a relevant degree or graduate diploma as required by the Person Specification?Available options:-
Yes No Not applicable
Please state your GDC registration status.Available options:-
I have full registration I have temporary registration I am not registered but have passed ORE parts 1 and 2 I am not registered but have passed ORE part 1 I need to pass all parts of ORE before I can register I am not registered but I am an EEA dental graduate
Please select your Royal College.Available options:-
The Royal College of Anaesthetists The Royal College of General Practitioners The Royal College of Obstetricians and Gynaecologists The Royal College of Ophthalmologists
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The Royal College of Paediatrics and Child Health The Royal College of Pathologists The Royal College of Physicians and Surgeons of Glasgow The Royal College of Physicians of Edinburgh The Royal College of Physicians of London The Royal College of Psychiatrists The Royal College of Radiologists The Royal College of Surgeons of Edinburgh The Royal College of Surgeons of England Faculty of Public Health Medicine Faculty of Pharmaceutical Medicine Faculty of Occupational Medicine
Please select your Royal College membership status.Available options:-
Fellow Member Associate Affiliate Junior Full Other
Please specify the vehicle categories for which you hold a licence:Available options (multiple options selectable):-
Motorbike (A) Car (B) Car with Trailer (B+E) Medium Sized Vehicle (C1) Medium Sized Vehicle (C1+E) Minibus (D1) Minibus with Trailer (D1+E) Large Goods Vehicle (C) Large Good Vehicle with Trailer (C+E) Passenger Carrying Vehicle (D) Passenger Carrying Vehicle (D+E) C1 Provisional Licence
How many penalty points do you currently have on your driving licence?Available options:-
0 1-3 4-6
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7-9 10-12
Please select the level that best fits your ability to speak and understand spoken Welsh:Available options:-
Level 1 Level 2 Level 3 Level 4 Level 5
See Appendix G for an explanation of these values
Please select the level that best fits your ability to read Welsh:Available options:-
Level 1 Level 2 Level 3 Level 4 Level 5
See Appendix G for an explanation of these values
Please select the level that best fits your ability to write in Welsh:Available options:-
Level 1 Level 2 Level 3 Level 4 Level 5
See Appendix G for an explanation of these values
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Appendix C: DTD for ‘new’ application forms (3009, 3010 and 3012)Note: There are 2 optional additional application form questions that can be further customised within each vacancy. These are represented below by use of xxxxx although the file created by the NHS Jobs Service will contain the actual question text. Hence, this element, where used, will vary by vacancy.
<!DOCTYPE application [ <!ELEMENT application (application+)> <!ELEMENT application (form_ref, vpd_code, employer_id, display_ref, orig_vacancy_name, erec_vac_ref, application_ref, applicant_id, application_date_received, applicant_email_address, application_status, offline_application_reference, offline_application_location, where_seen, agree, title, surname_family_name, first_name, middle_names, name_in_which_you_are_registered_with_a_professional_body_if_applicable, uk_national_insurance_number, address_line_1, address_line_2, address_line_3, town_city, county_state, country, postcode_zip_code, home_telephone, work_telephone, mobile_telephone, do_you_wish_to_receive_updates_by_text_message, preferred_telephone_number_to_be_contacted_on, are_you_a_united_kingdom_uk_european_community_ec_or_european_economic_area_eea_national, please_select_the_category_that_relates_to_your_current_immigration_status_this_status_will_be_subject_to_checking_before_interview, if_other_please_provide_details_below, visa_number, start_date, expiry_date, does_your_visa_have_a_condition_restricting_employment_or_occupation_in_the_uk, details_of_any_restrictions, are_you_an_nhs_professional_returning_to_practice, please_provide_all_relevant_training_and_qualifications_also_indicate_subjects_currently_being_studied_and_expected_year_of_qualification_all_qualifications_disclosed_will_be_subject_to_a_satisfactory_check, education_professional_qualifications_1_of_11_subject_qualification, education_professional_qualifications_1_of_11_place_of_study, education_professional_qualifications_1_of_11_grade_result, education_professional_qualifications_1_of_11_year_obtained, education_professional_qualifications_2_of_11_subject_qualification, education_professional_qualifications_2_of_11_place_of_study, education_professional_qualifications_2_of_11_grade_result, education_professional_qualifications_2_of_11_year_obtained, education_professional_qualifications_3_of_11_subject_qualification, education_professional_qualifications_3_of_11_place_of_study, education_professional_qualifications_3_of_11_grade_result, education_professional_qualifications_3_of_11_year_obtained, education_professional_qualifications_4_of_11_subject_qualification, education_professional_qualifications_4_of_11_place_of_study, education_professional_qualifications_4_of_11_grade_result, education_professional_qualifications_4_of_11_year_obtained, education_professional_qualifications_5_of_11_subject_qualification, education_professional_qualifications_5_of_11_place_of_study, education_professional_qualifications_5_of_11_grade_result, education_professional_qualifications_5_of_11_year_obtained, education_professional_qualifications_6_of_11_subject_qualification, education_professional_qualifications_6_of_11_place_of_study, education_professional_qualifications_6_of_11_grade_result, education_professional_qualifications_6_of_11_year_obtained, education_professional_qualifications_7_of_11_subject_qualification, education_professional_qualifications_7_of_11_place_of_study, education_professional_qualifications_7_of_11_grade_result, education_professional_qualifications_7_of_11_year_obtained, education_professional_qualifications_8_of_11_subject_qualification, education_professional_qualifications_8_of_11_place_of_study, education_professional_qualifications_8_of_11_grade_result, education_professional_qualifications_8_of_11_year_obtained, education_professional_qualifications_9_of_11_subject_qualification, education_professional_qualifications_9_of_11_place_of_study, education_professional_qualifications_9_of_11_grade_result, education_professional_qualifications_9_of_11_year_obtained, education_professional_qualifications_10_of_11_subject_qualification, education_professional_qualifications_10_of_11_place_of_study, education_professional_qualifications_10_of_11_grade_result, education_professional_qualifications_10_of_11_year_obtained, education_professional_qualifications_11_of_11_subject_qualification, education_professional_qualifications_11_of_11_place_of_study, education_professional_qualifications_11_of_11_grade_result, education_professional_qualifications_11_of_11_year_obtained, relevant_training_courses_attended_1_of_7_course_title, relevant_training_courses_attended_1_of_7_training_provider, relevant_training_courses_attended_1_of_7_duration, relevant_training_courses_attended_1_of_7_year_completed, relevant_training_courses_attended_2_of_7_course_title, relevant_training_courses_attended_2_of_7_training_provider, relevant_training_courses_attended_2_of_7_duration, relevant_training_courses_attended_2_of_7_year_completed, relevant_training_courses_attended_3_of_7_course_title, relevant_training_courses_attended_3_of_7_training_provider, relevant_training_courses_attended_3_of_7_duration, relevant_training_courses_attended_3_of_7_year_completed, relevant_training_courses_attended_4_of_7_course_title, relevant_training_courses_attended_4_of_7_training_provider, relevant_training_courses_attended_4_of_7_duration, relevant_training_courses_attended_4_of_7_year_completed, relevant_training_courses_attended_5_of_7_course_title, relevant_training_courses_attended_5_of_7_training_provider, relevant_training_courses_attended_5_of_7_duration, relevant_training_courses_attended_5_of_7_year_completed, relevant_training_courses_attended_6_of_7_course_title, relevant_training_courses_attended_6_of_7_training_provider, relevant_training_courses_attended_6_of_7_duration, relevant_training_courses_attended_6_of_7_year_completed, relevant_training_courses_attended_7_of_7_course_title, relevant_training_courses_attended_7_of_7_training_provider, relevant_training_courses_attended_7_of_7_duration, relevant_training_courses_attended_7_of_7_year_completed, please_indicate_your_professional_registration_status, professional_body_and_membership_1_of_2_professional_body_and_membership, professional_body_and_membership_1_of_2_if_other_please_provide_details_below, professional_body_and_membership_1_of_2_membership_registration_number,
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professional_body_and_membership_1_of_2_expiry_renewal_date, professional_body_and_membership_2_of_2_professional_body_and_membership, professional_body_and_membership_2_of_2_if_other_please_provide_details_below, professional_body_and_membership_2_of_2_membership_registration_number, professional_body_and_membership_2_of_2_expiry_renewal_date, are_you_currently_the_subject_of_a_fitness_to_practise_investigation_or_proceedings_by_a_licensing_or_regulatory_body_in_the_uk_or_in_any_other_country, if_applicable_please_provide_details_of_any_investigations_or_proceedings_you_may_be_subject_to, have_you_ever_been_removed_from_the_register_or_have_conditions_or_undertakings_been_made_on_your_registration_by_a_fitness_to_practise_committee_or_the_licensing_or_regulatory_body_in_the_uk_or_in_any_other_country, if_applicable_please_provide_details_of_any_conditions_or_undertakings_currently_applied_to_your_professional_registration, in_your_current_or_any_previous_employment_have_you_had_restrictions_placed_on_your_clinical_practice_as_part_of_the_revalidation_process, if_applicable_please_provide_details_of_any_restrictions_you_may_have, please_confirm_what_you_believe_to_be_your_effective_start_date_of_continuous_nhs_service_if_applicable, start_date_of_continuous_nhs_service_if_applicable, months_since_most_recent_employment_ended_if_applicable, have_you_ever_worked_for_the_nhs, current_most_recent_employer_reference_always_required_employer_name, current_most_recent_employer_reference_always_required_employer_address, current_most_recent_employer_reference_always_required_type_of_business, current_most_recent_employer_reference_always_required_name_of_educational_or_clinical_supervisor, current_most_recent_employer_reference_always_required_job_title, current_most_recent_employer_reference_always_required_reporting_to_job_title, current_most_recent_employer_reference_always_required_email, current_most_recent_employer_reference_always_required_telephone, current_most_recent_employer_reference_always_required_your_job_title, current_most_recent_employer_reference_always_required_start_date, current_most_recent_employer_reference_always_required_end_date, current_most_recent_employer_reference_always_required_grade, current_most_recent_employer_reference_always_required_salary, current_most_recent_employer_reference_always_required_specialty, current_most_recent_employer_reference_always_required_sub_specialty_if_applicable, current_most_recent_employer_reference_always_required_hospital_base, current_most_recent_employer_reference_always_required_contract_type, current_most_recent_employer_reference_always_required_if_other_please_provide_details_below, current_most_recent_employer_reference_always_required_contract_duration_months, current_most_recent_employer_reference_always_required_period_of_notice, current_most_recent_employer_reference_always_required_reason_for_leaving_if_applicable, current_most_recent_employer_reference_always_required_brief_description_of_your_duties_and_responsibilities, previous_employer_1_of_10_employer_name, previous_employer_1_of_10_employer_address, previous_employer_1_of_10_type_of_business, previous_employer_1_of_10_name_of_educational_or_clinical_supervisor, previous_employer_1_of_10_job_title, previous_employer_1_of_10_reporting_to_job_title, previous_employer_1_of_10_email, previous_employer_1_of_10_telephone, previous_employer_1_of_10_your_job_title, previous_employer_1_of_10_start_date, previous_employer_1_of_10_end_date, previous_employer_1_of_10_grade, previous_employer_1_of_10_salary, previous_employer_1_of_10_specialty, previous_employer_1_of_10_sub_specialty_if_applicable, previous_employer_1_of_10_hospital_base, previous_employer_1_of_10_contract_type, previous_employer_1_of_10_if_other_please_provide_details_below, previous_employer_1_of_10_contract_duration_months, previous_employer_1_of_10_peroid_of_notice, previous_employer_1_of_10_if_other_please_provide_details_below, previous_employer_1_of_10_reason_for_leaving_if_applicable, previous_employer_1_of_10_brief_description_of_your_duties_and_responsibilities, previous_employer_2_of_10_employer_name, previous_employer_2_of_10_employer_address, previous_employer_2_of_10_type_of_business, previous_employer_2_of_10_name_of_educational_or_clinical_supervisor, previous_employer_2_of_10_job_title, previous_employer_2_of_10_reporting_to_job_title, previous_employer_2_of_10_email, previous_employer_2_of_10_telephone, previous_employer_2_of_10_your_job_title, previous_employer_2_of_10_start_date, previous_employer_2_of_10_end_date, previous_employer_2_of_10_grade, previous_employer_2_of_10_salary, previous_employer_2_of_10_specialty, previous_employer_2_of_10_sub_specialty_if_applicable, previous_employer_2_of_10_hospital_base, previous_employer_2_of_10_contract_type, previous_employer_2_of_10_if_other_please_provide_details_below, previous_employer_2_of_10_contract_duration_months, previous_employer_2_of_10_peroid_of_notice, previous_employer_2_of_10_reason_for_leaving_if_applicable, previous_employer_2_of_10_brief_description_of_your_duties_and_responsibilities, previous_employer_3_of_10_employer_name, previous_employer_3_of_10_employer_address, previous_employer_3_of_10_type_of_business, previous_employer_3_of_10_name_of_educational_or_clinical_supervisor, previous_employer_3_of_10_job_title, previous_employer_3_of_10_reporting_to_job_title, previous_employer_3_of_10_email, previous_employer_3_of_10_telephone, previous_employer_3_of_10_your_job_title, previous_employer_3_of_10_start_date, previous_employer_3_of_10_end_date, previous_employer_3_of_10_grade, previous_employer_3_of_10_salary, previous_employer_3_of_10_specialty, previous_employer_3_of_10_sub_specialty_if_applicable, previous_employer_3_of_10_hospital_base, previous_employer_3_of_10_contract_type, previous_employer_3_of_10_if_other_please_provide_details_below, previous_employer_3_of_10_contract_duration_months, previous_employer_3_of_10_peroid_of_notice, previous_employer_3_of_10_reason_for_leaving_if_applicable, previous_employer_3_of_10_brief_description_of_your_duties_and_responsibilities, previous_employer_4_of_10_employer_name, previous_employer_4_of_10_employer_address, previous_employer_4_of_10_type_of_business, previous_employer_4_of_10_name_of_educational_or_clinical_supervisor, previous_employer_4_of_10_job_title, previous_employer_4_of_10_reporting_to_job_title, previous_employer_4_of_10_email, previous_employer_4_of_10_telephone, previous_employer_4_of_10_your_job_title, previous_employer_4_of_10_start_date, previous_employer_4_of_10_end_date, previous_employer_4_of_10_grade, previous_employer_4_of_10_salary, previous_employer_4_of_10_specialty, previous_employer_4_of_10_sub_specialty_if_applicable, previous_employer_4_of_10_hospital_base, previous_employer_4_of_10_contract_type,
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previous_employer_4_of_10_if_other_please_provide_details_below, previous_employer_4_of_10_contract_duration_months, previous_employer_5_of_10_peroid_of_notice, previous_employer_4_of_10_peroid_of_notice, previous_employer_4_of_10_reason_for_leaving_if_applicable, previous_employer_4_of_10_brief_description_of_your_duties_and_responsibilities, previous_employer_5_of_10_employer_name, previous_employer_5_of_10_employer_address, previous_employer_5_of_10_type_of_business, previous_employer_5_of_10_name_of_educational_or_clinical_supervisor, previous_employer_5_of_10_job_title, previous_employer_5_of_10_reporting_to_job_title, previous_employer_5_of_10_email, previous_employer_5_of_10_telephone, previous_employer_5_of_10_your_job_title, previous_employer_5_of_10_start_date, previous_employer_5_of_10_end_date, previous_employer_5_of_10_grade, previous_employer_5_of_10_salary, previous_employer_5_of_10_specialty, previous_employer_5_of_10_sub_specialty_if_applicable, previous_employer_5_of_10_hospital_base, previous_employer_5_of_10_contract_type, previous_employer_5_of_10_if_other_please_provide_details_below, previous_employer_5_of_10_contract_duration_months, previous_employer_6_of_10_peroid_of_notice, previous_employer_5_of_10_reason_for_leaving_if_applicable, previous_employer_5_of_10_brief_description_of_your_duties_and_responsibilities, previous_employer_6_of_10_employer_name, previous_employer_6_of_10_employer_address, previous_employer_6_of_10_type_of_business, previous_employer_6_of_10_name_of_educational_or_clinical_supervisor, previous_employer_6_of_10_job_title, previous_employer_6_of_10_reporting_to_job_title, previous_employer_6_of_10_email, previous_employer_6_of_10_telephone, previous_employer_6_of_10_your_job_title, previous_employer_6_of_10_start_date, previous_employer_6_of_10_end_date, previous_employer_6_of_10_grade, previous_employer_6_of_10_salary, previous_employer_6_of_10_specialty, previous_employer_6_of_10_sub_specialty_if_applicable, previous_employer_6_of_10_hospital_base, previous_employer_6_of_10_contract_type, previous_employer_6_of_10_if_other_please_provide_details_below, previous_employer_6_of_10_contract_duration_months, previous_employer_7_of_10_peroid_of_notice, previous_employer_6_of_10_reason_for_leaving_if_applicable, previous_employer_6_of_10_brief_description_of_your_duties_and_responsibilities, previous_employer_7_of_10_employer_name, previous_employer_7_of_10_employer_address, previous_employer_7_of_10_type_of_business, previous_employer_7_of_10_name_of_educational_or_clinical_supervisor, previous_employer_7_of_10_job_title, previous_employer_7_of_10_reporting_to_job_title, previous_employer_7_of_10_email, previous_employer_7_of_10_telephone, previous_employer_7_of_10_your_job_title, previous_employer_7_of_10_start_date, previous_employer_7_of_10_end_date, previous_employer_7_of_10_grade, previous_employer_7_of_10_salary, previous_employer_7_of_10_specialty, previous_employer_7_of_10_sub_specialty_if_applicable, previous_employer_7_of_10_hospital_base, previous_employer_7_of_10_contract_type, previous_employer_7_of_10_if_other_please_provide_details_below, previous_employer_7_of_10_contract_duration_months, previous_employer_8_of_10_peroid_of_notice, previous_employer_7_of_10_reason_for_leaving_if_applicable, previous_employer_7_of_10_brief_description_of_your_duties_and_responsibilities, previous_employer_8_of_10_employer_name, previous_employer_8_of_10_employer_address, previous_employer_8_of_10_type_of_business, previous_employer_8_of_10_name_of_educational_or_clinical_supervisor, previous_employer_8_of_10_job_title, previous_employer_8_of_10_reporting_to_job_title, previous_employer_8_of_10_email, previous_employer_8_of_10_telephone, previous_employer_8_of_10_your_job_title, previous_employer_8_of_10_start_date, previous_employer_8_of_10_end_date, previous_employer_8_of_10_grade, previous_employer_8_of_10_salary, previous_employer_8_of_10_specialty, previous_employer_8_of_10_sub_specialty_if_applicable, previous_employer_8_of_10_hospital_base, previous_employer_8_of_10_contract_type, previous_employer_8_of_10_if_other_please_provide_details_below, previous_employer_8_of_10_contract_duration_months, previous_employer_8_of_10_peroid_of_notice, previous_employer_8_of_10_reason_for_leaving_if_applicable, previous_employer_8_of_10_brief_description_of_your_duties_and_responsibilities, previous_employer_9_of_10_employer_name, previous_employer_9_of_10_employer_address, previous_employer_9_of_10_type_of_business, previous_employer_9_of_10_name_of_educational_or_clinical_supervisor, previous_employer_9_of_10_job_title, previous_employer_9_of_10_reporting_to_job_title, previous_employer_9_of_10_email, previous_employer_9_of_10_telephone, previous_employer_9_of_10_your_job_title, previous_employer_9_of_10_start_date, previous_employer_9_of_10_end_date, previous_employer_9_of_10_grade, previous_employer_9_of_10_salary, previous_employer_9_of_10_specialty, previous_employer_9_of_10_sub_specialty_if_applicable, previous_employer_9_of_10_hospital_base, previous_employer_9_of_10_contract_type, previous_employer_9_of_10_if_other_please_provide_details_below, previous_employer_9_of_10_contract_duration_months, previous_employer_9_of_10_peroid_of_notice, previous_employer_9_of_10_reason_for_leaving_if_applicable, previous_employer_9_of_10_brief_description_of_your_duties_and_responsibilities, previous_employer_10_of_10_employer_name, previous_employer_10_of_10_employer_address, previous_employer_10_of_10_type_of_business, previous_employer_10_of_10_name_of_educational_or_clinical_supervisor, previous_employer_10_of_10_job_title, previous_employer_10_of_10_reporting_to_job_title, previous_employer_10_of_10_email, previous_employer_10_of_10_telephone, previous_employer_10_of_10_your_job_title, previous_employer_10_of_10_start_date, previous_employer_10_of_10_end_date, previous_employer_10_of_10_grade, previous_employer_10_of_10_salary, previous_employer_10_of_10_specialty, previous_employer_10_of_10_sub_specialty_if_applicable, previous_employer_10_of_10_hospital_base, previous_employer_10_of_10_contract_type, previous_employer_10_of_10_if_other_please_provide_details_below, previous_employer_10_of_10_contract_duration_months, previous_employer_10_of_10_peroid_of_notice, previous_employer_10_of_10_reason_for_leaving_if_applicable, previous_employer_10_of_10_brief_description_of_your_duties_and_responsibilities, please_provide_in_this_section_explanations_for_any_gaps_in_your_employment_history_chronologically_most_recent_first_for_any_gaps_in_employment_of_6_months_or_more_over_the_past_5_years_please_include_contact_details_of_your_professional_mentor_or_educational_supervisor_who_can_verify_the_reason_for_the_gap_and_if_necessary_provide_you_with_an_appropriate_reference_for_the_period_not_worked, if_you_have_any_gaps_within_your_employment_history_please_state_the_reasons_for_the_gaps_below, referee_1_of_10_type_of_reference, referee_1_of_10_email, referee_1_of_10_title, referee_1_of_10_surname_family_name, referee_1_of_10_first_name, referee_1_of_10_relationship, referee_1_of_10_employer_name, referee_1_of_10_referee_job_title, referee_1_of_10_address_line_1, referee_1_of_10_address_line_2, referee_1_of_10_address_line_3, referee_1_of_10_town_city, referee_1_of_10_county_state, referee_1_of_10_country, referee_1_of_10_postcode_zip_code, referee_1_of_10_telephone, referee_1_of_10_fax, referee_1_of_10_can_the_referee_be_approached_prior_to_interview, referee_2_of_10_type_of_reference,
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referee_2_of_10_email, referee_2_of_10_title, referee_2_of_10_surname_family_name, referee_2_of_10_first_name, referee_2_of_10_relationship, referee_2_of_10_employer_name, referee_2_of_10_referee_job_title, referee_2_of_10_address_line_1, referee_2_of_10_address_line_2, referee_2_of_10_address_line_3, referee_2_of_10_town_city, referee_2_of_10_county_state, referee_2_of_10_country, referee_2_of_10_postcode_zip_code, referee_2_of_10_telephone, referee_2_of_10_fax, referee_2_of_10_can_the_referee_be_approached_prior_to_interview, referee_3_of_10_type_of_reference, referee_3_of_10_email, referee_3_of_10_title, referee_3_of_10_surname_family_name, referee_3_of_10_first_name, referee_3_of_10_relationship, referee_3_of_10_employer_name, referee_3_of_10_referee_job_title, referee_3_of_10_address_line_1, referee_3_of_10_address_line_2, referee_3_of_10_address_line_3, referee_3_of_10_town_city, referee_3_of_10_county_state, referee_3_of_10_country, referee_3_of_10_postcode_zip_code, referee_3_of_10_telephone, referee_3_of_10_fax, referee_3_of_10_can_the_referee_be_approached_prior_to_interview, referee_4_of_10_type_of_reference, referee_4_of_10_email, referee_4_of_10_title, referee_4_of_10_surname_family_name, referee_4_of_10_first_name, referee_4_of_10_relationship, referee_4_of_10_employer_name, referee_4_of_10_referee_job_title, referee_4_of_10_address_line_1, referee_4_of_10_address_line_2, referee_4_of_10_address_line_3, referee_4_of_10_town_city, referee_4_of_10_county_state, referee_4_of_10_country, referee_4_of_10_postcode_zip_code, referee_4_of_10_telephone, referee_4_of_10_fax, referee_4_of_10_can_the_referee_be_approached_prior_to_interview, referee_5_of_10_type_of_reference, referee_5_of_10_email, referee_5_of_10_title, referee_5_of_10_surname_family_name, referee_5_of_10_first_name, referee_5_of_10_relationship, referee_5_of_10_employer_name, referee_5_of_10_referee_job_title, referee_5_of_10_address_line_1, referee_5_of_10_address_line_2, referee_5_of_10_address_line_3, referee_5_of_10_town_city, referee_5_of_10_county_state, referee_5_of_10_country, referee_5_of_10_postcode_zip_code, referee_5_of_10_telephone, referee_5_of_10_fax, referee_5_of_10_can_the_referee_be_approached_prior_to_interview, referee_6_of_10_type_of_reference, referee_6_of_10_email, referee_6_of_10_title, referee_6_of_10_surname_family_name, referee_6_of_10_first_name, referee_6_of_10_relationship, referee_6_of_10_employer_name, referee_6_of_10_referee_job_title, referee_6_of_10_address_line_1, referee_6_of_10_address_line_2, referee_6_of_10_address_line_3, referee_6_of_10_town_city, referee_6_of_10_county_state, referee_6_of_10_country, referee_6_of_10_postcode_zip_code, referee_6_of_10_telephone, referee_6_of_10_fax, referee_6_of_10_can_the_referee_be_approached_prior_to_interview, referee_7_of_10_type_of_reference, referee_7_of_10_email, referee_7_of_10_title, referee_7_of_10_surname_family_name, referee_7_of_10_first_name, referee_7_of_10_relationship, referee_7_of_10_employer_name, referee_7_of_10_referee_job_title, referee_7_of_10_address_line_1, referee_7_of_10_address_line_2, referee_7_of_10_address_line_3, referee_7_of_10_town_city, referee_7_of_10_county_state, referee_7_of_10_country, referee_7_of_10_postcode_zip_code, referee_7_of_10_telephone, referee_7_of_10_fax, referee_7_of_10_can_the_referee_be_approached_prior_to_interview, referee_8_of_10_type_of_reference, referee_8_of_10_email, referee_8_of_10_title, referee_8_of_10_surname_family_name, referee_8_of_10_first_name, referee_8_of_10_relationship, referee_8_of_10_employer_name, referee_8_of_10_referee_job_title, referee_8_of_10_address_line_1, referee_8_of_10_address_line_2, referee_8_of_10_address_line_3, referee_8_of_10_town_city, referee_8_of_10_county_state, referee_8_of_10_country, referee_8_of_10_postcode_zip_code, referee_8_of_10_telephone, referee_8_of_10_fax, referee_8_of_10_can_the_referee_be_approached_prior_to_interview, referee_9_of_10_type_of_reference, referee_9_of_10_email, referee_9_of_10_title, referee_9_of_10_surname_family_name, referee_9_of_10_first_name, referee_9_of_10_relationship, referee_9_of_10_employer_name, referee_9_of_10_referee_job_title, referee_9_of_10_address_line_1, referee_9_of_10_address_line_2, referee_9_of_10_address_line_3, referee_9_of_10_town_city, referee_9_of_10_county_state, referee_9_of_10_country, referee_9_of_10_postcode_zip_code, referee_9_of_10_telephone, referee_9_of_10_fax, referee_9_of_10_can_the_referee_be_approached_prior_to_interview, referee_10_of_10_type_of_reference, referee_10_of_10_email, referee_10_of_10_title, referee_10_of_10_surname_family_name, referee_10_of_10_first_name, referee_10_of_10_relationship, referee_10_of_10_employer_name, referee_10_of_10_referee_job_title, referee_10_of_10_address_line_1, referee_10_of_10_address_line_2, referee_10_of_10_address_line_3, referee_10_of_10_town_city, referee_10_of_10_county_state, referee_10_of_10_country, referee_10_of_10_postcode_zip_code, referee_10_of_10_telephone, referee_10_of_10_fax, referee_10_of_10_can_the_referee_be_approached_prior_to_interview, if_you_have_applied_to_us_within_the_last_3_months_in_the_same_grade_and_specialty_are_you_happy_for_us_to_use_the_references_from_your_earlier_application, if_you_have_applied_to_us_within_the_last_3_months_are_you_happy_for_us_to_use_the_references_from_your_earlier_application, declaration_of_practical_experience_1_of_8_practical_experience, declaration_of_practical_experience_1_of_8_under_senior_supervision, declaration_of_practical_experience_1_of_8_independently, declaration_of_practical_experience_2_of_8_practical_experience, declaration_of_practical_experience_2_of_8_under_senior_supervision, declaration_of_practical_experience_2_of_8_independently, declaration_of_practical_experience_3_of_8_practical_experience, declaration_of_practical_experience_3_of_8_under_senior_supervision, declaration_of_practical_experience_3_of_8_independently, declaration_of_practical_experience_4_of_8_practical_experience, declaration_of_practical_experience_4_of_8_under_senior_supervision, declaration_of_practical_experience_4_of_8_independently, declaration_of_practical_experience_5_of_8_practical_experience, declaration_of_practical_experience_5_of_8_under_senior_supervision, declaration_of_practical_experience_5_of_8_independently, declaration_of_practical_experience_6_of_8_practical_experience, declaration_of_practical_experience_6_of_8_under_senior_supervision, declaration_of_practical_experience_6_of_8_independently, declaration_of_practical_experience_7_of_8_practical_experience, declaration_of_practical_experience_7_of_8_under_senior_supervision, declaration_of_practical_experience_7_of_8_independently, declaration_of_practical_experience_8_of_8_practical_experience, declaration_of_practical_experience_8_of_8_under_senior_supervision, declaration_of_practical_experience_8_of_8_independently, please_briefly_describe_the_extent_of_your_proficiency_and_experience_in_the_procedures_highlighted_above_along_with_any_particular_clinical_skills_experience_special_interests_you_possess_that_you_may_wish_to_highlight, in_the_context_of_this_post_in_reflecting_on_your_own_skills_and_abilities_are_there_any_areas_where_you_might_seek_further_development_and_support, do_you_have_any_relevant_formal_and_informal_teaching_experience, please_provide_details_about_your_teaching_experience, do_you_hold_any_particular_qualifications_in_teaching, do_you_wish_to_highlight_any_changes_youve_personally_implemented_in_the_past_5_years, change_1_of_5_description_of_change, change_1_of_5_date, change_1_of_5_aim_measure_of_the_change, change_1_of_5_conclusions_actions, change_2_of_5_description_of_change, change_2_of_5_date, change_2_of_5_aim_measure_of_the_change, change_2_of_5_conclusions_actions, change_3_of_5_description_of_change, change_3_of_5_date, change_3_of_5_aim_measure_of_the_change, change_3_of_5_conclusions_actions,
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change_4_of_5_description_of_change, change_4_of_5_date, change_4_of_5_aim_measure_of_the_change, change_4_of_5_conclusions_actions, change_5_of_5_description_of_change, change_5_of_5_date, change_5_of_5_aim_measure_of_the_change, change_5_of_5_conclusions_actions, of_the_change_audits_projects_you_have_undertaken_which_has_been_of_most_value_and_why, describe_the_impact_of_a_change_initiated_by_you_on_wider_members_of_your_team, do_you_wish_to_provide_details_of_any_research_undertaken_in_the_last_5_years, project_1_of_5_project_title, project_1_of_5_date, project_1_of_5_aim_of_research, project_1_of_5_conclusions_actions, project_2_of_5_project_title, project_2_of_5_date, project_2_of_5_aim_of_research, project_2_of_5_conclusions_actions, project_3_of_5_project_title, project_3_of_5_date, project_3_of_5_aim_of_research, project_3_of_5_conclusions_actions, project_4_of_5_project_title, project_4_of_5_date, project_4_of_5_aim_of_research, project_4_of_5_conclusions_actions, project_5_of_5_project_title, project_5_of_5_date, project_5_of_5_aim_of_research, project_5_of_5_conclusions_actions, please_summarise_your_main_learning_point_from_an_effective_audit_quality_improvement_project_you_have_undertaken, do_you_hold_any_particular_qualifications_in_research, do_you_wish_to_provide_details_of_any_publications_in_peer_reviewed_journals, publication_1_of_6_category_of_publication, publication_1_of_6_date_of_publication, publication_1_of_6_journal_title, publication_1_of_6_publication_title, publication_1_of_6_authors, publication_2_of_6_category_of_publication, publication_2_of_6_date_of_publication, publication_2_of_6_journal_title, publication_2_of_6_publication_title, publication_2_of_6_authors, publication_3_of_6_category_of_publication, publication_3_of_6_date_of_publication, publication_3_of_6_journal_title, publication_3_of_6_publication_title, publication_3_of_6_authors, publication_4_of_6_category_of_publication, publication_4_of_6_date_of_publication, publication_4_of_6_journal_title, publication_4_of_6_publication_title, publication_4_of_6_authors, publication_5_of_6_category_of_publication, publication_5_of_6_date_of_publication, publication_5_of_6_journal_title, publication_5_of_6_publication_title, publication_5_of_6_authors, publication_6_of_6_category_of_publication, publication_6_of_6_date_of_publication, publication_6_of_6_journal_title, publication_6_of_6_publication_title, publication_6_of_6_authors, do_you_wish_to_provide_details_of_any_presentations_you_have_made, presentation_1_of_6_title, presentation_1_of_6_type, presentation_1_of_6_year_presented, presentation_2_of_6_title, presentation_2_of_6_type, presentation_2_of_6_year_presented, presentation_3_of_6_title, presentation_3_of_6_type, presentation_3_of_6_year_presented, presentation_4_of_6_title, presentation_4_of_6_type, presentation_4_of_6_year_presented, presentation_5_of_6_title, presentation_5_of_6_type, presentation_5_of_6_year_presented, presentation_6_of_6_title, presentation_6_of_6_type, presentation_6_of_6_year_presented, do_you_wish_to_provide_details_of_any_prizes_or_other_academic_distinctions_you_have_received, prize_distinction_1_of_6_awarding_body, prize_distinction_1_of_6_description_and_purpose_of_award, prize_distinction_1_of_6_year_received, prize_distinction_2_of_6_awarding_body, prize_distinction_2_of_6_description_and_purpose_of_award, prize_distinction_2_of_6_year_received, prize_distinction_3_of_6_awarding_body, prize_distinction_3_of_6_description_and_purpose_of_award, prize_distinction_3_of_6_year_received, prize_distinction_4_of_6_awarding_body, prize_distinction_4_of_6_description_and_purpose_of_award, prize_distinction_4_of_6_year_received, prize_distinction_5_of_6_awarding_body, prize_distinction_5_of_6_description_and_purpose_of_award, prize_distinction_5_of_6_year_received, prize_distinction_6_of_6_awarding_body, prize_distinction_6_of_6_description_and_purpose_of_award, prize_distinction_6_of_6_year_received, please_highlight_experience_you_may_have_which_is_relevant_to_this_post_not_necessarily_limited_to_professional_activities, describe_situations_where_you_have_been_involved_in_working_in_a_team_not_necessarily_limited_to_professional_activities, supporting_information, preferred_employment_type, please_state_your_date_of_birth, please_indicate_your_gender, please_indicate_the_option_which_best_describes_your_marital_status, please_indicate_your_ethnic_origin, please_indicate_the_option_which_best_describes_your_sexual_orientation, please_indicate_your_religion_or_belief, do_you_consider_yourself_to_have_a_disability, 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, please_give_details, if_you_have_a_disability_do_you_wish_to_be_considered_under_the_guaranteed_interview_scheme_if_you_meet_the_minimum_criteria_as_specified_in_the_personal_specification, are_you_currently_bound_over_or_do_you_have_any_unspent_convictions_cautions_reprimands_or_warnings_issued_by_a_court_or_court_martial_in_the_uk_or_any_other_country, if_yes_please_include_details_of_the_order_binding_you_over_and_or_the_nature_of_the_offence_the_penalty_sentence_or_order_of_the_court_and_the_date_and_place_of_the_court_hearing_please_note_you_do_not_need_to_tell_us_about_parking_offences, if_you_are_related_to_a_director_or_have_a_relationship_with_a_director_or_employee_of_an_appointing_organisation_please_state_the_relationship, g1_do_you_possess_xxxxx_qualification_or_an_equivalent, g2_do_you_have_relevant_teaching_or_training_experience_as_required_by_the_person_specification, n1_do_you_possess_xxxxx_registration, n2_does_the_nmc_require_you_to_have_a_period_of_supervised_practice_or_to_undergo_the_overseas_nurses_programme_onp, n3_if_you_have_a_decision_letter_for_nmc_registration_please_enter_its_date, m1_please_state_your_gmc_registration_status, m1a_please_state_your_specialty, m2_have_you_completed_research_work_relevant_to_this_post, m3_please_state_who_is_your_current_responsible_officer, m4_please_state_the_date_of_your_last_revalidation, m5_please_state_the_date_of_your_last_appraisal, m6_are_you_currently_on_the_general_medical_councils_specialist_register_or_due_to_obtain_a_relevant_cct_cesrcp_within_6_months_of_interview, m6a_please_confirm_your_anticipated_cct_cesrcp_date, m7_are_you_currently_on_the_general_medical_councils_gp_register_or_a_gp_registrar_within_3_months_of_anticipated_cct_cegpr_or_equivalent_at_the_time_of_interview, m8_are_you_included_on_this_employers_regional_performers_list_or_do_you_have_an_expectation_for_inclusion_within_3_months_of_the_date_of_interview, m8a_please_confirm_where_your_performers_list_is_currently_held, m9_do_you_have_current_section_12_mental_health_act_england_and_wales_approval_for_working_in_this_nhs_region,
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m10_are_you_currently_registered_in_this_employers_region_as_a_responsible_clinician, m11_have_your_foundation_programme_1_competencies_been_formally_signed_off, m12_have_your_foundation_programme_2_competencies_been_formally_signed_off, m12a_if_you_have_not_completed_foundation_training_please_provide_an_explanation_below_eg_equivalent_competency_formally_recognised_by_deanery_evidence_of_this_will_be_required, p1_what_grade_of_psychology_degree_do_you_hold, a1_are_you_registered_with_the_hcpc, a2_do_you_hold_a_relevant_degree_or_graduate_diploma_as_required_by_the_person_specification, d1_please_state_your_gdc_registration_status, d2_please_select_your_royal_college, d3_please_select_your_royal_college_membership_status, d4_are_you_currently_on_the_general_dental_councils_specialist_register_or_an_spr_due_to_obtain_a_relevant_cct_cesrcp_within_6_months_of_interview, d4a_please_confirm_your_anticipated_cct_cesrcp_date, d5_have_you_had_an_imer_update_in_the_past_5_years, s3_are_you_currently_bound_over_or_do_you_have_any_convictions_or_cautions_including_warnings_and_reprimands_which_are_not_deemed_protected_under_the_amendment_to_the_exceptions_order_1975_issued_by_a_court_or_court_martial_in_the_united_kingdom_or_in_any_other_country, s3a_if_yes_please_include_details_of_the_order_binding_you_over_and_or_the_nature_of_the_offence_the_penalty_sentence_or_order_of_the_court_and_the_date_and_place_of_the_court_hearing, s4_are_you_currently_bound_by_any_barring_decision_made_by_the_disclosure_and_barring_service_dbs_from_working_with_children, s5_are_you_currently_bound_by_any_barring_decision_made_by_the_disclosure_and_barring_service_dbs_from_working_with_vulnerable_adults, dv1_do_you_have_access_to_a_vehicle_which_can_be_used_for_work_purposes, dv2_do_you_have_a_valid_driving_licence_for_the_uk, dv3_please_specify_the_vehicle_categories_for_which_you_hold_a_licence, dv4_how_many_penalty_points_do_you_currently_have_on_your_driving_licence, dv4a_if_you_have_penalty_points_please_state_the_endorsement_offence_codes_and_the_date_of_issue, w2_can_you_speak_and_understand_spoken_welsh, w2a_please_select_the_level_that_best_fits_your_ability_to_speak_and_understand_spoken_welsh, w3_can_you_read_welsh, w3a_please_select_the_level_that_best_fits_your_ability_to_read_welsh, w4_can_you_write_in_welsh, w4a_please_select_the_level_that_best_fits_your_ability_to_write_in_welsh, i1_are_you_currently_employed_by_the_employer_advertising_this_vacancy, i1a_which_organisation_are_you_currently_employed_by, i2_what_is_your_current_position_title, i3_which_is_your_current_department, i4_who_is_your_current_manager,)>
<!ELEMENT form_ref (#PCDATA)> <!ELEMENT vpd_code (#PCDATA)> <!ELEMENT employer_id (#PCDATA)> <!ELEMENT display_ref (#PCDATA)> <!ELEMENT orig_vacancy_name (#PCDATA)> <!ELEMENT erec_vac_ref (#PCDATA)> <!ELEMENT application_ref (#PCDATA)> <!ELEMENT applicant_id (#PCDATA)> <!ELEMENT application_date_received (#PCDATA)> <!ELEMENT applicant_email_address (#PCDATA)> <!ELEMENT application_status (#PCDATA)> <!ELEMENT offline_application_reference (#PCDATA)> <!ELEMENT offline_application_location (#PCDATA)> <!ELEMENT where_seen (#PCDATA)> <!ELEMENT agree (#PCDATA)> <!ELEMENT title (#PCDATA)> <!ELEMENT surname_family_name (#PCDATA)> <!ELEMENT first_name (#PCDATA)> <!ELEMENT middle_names (#PCDATA)> <!ELEMENT name_in_which_you_are_registered_with_a_professional_body_if_applicable (#PCDATA)> <!ELEMENT uk_national_insurance_number (#PCDATA)> <!ELEMENT address_line_1 (#PCDATA)> <!ELEMENT address_line_2 (#PCDATA)>
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<!ELEMENT address_line_3 (#PCDATA)> <!ELEMENT town_city (#PCDATA)> <!ELEMENT county_state (#PCDATA)> <!ELEMENT country (#PCDATA)> <!ELEMENT postcode_zip_code (#PCDATA)> <!ELEMENT home_telephone (#PCDATA)> <!ELEMENT work_telephone (#PCDATA)> <!ELEMENT mobile_telephone (#PCDATA)> <!ELEMENT do_you_wish_to_receive_updates_by_text_message (#PCDATA)> <!ELEMENT preferred_telephone_number_to_be_contacted_on (#PCDATA)> <!ELEMENT are_you_a_united_kingdom_uk_european_community_ec_or_european_economic_area_eea_national (#PCDATA)> <!ELEMENT please_select_the_category_that_relates_to_your_current_immigration_status_this_status_will_be_subject_to_checking_before_interview (#PCDATA)> <!ELEMENT if_other_please_provide_details_below (#PCDATA)> <!ELEMENT visa_number (#PCDATA)> <!ELEMENT start_date (#PCDATA)> <!ELEMENT expiry_date (#PCDATA)> <!ELEMENT does_your_visa_have_a_condition_restricting_employment_or_occupation_in_the_uk (#PCDATA)> <!ELEMENT details_of_any_restrictions (#PCDATA)> <!ELEMENT are_you_an_nhs_professional_returning_to_practice (#PCDATA)> <!ELEMENT please_provide_all_relevant_training_and_qualifications_also_indicate_subjects_currently_being_studied_and_expected_year_of_qualification_all_qualifications_disclosed_will_be_subject_to_a_satisfactory_check (#PCDATA)> <!ELEMENT education_professional_qualifications_1_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualifications_1_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualifications_1_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualifications_1_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualifications_2_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualifications_2_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualifications_2_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualifications_2_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualifications_3_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualifications_3_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualifications_3_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualifications_3_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualifications_4_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualifications_4_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualifications_4_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualifications_4_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualifications_5_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualifications_5_of_11_place_of_study (#PCDATA)>
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<!ELEMENT education_professional_qualifications_5_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualifications_5_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualifications_6_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualifications_6_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualifications_6_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualifications_6_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualifications_7_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualifications_7_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualifications_7_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualifications_7_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualifications_8_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualifications_8_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualifications_8_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualifications_8_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualifications_9_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualifications_9_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualifications_9_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualifications_9_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualifications_10_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualifications_10_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualifications_10_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualifications_10_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualifications_11_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualifications_11_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualifications_11_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualifications_11_of_11_year_obtained (#PCDATA)> <!ELEMENT relevant_training_courses_attended_1_of_7_course_title (#PCDATA)> <!ELEMENT relevant_training_courses_attended_1_of_7_training_provider (#PCDATA)> <!ELEMENT relevant_training_courses_attended_1_of_7_duration (#PCDATA)> <!ELEMENT relevant_training_courses_attended_1_of_7_year_completed (#PCDATA)> <!ELEMENT relevant_training_courses_attended_2_of_7_course_title (#PCDATA)> <!ELEMENT relevant_training_courses_attended_2_of_7_training_provider (#PCDATA)> <!ELEMENT relevant_training_courses_attended_2_of_7_duration (#PCDATA)> <!ELEMENT relevant_training_courses_attended_2_of_7_year_completed (#PCDATA)> <!ELEMENT relevant_training_courses_attended_3_of_7_course_title (#PCDATA)> <!ELEMENT relevant_training_courses_attended_3_of_7_training_provider (#PCDATA)> <!ELEMENT relevant_training_courses_attended_3_of_7_duration (#PCDATA)> <!ELEMENT relevant_training_courses_attended_3_of_7_year_completed (#PCDATA)> <!ELEMENT relevant_training_courses_attended_4_of_7_course_title (#PCDATA)> <!ELEMENT relevant_training_courses_attended_4_of_7_training_provider (#PCDATA)>
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<!ELEMENT relevant_training_courses_attended_4_of_7_duration (#PCDATA)> <!ELEMENT relevant_training_courses_attended_4_of_7_year_completed (#PCDATA)> <!ELEMENT relevant_training_courses_attended_5_of_7_course_title (#PCDATA)> <!ELEMENT relevant_training_courses_attended_5_of_7_training_provider (#PCDATA)> <!ELEMENT relevant_training_courses_attended_5_of_7_duration (#PCDATA)> <!ELEMENT relevant_training_courses_attended_5_of_7_year_completed (#PCDATA)> <!ELEMENT relevant_training_courses_attended_6_of_7_course_title (#PCDATA)> <!ELEMENT relevant_training_courses_attended_6_of_7_training_provider (#PCDATA)> <!ELEMENT relevant_training_courses_attended_6_of_7_duration (#PCDATA)> <!ELEMENT relevant_training_courses_attended_6_of_7_year_completed (#PCDATA)> <!ELEMENT relevant_training_courses_attended_7_of_7_course_title (#PCDATA)> <!ELEMENT relevant_training_courses_attended_7_of_7_training_provider (#PCDATA)> <!ELEMENT relevant_training_courses_attended_7_of_7_duration (#PCDATA)> <!ELEMENT relevant_training_courses_attended_7_of_7_year_completed (#PCDATA)> <!ELEMENT please_indicate_your_professional_registration_status (#PCDATA)> <!ELEMENT professional_body_and_membership_1_of_2_professional_body_and_membership (#PCDATA)> <!ELEMENT professional_body_and_membership_1_of_2_if_other_please_provide_details_below (#PCDATA)> <!ELEMENT professional_body_and_membership_1_of_2_membership_registration_number (#PCDATA)> <!ELEMENT professional_body_and_membership_1_of_2_expiry_renewal_date (#PCDATA)> <!ELEMENT professional_body_and_membership_2_of_2_professional_body_and_membership (#PCDATA)> <!ELEMENT professional_body_and_membership_2_of_2_if_other_please_provide_details_below (#PCDATA)> <!ELEMENT professional_body_and_membership_2_of_2_membership_registration_number (#PCDATA)> <!ELEMENT professional_body_and_membership_2_of_2_expiry_renewal_date (#PCDATA)> <!ELEMENT are_you_currently_the_subject_of_a_fitness_to_practise_investigation_or_proceedings_by_a_licensing_or_regulatory_body_in_the_uk_or_in_any_other_country (#PCDATA)> <!ELEMENT if_applicable_please_provide_details_of_any_investigations_or_proceedings_you_may_be_subject_to (#PCDATA)> <!ELEMENT have_you_ever_been_removed_from_the_register_or_have_conditions_or_undertakings_been_made_on_your_registration_by_a_fitness_to_practise_committee_or_the_licensing_or_regulatory_body_in_the_uk_or_in_any_other_country (#PCDATA)> <!ELEMENT if_applicable_please_provide_details_of_any_conditions_or_undertakings_currently_applied_to_your_professional_registration (#PCDATA)> <!ELEMENT in_your_current_or_any_previous_employment_have_you_had_restrictions_placed_on_your_clinical_practice_as_part_of_the_revalidation_process (#PCDATA)> <!ELEMENT if_applicable_please_provide_details_of_any_restrictions_you_may_have (#PCDATA)> <!ELEMENT please_confirm_what_you_believe_to_be_your_effective_start_date_of_continuous_nhs_service_if_applicable (#PCDATA)> <!ELEMENT start_date_of_continuous_nhs_service_if_applicable (#PCDATA)> <!ELEMENT months_since_most_recent_employment_ended_if_applicable (#PCDATA)> <!ELEMENT have_you_ever_worked_for_the_nhs (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_employer_name (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_employer_address (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_type_of_business (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_name_of_educational_or_clinical_supervisor (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_job_title (#PCDATA)>
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<!ELEMENT current_most_recent_employer_reference_always_required_reporting_to_job_title (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_email (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_telephone (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_your_job_title (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_start_date (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_end_date (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_grade (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_salary (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_specialty (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_sub_specialty_if_applicable (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_hospital_base (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_contract_type (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_if_other_please_provide_details_below (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_contract_duration_months (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_period_of_notice (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_reason_for_leaving_if_applicable (#PCDATA)> <!ELEMENT current_most_recent_employer_reference_always_required_brief_description_of_your_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_1_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_1_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_1_of_10_type_of_business (#PCDATA)> <!ELEMENT previous_employer_1_of_10_name_of_educational_or_clinical_supervisor (#PCDATA)> <!ELEMENT previous_employer_1_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_1_of_10_reporting_to_job_title (#PCDATA)> <!ELEMENT previous_employer_1_of_10_email (#PCDATA)> <!ELEMENT previous_employer_1_of_10_telephone (#PCDATA)> <!ELEMENT previous_employer_1_of_10_your_job_title (#PCDATA)> <!ELEMENT previous_employer_1_of_10_start_date (#PCDATA)> <!ELEMENT previous_employer_1_of_10_end_date (#PCDATA)> <!ELEMENT previous_employer_1_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_1_of_10_salary (#PCDATA)> <!ELEMENT previous_employer_1_of_10_specialty (#PCDATA)> <!ELEMENT previous_employer_1_of_10_sub_specialty_if_applicable (#PCDATA)> <!ELEMENT previous_employer_1_of_10_hospital_base (#PCDATA)> <!ELEMENT previous_employer_1_of_10_contract_type (#PCDATA)> <!ELEMENT previous_employer_1_of_10_if_other_please_provide_details_below (#PCDATA)> <!ELEMENT previous_employer_1_of_10_contract_duration_months (#PCDATA)> <!ELEMENT previous_employer_1_of_10_period_of_notice (#PCDATA)> <!ELEMENT previous_employer_1_of_10_reason_for_leaving_if_applicable (#PCDATA)> <!ELEMENT previous_employer_1_of_10_brief_description_of_your_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_2_of_10_employer_name (#PCDATA)>
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<!ELEMENT previous_employer_2_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_2_of_10_type_of_business (#PCDATA)> <!ELEMENT previous_employer_2_of_10_name_of_educational_or_clinical_supervisor (#PCDATA)> <!ELEMENT previous_employer_2_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_2_of_10_reporting_to_job_title (#PCDATA)> <!ELEMENT previous_employer_2_of_10_email (#PCDATA)> <!ELEMENT previous_employer_2_of_10_telephone (#PCDATA)> <!ELEMENT previous_employer_2_of_10_your_job_title (#PCDATA)> <!ELEMENT previous_employer_2_of_10_start_date (#PCDATA)> <!ELEMENT previous_employer_2_of_10_end_date (#PCDATA)> <!ELEMENT previous_employer_2_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_2_of_10_salary (#PCDATA)> <!ELEMENT previous_employer_2_of_10_specialty (#PCDATA)> <!ELEMENT previous_employer_2_of_10_sub_specialty_if_applicable (#PCDATA)> <!ELEMENT previous_employer_2_of_10_hospital_base (#PCDATA)> <!ELEMENT previous_employer_2_of_10_contract_type (#PCDATA)> <!ELEMENT previous_employer_2_of_10_if_other_please_provide_details_below (#PCDATA)> <!ELEMENT previous_employer_2_of_10_contract_duration_months (#PCDATA)> <!ELEMENT previous_employer_2_of_10_period_of_notice (#PCDATA)> <!ELEMENT previous_employer_2_of_10_reason_for_leaving_if_applicable (#PCDATA)> <!ELEMENT previous_employer_2_of_10_brief_description_of_your_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_3_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_3_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_3_of_10_type_of_business (#PCDATA)> <!ELEMENT previous_employer_3_of_10_name_of_educational_or_clinical_supervisor (#PCDATA)> <!ELEMENT previous_employer_3_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_3_of_10_reporting_to_job_title (#PCDATA)> <!ELEMENT previous_employer_3_of_10_email (#PCDATA)> <!ELEMENT previous_employer_3_of_10_telephone (#PCDATA)> <!ELEMENT previous_employer_3_of_10_your_job_title (#PCDATA)> <!ELEMENT previous_employer_3_of_10_start_date (#PCDATA)> <!ELEMENT previous_employer_3_of_10_end_date (#PCDATA)> <!ELEMENT previous_employer_3_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_3_of_10_salary (#PCDATA)> <!ELEMENT previous_employer_3_of_10_specialty (#PCDATA)> <!ELEMENT previous_employer_3_of_10_sub_specialty_if_applicable (#PCDATA)> <!ELEMENT previous_employer_3_of_10_hospital_base (#PCDATA)> <!ELEMENT previous_employer_3_of_10_contract_type (#PCDATA)> <!ELEMENT previous_employer_3_of_10_if_other_please_provide_details_below (#PCDATA)> <!ELEMENT previous_employer_3_of_10_contract_duration_months (#PCDATA)>
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<!ELEMENT previous_employer_3_of_10_period_of_notice (#PCDATA)> <!ELEMENT previous_employer_3_of_10_reason_for_leaving_if_applicable (#PCDATA)> <!ELEMENT previous_employer_3_of_10_brief_description_of_your_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_4_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_4_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_4_of_10_type_of_business (#PCDATA)> <!ELEMENT previous_employer_4_of_10_name_of_educational_or_clinical_supervisor (#PCDATA)> <!ELEMENT previous_employer_4_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_4_of_10_reporting_to_job_title (#PCDATA)> <!ELEMENT previous_employer_4_of_10_email (#PCDATA)> <!ELEMENT previous_employer_4_of_10_telephone (#PCDATA)> <!ELEMENT previous_employer_4_of_10_your_job_title (#PCDATA)> <!ELEMENT previous_employer_4_of_10_start_date (#PCDATA)> <!ELEMENT previous_employer_4_of_10_end_date (#PCDATA)> <!ELEMENT previous_employer_4_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_4_of_10_salary (#PCDATA)> <!ELEMENT previous_employer_4_of_10_specialty (#PCDATA)> <!ELEMENT previous_employer_4_of_10_sub_specialty_if_applicable (#PCDATA)> <!ELEMENT previous_employer_4_of_10_hospital_base (#PCDATA)> <!ELEMENT previous_employer_4_of_10_contract_type (#PCDATA)> <!ELEMENT previous_employer_4_of_10_if_other_please_provide_details_below (#PCDATA)> <!ELEMENT previous_employer_4_of_10_contract_duration_months (#PCDATA)> <!ELEMENT previous_employer_4_of_10_period_of_notice (#PCDATA)> <!ELEMENT previous_employer_4_of_10_reason_for_leaving_if_applicable (#PCDATA)> <!ELEMENT previous_employer_4_of_10_brief_description_of_your_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_5_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_5_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_5_of_10_type_of_business (#PCDATA)> <!ELEMENT previous_employer_5_of_10_name_of_educational_or_clinical_supervisor (#PCDATA)> <!ELEMENT previous_employer_5_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_5_of_10_reporting_to_job_title (#PCDATA)> <!ELEMENT previous_employer_5_of_10_email (#PCDATA)> <!ELEMENT previous_employer_5_of_10_telephone (#PCDATA)> <!ELEMENT previous_employer_5_of_10_your_job_title (#PCDATA)> <!ELEMENT previous_employer_5_of_10_start_date (#PCDATA)> <!ELEMENT previous_employer_5_of_10_end_date (#PCDATA)> <!ELEMENT previous_employer_5_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_5_of_10_salary (#PCDATA)> <!ELEMENT previous_employer_5_of_10_specialty (#PCDATA)> <!ELEMENT previous_employer_5_of_10_sub_specialty_if_applicable (#PCDATA)>
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<!ELEMENT previous_employer_5_of_10_hospital_base (#PCDATA)> <!ELEMENT previous_employer_5_of_10_contract_type (#PCDATA)> <!ELEMENT previous_employer_5_of_10_if_other_please_provide_details_below (#PCDATA)> <!ELEMENT previous_employer_5_of_10_contract_duration_months (#PCDATA)> <!ELEMENT previous_employer_5_of_10_period_of_notice (#PCDATA)> <!ELEMENT previous_employer_5_of_10_reason_for_leaving_if_applicable (#PCDATA)> <!ELEMENT previous_employer_5_of_10_brief_description_of_your_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_6_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_6_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_6_of_10_type_of_business (#PCDATA)> <!ELEMENT previous_employer_6_of_10_name_of_educational_or_clinical_supervisor (#PCDATA)> <!ELEMENT previous_employer_6_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_6_of_10_reporting_to_job_title (#PCDATA)> <!ELEMENT previous_employer_6_of_10_email (#PCDATA)> <!ELEMENT previous_employer_6_of_10_telephone (#PCDATA)> <!ELEMENT previous_employer_6_of_10_your_job_title (#PCDATA)> <!ELEMENT previous_employer_6_of_10_start_date (#PCDATA)> <!ELEMENT previous_employer_6_of_10_end_date (#PCDATA)> <!ELEMENT previous_employer_6_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_6_of_10_salary (#PCDATA)> <!ELEMENT previous_employer_6_of_10_specialty (#PCDATA)> <!ELEMENT previous_employer_6_of_10_sub_specialty_if_applicable (#PCDATA)> <!ELEMENT previous_employer_6_of_10_hospital_base (#PCDATA)> <!ELEMENT previous_employer_6_of_10_contract_type (#PCDATA)> <!ELEMENT previous_employer_6_of_10_if_other_please_provide_details_below (#PCDATA)> <!ELEMENT previous_employer_6_of_10_contract_duration_months (#PCDATA)> <!ELEMENT previous_employer_6_of_10_period_of_notice (#PCDATA)> <!ELEMENT previous_employer_6_of_10_reason_for_leaving_if_applicable (#PCDATA)> <!ELEMENT previous_employer_6_of_10_brief_description_of_your_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_7_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_7_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_7_of_10_type_of_business (#PCDATA)> <!ELEMENT previous_employer_7_of_10_name_of_educational_or_clinical_supervisor (#PCDATA)> <!ELEMENT previous_employer_7_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_7_of_10_reporting_to_job_title (#PCDATA)> <!ELEMENT previous_employer_7_of_10_email (#PCDATA)> <!ELEMENT previous_employer_7_of_10_telephone (#PCDATA)> <!ELEMENT previous_employer_7_of_10_your_job_title (#PCDATA)> <!ELEMENT previous_employer_7_of_10_start_date (#PCDATA)> <!ELEMENT previous_employer_7_of_10_end_date (#PCDATA)>
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<!ELEMENT previous_employer_7_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_7_of_10_salary (#PCDATA)> <!ELEMENT previous_employer_7_of_10_specialty (#PCDATA)> <!ELEMENT previous_employer_7_of_10_sub_specialty_if_applicable (#PCDATA)> <!ELEMENT previous_employer_7_of_10_hospital_base (#PCDATA)> <!ELEMENT previous_employer_7_of_10_contract_type (#PCDATA)> <!ELEMENT previous_employer_7_of_10_if_other_please_provide_details_below (#PCDATA)> <!ELEMENT previous_employer_7_of_10_contract_duration_months (#PCDATA)> <!ELEMENT previous_employer_7_of_10_period_of_notice (#PCDATA)> <!ELEMENT previous_employer_7_of_10_reason_for_leaving_if_applicable (#PCDATA)> <!ELEMENT previous_employer_7_of_10_brief_description_of_your_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_8_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_8_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_8_of_10_type_of_business (#PCDATA)> <!ELEMENT previous_employer_8_of_10_name_of_educational_or_clinical_supervisor (#PCDATA)> <!ELEMENT previous_employer_8_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_8_of_10_reporting_to_job_title (#PCDATA)> <!ELEMENT previous_employer_8_of_10_email (#PCDATA)> <!ELEMENT previous_employer_8_of_10_telephone (#PCDATA)> <!ELEMENT previous_employer_8_of_10_your_job_title (#PCDATA)> <!ELEMENT previous_employer_8_of_10_start_date (#PCDATA)> <!ELEMENT previous_employer_8_of_10_end_date (#PCDATA)> <!ELEMENT previous_employer_8_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_8_of_10_salary (#PCDATA)> <!ELEMENT previous_employer_8_of_10_specialty (#PCDATA)> <!ELEMENT previous_employer_8_of_10_sub_specialty_if_applicable (#PCDATA)> <!ELEMENT previous_employer_8_of_10_hospital_base (#PCDATA)> <!ELEMENT previous_employer_8_of_10_contract_type (#PCDATA)> <!ELEMENT previous_employer_8_of_10_if_other_please_provide_details_below (#PCDATA)> <!ELEMENT previous_employer_8_of_10_contract_duration_months (#PCDATA)> <!ELEMENT previous_employer_8_of_10_period_of_notice (#PCDATA)> <!ELEMENT previous_employer_8_of_10_reason_for_leaving_if_applicable (#PCDATA)> <!ELEMENT previous_employer_8_of_10_brief_description_of_your_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_9_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_9_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_9_of_10_type_of_business (#PCDATA)> <!ELEMENT previous_employer_9_of_10_name_of_educational_or_clinical_supervisor (#PCDATA)> <!ELEMENT previous_employer_9_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_9_of_10_reporting_to_job_title (#PCDATA)> <!ELEMENT previous_employer_9_of_10_email (#PCDATA)>
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<!ELEMENT previous_employer_9_of_10_telephone (#PCDATA)> <!ELEMENT previous_employer_9_of_10_your_job_title (#PCDATA)> <!ELEMENT previous_employer_9_of_10_start_date (#PCDATA)> <!ELEMENT previous_employer_9_of_10_end_date (#PCDATA)> <!ELEMENT previous_employer_9_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_9_of_10_salary (#PCDATA)> <!ELEMENT previous_employer_9_of_10_specialty (#PCDATA)> <!ELEMENT previous_employer_9_of_10_sub_specialty_if_applicable (#PCDATA)> <!ELEMENT previous_employer_9_of_10_hospital_base (#PCDATA)> <!ELEMENT previous_employer_9_of_10_contract_type (#PCDATA)> <!ELEMENT previous_employer_9_of_10_if_other_please_provide_details_below (#PCDATA)> <!ELEMENT previous_employer_9_of_10_contract_duration_months (#PCDATA)> <!ELEMENT previous_employer_9_of_10_period_of_notice (#PCDATA)> <!ELEMENT previous_employer_9_of_10_reason_for_leaving_if_applicable (#PCDATA)> <!ELEMENT previous_employer_9_of_10_brief_description_of_your_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_10_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_10_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_10_of_10_type_of_business (#PCDATA)> <!ELEMENT previous_employer_10_of_10_name_of_educational_or_clinical_supervisor (#PCDATA)> <!ELEMENT previous_employer_10_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_10_of_10_reporting_to_job_title (#PCDATA)> <!ELEMENT previous_employer_10_of_10_email (#PCDATA)> <!ELEMENT previous_employer_10_of_10_telephone (#PCDATA)> <!ELEMENT previous_employer_10_of_10_your_job_title (#PCDATA)> <!ELEMENT previous_employer_10_of_10_start_date (#PCDATA)> <!ELEMENT previous_employer_10_of_10_end_date (#PCDATA)> <!ELEMENT previous_employer_10_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_10_of_10_salary (#PCDATA)> <!ELEMENT previous_employer_10_of_10_specialty (#PCDATA)> <!ELEMENT previous_employer_10_of_10_sub_specialty_if_applicable (#PCDATA)> <!ELEMENT previous_employer_10_of_10_hospital_base (#PCDATA)> <!ELEMENT previous_employer_10_of_10_contract_type (#PCDATA)> <!ELEMENT previous_employer_10_of_10_if_other_please_provide_details_below (#PCDATA)> <!ELEMENT previous_employer_10_of_10_contract_duration_months (#PCDATA)> <!ELEMENT previous_employer_10_of_10_period_of_notice (#PCDATA)> <!ELEMENT previous_employer_10_of_10_reason_for_leaving_if_applicable (#PCDATA)> <!ELEMENT previous_employer_10_of_10_brief_description_of_your_duties_and_responsibilities (#PCDATA)> <!ELEMENT please_provide_in_this_section_explanations_for_any_gaps_in_your_employment_history_chronologically_most_recent_first_for_any_gaps_in_employment_of_6_months_or_more_over_the_past_5_years
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_please_include_contact_details_of_your_professional_mentor_or_educational_supervisor_who_can_verify_the_reason_for_the_gap_and_if_necessary_provide_you_with_an_appropriate_reference_for_the_period_not_worked (#PCDATA)> <!ELEMENT if_you_have_any_gaps_within_your_employment_history_please_state_the_reasons_for_the_gaps_below (#PCDATA)> <!ELEMENT referee_1_of_10_type_of_reference (#PCDATA)> <!ELEMENT referee_1_of_10_email (#PCDATA)> <!ELEMENT referee_1_of_10_title (#PCDATA)> <!ELEMENT referee_1_of_10_surname_family_name (#PCDATA)> <!ELEMENT referee_1_of_10_first_name (#PCDATA)> <!ELEMENT referee_1_of_10_relationship (#PCDATA)> <!ELEMENT referee_1_of_10_employer_name (#PCDATA)> <!ELEMENT referee_1_of_10_referee_job_title (#PCDATA)> <!ELEMENT referee_1_of_10_address_line_1 (#PCDATA)> <!ELEMENT referee_1_of_10_address_line_2 (#PCDATA)> <!ELEMENT referee_1_of_10_address_line_3 (#PCDATA)> <!ELEMENT referee_1_of_10_town_city (#PCDATA)> <!ELEMENT referee_1_of_10_county_state (#PCDATA)> <!ELEMENT referee_1_of_10_country (#PCDATA)> <!ELEMENT referee_1_of_10_postcode_zip_code (#PCDATA)> <!ELEMENT referee_1_of_10_telephone (#PCDATA)> <!ELEMENT referee_1_of_10_fax (#PCDATA)> <!ELEMENT referee_1_of_10_can_the_referee_be_approached_prior_to_interview (#PCDATA)> <!ELEMENT referee_2_of_10_type_of_reference (#PCDATA)> <!ELEMENT referee_2_of_10_email (#PCDATA)> <!ELEMENT referee_2_of_10_title (#PCDATA)> <!ELEMENT referee_2_of_10_surname_family_name (#PCDATA)> <!ELEMENT referee_2_of_10_first_name (#PCDATA)> <!ELEMENT referee_2_of_10_relationship (#PCDATA)> <!ELEMENT referee_2_of_10_employer_name (#PCDATA)> <!ELEMENT referee_2_of_10_referee_job_title (#PCDATA)> <!ELEMENT referee_2_of_10_address_line_1 (#PCDATA)> <!ELEMENT referee_2_of_10_address_line_2 (#PCDATA)> <!ELEMENT referee_2_of_10_address_line_3 (#PCDATA)> <!ELEMENT referee_2_of_10_town_city (#PCDATA)> <!ELEMENT referee_2_of_10_county_state (#PCDATA)> <!ELEMENT referee_2_of_10_country (#PCDATA)> <!ELEMENT referee_2_of_10_postcode_zip_code (#PCDATA)> <!ELEMENT referee_2_of_10_telephone (#PCDATA)> <!ELEMENT referee_2_of_10_fax (#PCDATA)> <!ELEMENT referee_2_of_10_can_the_referee_be_approached_prior_to_interview (#PCDATA)> <!ELEMENT referee_3_of_10_type_of_reference (#PCDATA)>
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<!ELEMENT referee_3_of_10_email (#PCDATA)> <!ELEMENT referee_3_of_10_title (#PCDATA)> <!ELEMENT referee_3_of_10_surname_family_name (#PCDATA)> <!ELEMENT referee_3_of_10_first_name (#PCDATA)> <!ELEMENT referee_3_of_10_relationship (#PCDATA)> <!ELEMENT referee_3_of_10_employer_name (#PCDATA)> <!ELEMENT referee_3_of_10_referee_job_title (#PCDATA)> <!ELEMENT referee_3_of_10_address_line_1 (#PCDATA)> <!ELEMENT referee_3_of_10_address_line_2 (#PCDATA)> <!ELEMENT referee_3_of_10_address_line_3 (#PCDATA)> <!ELEMENT referee_3_of_10_town_city (#PCDATA)> <!ELEMENT referee_3_of_10_county_state (#PCDATA)> <!ELEMENT referee_3_of_10_country (#PCDATA)> <!ELEMENT referee_3_of_10_postcode_zip_code (#PCDATA)> <!ELEMENT referee_3_of_10_telephone (#PCDATA)> <!ELEMENT referee_3_of_10_fax (#PCDATA)> <!ELEMENT referee_3_of_10_can_the_referee_be_approached_prior_to_interview (#PCDATA)> <!ELEMENT referee_4_of_10_type_of_reference (#PCDATA)> <!ELEMENT referee_4_of_10_email (#PCDATA)> <!ELEMENT referee_4_of_10_title (#PCDATA)> <!ELEMENT referee_4_of_10_surname_family_name (#PCDATA)> <!ELEMENT referee_4_of_10_first_name (#PCDATA)> <!ELEMENT referee_4_of_10_relationship (#PCDATA)> <!ELEMENT referee_4_of_10_employer_name (#PCDATA)> <!ELEMENT referee_4_of_10_referee_job_title (#PCDATA)> <!ELEMENT referee_4_of_10_address_line_1 (#PCDATA)> <!ELEMENT referee_4_of_10_address_line_2 (#PCDATA)> <!ELEMENT referee_4_of_10_address_line_3 (#PCDATA)> <!ELEMENT referee_4_of_10_town_city (#PCDATA)> <!ELEMENT referee_4_of_10_county_state (#PCDATA)> <!ELEMENT referee_4_of_10_country (#PCDATA)> <!ELEMENT referee_4_of_10_postcode_zip_code (#PCDATA)> <!ELEMENT referee_4_of_10_telephone (#PCDATA)> <!ELEMENT referee_4_of_10_fax (#PCDATA)> <!ELEMENT referee_4_of_10_can_the_referee_be_approached_prior_to_interview (#PCDATA)> <!ELEMENT referee_5_of_10_type_of_reference (#PCDATA)> <!ELEMENT referee_5_of_10_email (#PCDATA)> <!ELEMENT referee_5_of_10_title (#PCDATA)> <!ELEMENT referee_5_of_10_surname_family_name (#PCDATA)> <!ELEMENT referee_5_of_10_first_name (#PCDATA)>
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<!ELEMENT referee_5_of_10_relationship (#PCDATA)> <!ELEMENT referee_5_of_10_employer_name (#PCDATA)> <!ELEMENT referee_5_of_10_referee_job_title (#PCDATA)> <!ELEMENT referee_5_of_10_address_line_1 (#PCDATA)> <!ELEMENT referee_5_of_10_address_line_2 (#PCDATA)> <!ELEMENT referee_5_of_10_address_line_3 (#PCDATA)> <!ELEMENT referee_5_of_10_town_city (#PCDATA)> <!ELEMENT referee_5_of_10_county_state (#PCDATA)> <!ELEMENT referee_5_of_10_country (#PCDATA)> <!ELEMENT referee_5_of_10_postcode_zip_code (#PCDATA)> <!ELEMENT referee_5_of_10_telephone (#PCDATA)> <!ELEMENT referee_5_of_10_fax (#PCDATA)> <!ELEMENT referee_5_of_10_can_the_referee_be_approached_prior_to_interview (#PCDATA)> <!ELEMENT referee_6_of_10_type_of_reference (#PCDATA)> <!ELEMENT referee_6_of_10_email (#PCDATA)> <!ELEMENT referee_6_of_10_title (#PCDATA)> <!ELEMENT referee_6_of_10_surname_family_name (#PCDATA)> <!ELEMENT referee_6_of_10_first_name (#PCDATA)> <!ELEMENT referee_6_of_10_relationship (#PCDATA)> <!ELEMENT referee_6_of_10_employer_name (#PCDATA)> <!ELEMENT referee_6_of_10_referee_job_title (#PCDATA)> <!ELEMENT referee_6_of_10_address_line_1 (#PCDATA)> <!ELEMENT referee_6_of_10_address_line_2 (#PCDATA)> <!ELEMENT referee_6_of_10_address_line_3 (#PCDATA)> <!ELEMENT referee_6_of_10_town_city (#PCDATA)> <!ELEMENT referee_6_of_10_county_state (#PCDATA)> <!ELEMENT referee_6_of_10_country (#PCDATA)> <!ELEMENT referee_6_of_10_postcode_zip_code (#PCDATA)> <!ELEMENT referee_6_of_10_telephone (#PCDATA)> <!ELEMENT referee_6_of_10_fax (#PCDATA)> <!ELEMENT referee_6_of_10_can_the_referee_be_approached_prior_to_interview (#PCDATA)> <!ELEMENT referee_7_of_10_type_of_reference (#PCDATA)> <!ELEMENT referee_7_of_10_email (#PCDATA)> <!ELEMENT referee_7_of_10_title (#PCDATA)> <!ELEMENT referee_7_of_10_surname_family_name (#PCDATA)> <!ELEMENT referee_7_of_10_first_name (#PCDATA)> <!ELEMENT referee_7_of_10_relationship (#PCDATA)> <!ELEMENT referee_7_of_10_employer_name (#PCDATA)> <!ELEMENT referee_7_of_10_referee_job_title (#PCDATA)> <!ELEMENT referee_7_of_10_address_line_1 (#PCDATA)>
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<!ELEMENT referee_7_of_10_address_line_2 (#PCDATA)> <!ELEMENT referee_7_of_10_address_line_3 (#PCDATA)> <!ELEMENT referee_7_of_10_town_city (#PCDATA)> <!ELEMENT referee_7_of_10_county_state (#PCDATA)> <!ELEMENT referee_7_of_10_country (#PCDATA)> <!ELEMENT referee_7_of_10_postcode_zip_code (#PCDATA)> <!ELEMENT referee_7_of_10_telephone (#PCDATA)> <!ELEMENT referee_7_of_10_fax (#PCDATA)> <!ELEMENT referee_7_of_10_can_the_referee_be_approached_prior_to_interview (#PCDATA)> <!ELEMENT referee_8_of_10_type_of_reference (#PCDATA)> <!ELEMENT referee_8_of_10_email (#PCDATA)> <!ELEMENT referee_8_of_10_title (#PCDATA)> <!ELEMENT referee_8_of_10_surname_family_name (#PCDATA)> <!ELEMENT referee_8_of_10_first_name (#PCDATA)> <!ELEMENT referee_8_of_10_relationship (#PCDATA)> <!ELEMENT referee_8_of_10_employer_name (#PCDATA)> <!ELEMENT referee_8_of_10_referee_job_title (#PCDATA)> <!ELEMENT referee_8_of_10_address_line_1 (#PCDATA)> <!ELEMENT referee_8_of_10_address_line_2 (#PCDATA)> <!ELEMENT referee_8_of_10_address_line_3 (#PCDATA)> <!ELEMENT referee_8_of_10_town_city (#PCDATA)> <!ELEMENT referee_8_of_10_county_state (#PCDATA)> <!ELEMENT referee_8_of_10_country (#PCDATA)> <!ELEMENT referee_8_of_10_postcode_zip_code (#PCDATA)> <!ELEMENT referee_8_of_10_telephone (#PCDATA)> <!ELEMENT referee_8_of_10_fax (#PCDATA)> <!ELEMENT referee_8_of_10_can_the_referee_be_approached_prior_to_interview (#PCDATA)> <!ELEMENT referee_9_of_10_type_of_reference (#PCDATA)> <!ELEMENT referee_9_of_10_email (#PCDATA)> <!ELEMENT referee_9_of_10_title (#PCDATA)> <!ELEMENT referee_9_of_10_surname_family_name (#PCDATA)> <!ELEMENT referee_9_of_10_first_name (#PCDATA)> <!ELEMENT referee_9_of_10_relationship (#PCDATA)> <!ELEMENT referee_9_of_10_employer_name (#PCDATA)> <!ELEMENT referee_9_of_10_referee_job_title (#PCDATA)> <!ELEMENT referee_9_of_10_address_line_1 (#PCDATA)> <!ELEMENT referee_9_of_10_address_line_2 (#PCDATA)> <!ELEMENT referee_9_of_10_address_line_3 (#PCDATA)> <!ELEMENT referee_9_of_10_town_city (#PCDATA)> <!ELEMENT referee_9_of_10_county_state (#PCDATA)>
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<!ELEMENT referee_9_of_10_country (#PCDATA)> <!ELEMENT referee_9_of_10_postcode_zip_code (#PCDATA)> <!ELEMENT referee_9_of_10_telephone (#PCDATA)> <!ELEMENT referee_9_of_10_fax (#PCDATA)> <!ELEMENT referee_9_of_10_can_the_referee_be_approached_prior_to_interview (#PCDATA)> <!ELEMENT referee_10_of_10_type_of_reference (#PCDATA)> <!ELEMENT referee_10_of_10_email (#PCDATA)> <!ELEMENT referee_10_of_10_title (#PCDATA)> <!ELEMENT referee_10_of_10_surname_family_name (#PCDATA)> <!ELEMENT referee_10_of_10_first_name (#PCDATA)> <!ELEMENT referee_10_of_10_relationship (#PCDATA)> <!ELEMENT referee_10_of_10_employer_name (#PCDATA)> <!ELEMENT referee_10_of_10_referee_job_title (#PCDATA)> <!ELEMENT referee_10_of_10_address_line_1 (#PCDATA)> <!ELEMENT referee_10_of_10_address_line_2 (#PCDATA)> <!ELEMENT referee_10_of_10_address_line_3 (#PCDATA)> <!ELEMENT referee_10_of_10_town_city (#PCDATA)> <!ELEMENT referee_10_of_10_county_state (#PCDATA)> <!ELEMENT referee_10_of_10_country (#PCDATA)> <!ELEMENT referee_10_of_10_postcode_zip_code (#PCDATA)> <!ELEMENT referee_10_of_10_telephone (#PCDATA)> <!ELEMENT referee_10_of_10_fax (#PCDATA)> <!ELEMENT referee_10_of_10_can_the_referee_be_approached_prior_to_interview (#PCDATA)> <!ELEMENT if_you_have_applied_to_us_within_the_last_3_months_in_the_same_grade_and_specialty_are_you_happy_for_us_to_use_the_references_from_your_earlier_application (#PCDATA)><!ELEMENT if_you_have_applied_to_us_within_the_last_3_months_are_you_happy_for_us_to_use_the_references_from_your_earlier_application (#PCDATA)> <!ELEMENT declaration_of_practical_experience_1_of_8_practical_experience (#PCDATA)> <!ELEMENT declaration_of_practical_experience_1_of_8_under_senior_supervision (#PCDATA)> <!ELEMENT declaration_of_practical_experience_1_of_8_independently (#PCDATA)> <!ELEMENT declaration_of_practical_experience_2_of_8_practical_experience (#PCDATA)> <!ELEMENT declaration_of_practical_experience_2_of_8_under_senior_supervision (#PCDATA)> <!ELEMENT declaration_of_practical_experience_2_of_8_independently (#PCDATA)> <!ELEMENT declaration_of_practical_experience_3_of_8_practical_experience (#PCDATA)> <!ELEMENT declaration_of_practical_experience_3_of_8_under_senior_supervision (#PCDATA)> <!ELEMENT declaration_of_practical_experience_3_of_8_independently (#PCDATA)> <!ELEMENT declaration_of_practical_experience_4_of_8_practical_experience (#PCDATA)> <!ELEMENT declaration_of_practical_experience_4_of_8_under_senior_supervision (#PCDATA)> <!ELEMENT declaration_of_practical_experience_4_of_8_independently (#PCDATA)> <!ELEMENT declaration_of_practical_experience_5_of_8_practical_experience (#PCDATA)> <!ELEMENT declaration_of_practical_experience_5_of_8_under_senior_supervision (#PCDATA)> <!ELEMENT declaration_of_practical_experience_5_of_8_independently (#PCDATA)>
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<!ELEMENT declaration_of_practical_experience_6_of_8_practical_experience (#PCDATA)> <!ELEMENT declaration_of_practical_experience_6_of_8_under_senior_supervision (#PCDATA)> <!ELEMENT declaration_of_practical_experience_6_of_8_independently (#PCDATA)> <!ELEMENT declaration_of_practical_experience_7_of_8_practical_experience (#PCDATA)> <!ELEMENT declaration_of_practical_experience_7_of_8_under_senior_supervision (#PCDATA)> <!ELEMENT declaration_of_practical_experience_7_of_8_independently (#PCDATA)> <!ELEMENT declaration_of_practical_experience_8_of_8_practical_experience (#PCDATA)> <!ELEMENT declaration_of_practical_experience_8_of_8_under_senior_supervision (#PCDATA)> <!ELEMENT declaration_of_practical_experience_8_of_8_independently (#PCDATA)> <!ELEMENT please_briefly_describe_the_extent_of_your_proficiency_and_experience_in_the_procedures_highlighted_above_along_with_any_particular_clinical_skills_experience_special_interests_you_possess_that_you_may_wish_to_highlight (#PCDATA)> <!ELEMENT in_the_context_of_this_post_in_reflecting_on_your_own_skills_and_abilities_are_there_any_areas_where_you_might_seek_further_development_and_support (#PCDATA)> <!ELEMENT do_you_have_any_relevant_formal_and_informal_teaching_experience (#PCDATA)> <!ELEMENT please_provide_details_about_your_teaching_experience (#PCDATA)> <!ELEMENT do_you_hold_any_particular_qualifications_in_teaching (#PCDATA)> <!ELEMENT do_you_wish_to_highlight_any_changes_youve_personally_implemented_in_the_past_5_years (#PCDATA)> <!ELEMENT change_1_of_5_description_of_change (#PCDATA)> <!ELEMENT change_1_of_5_date (#PCDATA)> <!ELEMENT change_1_of_5_aim_measure_of_the_change (#PCDATA)> <!ELEMENT change_1_of_5_conclusions_actions (#PCDATA)> <!ELEMENT change_2_of_5_description_of_change (#PCDATA)> <!ELEMENT change_2_of_5_date (#PCDATA)> <!ELEMENT change_2_of_5_aim_measure_of_the_change (#PCDATA)> <!ELEMENT change_2_of_5_conclusions_actions (#PCDATA)> <!ELEMENT change_3_of_5_description_of_change (#PCDATA)> <!ELEMENT change_3_of_5_date (#PCDATA)> <!ELEMENT change_3_of_5_aim_measure_of_the_change (#PCDATA)> <!ELEMENT change_3_of_5_conclusions_actions (#PCDATA)> <!ELEMENT change_4_of_5_description_of_change (#PCDATA)> <!ELEMENT change_4_of_5_date (#PCDATA)> <!ELEMENT change_4_of_5_aim_measure_of_the_change (#PCDATA)> <!ELEMENT change_4_of_5_conclusions_actions (#PCDATA)> <!ELEMENT change_5_of_5_description_of_change (#PCDATA)> <!ELEMENT change_5_of_5_date (#PCDATA)> <!ELEMENT change_5_of_5_aim_measure_of_the_change (#PCDATA)> <!ELEMENT change_5_of_5_conclusions_actions (#PCDATA)> <!ELEMENT of_the_change_audits_projects_you_have_undertaken_which_has_been_of_most_value_and_why (#PCDATA)> <!ELEMENT describe_the_impact_of_a_change_initiated_by_you_on_wider_members_of_your_team (#PCDATA)> <!ELEMENT do_you_wish_to_provide_details_of_any_research_undertaken_in_the_last_5_years (#PCDATA)>
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<!ELEMENT project_1_of_5_project_title (#PCDATA)> <!ELEMENT project_1_of_5_date (#PCDATA)> <!ELEMENT project_1_of_5_aim_of_research (#PCDATA)> <!ELEMENT project_1_of_5_conclusions_actions (#PCDATA)> <!ELEMENT project_2_of_5_project_title (#PCDATA)> <!ELEMENT project_2_of_5_date (#PCDATA)> <!ELEMENT project_2_of_5_aim_of_research (#PCDATA)> <!ELEMENT project_2_of_5_conclusions_actions (#PCDATA)> <!ELEMENT project_3_of_5_project_title (#PCDATA)> <!ELEMENT project_3_of_5_date (#PCDATA)> <!ELEMENT project_3_of_5_aim_of_research (#PCDATA)> <!ELEMENT project_3_of_5_conclusions_actions (#PCDATA)> <!ELEMENT project_4_of_5_project_title (#PCDATA)> <!ELEMENT project_4_of_5_date (#PCDATA)> <!ELEMENT project_4_of_5_aim_of_research (#PCDATA)> <!ELEMENT project_4_of_5_conclusions_actions (#PCDATA)> <!ELEMENT project_5_of_5_project_title (#PCDATA)> <!ELEMENT project_5_of_5_date (#PCDATA)> <!ELEMENT project_5_of_5_aim_of_research (#PCDATA)> <!ELEMENT project_5_of_5_conclusions_actions (#PCDATA)> <!ELEMENT please_summarise_your_main_learning_point_from_an_effective_audit_quality_improvement_project_you_have_undertaken (#PCDATA)> <!ELEMENT do_you_hold_any_particular_qualifications_in_research (#PCDATA)> <!ELEMENT do_you_wish_to_provide_details_of_any_publications_in_peer_reviewed_journals (#PCDATA)> <!ELEMENT publication_1_of_6_category_of_publication (#PCDATA)> <!ELEMENT publication_1_of_6_date_of_publication (#PCDATA)> <!ELEMENT publication_1_of_6_journal_title (#PCDATA)> <!ELEMENT publication_1_of_6_publication_title (#PCDATA)> <!ELEMENT publication_1_of_6_authors (#PCDATA)> <!ELEMENT publication_2_of_6_category_of_publication (#PCDATA)> <!ELEMENT publication_2_of_6_date_of_publication (#PCDATA)> <!ELEMENT publication_2_of_6_journal_title (#PCDATA)> <!ELEMENT publication_2_of_6_publication_title (#PCDATA)> <!ELEMENT publication_2_of_6_authors (#PCDATA)> <!ELEMENT publication_3_of_6_category_of_publication (#PCDATA)> <!ELEMENT publication_3_of_6_date_of_publication (#PCDATA)> <!ELEMENT publication_3_of_6_journal_title (#PCDATA)> <!ELEMENT publication_3_of_6_publication_title (#PCDATA)> <!ELEMENT publication_3_of_6_authors (#PCDATA)> <!ELEMENT publication_4_of_6_category_of_publication (#PCDATA)> <!ELEMENT publication_4_of_6_date_of_publication (#PCDATA)>
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<!ELEMENT publication_4_of_6_journal_title (#PCDATA)> <!ELEMENT publication_4_of_6_publication_title (#PCDATA)> <!ELEMENT publication_4_of_6_authors (#PCDATA)> <!ELEMENT publication_5_of_6_category_of_publication (#PCDATA)> <!ELEMENT publication_5_of_6_date_of_publication (#PCDATA)> <!ELEMENT publication_5_of_6_journal_title (#PCDATA)> <!ELEMENT publication_5_of_6_publication_title (#PCDATA)> <!ELEMENT publication_5_of_6_authors (#PCDATA)> <!ELEMENT publication_6_of_6_category_of_publication (#PCDATA)> <!ELEMENT publication_6_of_6_date_of_publication (#PCDATA)> <!ELEMENT publication_6_of_6_journal_title (#PCDATA)> <!ELEMENT publication_6_of_6_publication_title (#PCDATA)> <!ELEMENT publication_6_of_6_authors (#PCDATA)> <!ELEMENT do_you_wish_to_provide_details_of_any_presentations_you_have_made (#PCDATA)> <!ELEMENT presentation_1_of_6_title (#PCDATA)> <!ELEMENT presentation_1_of_6_type (#PCDATA)> <!ELEMENT presentation_1_of_6_year_presented (#PCDATA)> <!ELEMENT presentation_2_of_6_title (#PCDATA)> <!ELEMENT presentation_2_of_6_type (#PCDATA)> <!ELEMENT presentation_2_of_6_year_presented (#PCDATA)> <!ELEMENT presentation_3_of_6_title (#PCDATA)> <!ELEMENT presentation_3_of_6_type (#PCDATA)> <!ELEMENT presentation_3_of_6_year_presented (#PCDATA)> <!ELEMENT presentation_4_of_6_title (#PCDATA)> <!ELEMENT presentation_4_of_6_type (#PCDATA)> <!ELEMENT presentation_4_of_6_year_presented (#PCDATA)> <!ELEMENT presentation_5_of_6_title (#PCDATA)> <!ELEMENT presentation_5_of_6_type (#PCDATA)> <!ELEMENT presentation_5_of_6_year_presented (#PCDATA)> <!ELEMENT presentation_6_of_6_title (#PCDATA)> <!ELEMENT presentation_6_of_6_type (#PCDATA)> <!ELEMENT presentation_6_of_6_year_presented (#PCDATA)> <!ELEMENT do_you_wish_to_provide_details_of_any_prizes_or_other_academic_distinctions_you_have_received (#PCDATA)> <!ELEMENT prize_distinction_1_of_6_awarding_body (#PCDATA)> <!ELEMENT prize_distinction_1_of_6_description_and_purpose_of_award (#PCDATA)> <!ELEMENT prize_distinction_1_of_6_year_received (#PCDATA)> <!ELEMENT prize_distinction_2_of_6_awarding_body (#PCDATA)> <!ELEMENT prize_distinction_2_of_6_description_and_purpose_of_award (#PCDATA)> <!ELEMENT prize_distinction_2_of_6_year_received (#PCDATA)> <!ELEMENT prize_distinction_3_of_6_awarding_body (#PCDATA)>
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<!ELEMENT prize_distinction_3_of_6_description_and_purpose_of_award (#PCDATA)> <!ELEMENT prize_distinction_3_of_6_year_received (#PCDATA)> <!ELEMENT prize_distinction_4_of_6_awarding_body (#PCDATA)> <!ELEMENT prize_distinction_4_of_6_description_and_purpose_of_award (#PCDATA)> <!ELEMENT prize_distinction_4_of_6_year_received (#PCDATA)> <!ELEMENT prize_distinction_5_of_6_awarding_body (#PCDATA)> <!ELEMENT prize_distinction_5_of_6_description_and_purpose_of_award (#PCDATA)> <!ELEMENT prize_distinction_5_of_6_year_received (#PCDATA)> <!ELEMENT prize_distinction_6_of_6_awarding_body (#PCDATA)> <!ELEMENT prize_distinction_6_of_6_description_and_purpose_of_award (#PCDATA)> <!ELEMENT prize_distinction_6_of_6_year_received (#PCDATA)> <!ELEMENT please_highlight_experience_you_may_have_which_is_relevant_to_this_post_not_necessarily_limited_to_professional_activities (#PCDATA)> <!ELEMENT describe_situations_where_you_have_been_involved_in_working_in_a_team_not_necessarily_limited_to_professional_activities (#PCDATA)> <!ELEMENT supporting_information (#PCDATA)> <!ELEMENT preferred_employment_type (#PCDATA)> <!ELEMENT please_state_your_date_of_birth (#PCDATA)> <!ELEMENT please_indicate_your_gender (#PCDATA)> <!ELEMENT please_indicate_the_option_which_best_describes_your_marital_status (#PCDATA)> <!ELEMENT please_indicate_your_ethnic_origin (#PCDATA)> <!ELEMENT please_indicate_the_option_which_best_describes_your_sexual_orientation (#PCDATA)> <!ELEMENT please_indicate_your_religion_or_belief (#PCDATA)> <!ELEMENT do_you_consider_yourself_to_have_a_disability (#PCDATA)> <!ELEMENT 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 (#PCDATA)> <!ELEMENT please_give_details (#PCDATA)> <!ELEMENT if_you_have_a_disability_do_you_wish_to_be_considered_under_the_guaranteed_interview_scheme_if_you_meet_the_minimum_criteria_as_specified_in_the_personal_specification (#PCDATA)> <!ELEMENT are_you_currently_bound_over_or_do_you_have_any_unspent_convictions_cautions_reprimands_or_warnings_issued_by_a_court_or_court_martial_in_the_uk_or_any_other_country (#PCDATA)> <!ELEMENT if_yes_please_include_details_of_the_order_binding_you_over_and_or_the_nature_of_the_offence_the_penalty_sentence_or_order_of_the_court_and_the_date_and_place_of_the_court_hearing_please_note_you_do_not_need_to_tell_us_about_parking_offences (#PCDATA)> <!ELEMENT if_you_are_related_to_a_director_or_have_a_relationship_with_a_director_or_employee_of_an_appointing_organisation_please_state_the_relationship (#PCDATA)> <!ELEMENT g1_do_you_possess_xxxxx_qualification_or_an_equivalent (#PCDATA)> <!ELEMENT g2_do_you_have_relevant_teaching_or_training_experience_as_required_by_the_person_specification (#PCDATA)> <!ELEMENT n1_do_you_possess_xxxxx_registration (#PCDATA)> <!ELEMENT n2_does_the_nmc_require_you_to_have_a_period_of_supervised_practice_or_to_undergo_the_overseas_nurses_programme_onp (#PCDATA)> <!ELEMENT n3_if_you_have_a_decision_letter_for_nmc_registration_please_enter_its_date (#PCDATA)> <!ELEMENT m1_please_state_your_gmc_registration_status (#PCDATA)>
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<!ELEMENT m1a_please_state_your_specialty (#PCDATA)> <!ELEMENT m2_have_you_completed_research_work_relevant_to_this_post (#PCDATA)> <!ELEMENT m3_please_state_who_is_your_current_responsible_officer (#PCDATA)> <!ELEMENT m4_please_state_the_date_of_your_last_revalidation (#PCDATA)> <!ELEMENT m5_please_state_the_date_of_your_last_appraisal (#PCDATA)> <!ELEMENT m6_are_you_currently_on_the_general_medical_councils_specialist_register_or_due_to_obtain_a_relevant_cct_cesrcp_within_6_months_of_interview (#PCDATA)> <!ELEMENT m6a_please_confirm_your_anticipated_cct_cesrcp_date (#PCDATA)> <!ELEMENT m7_are_you_currently_on_the_general_medical_councils_gp_register_or_a_gp_registrar_within_3_months_of_anticipated_cct_cegpr_or_equivalent_at_the_time_of_interview (#PCDATA)> <!ELEMENT m8_are_you_included_on_this_employers_regional_performers_list_or_do_you_have_an_expectation_for_inclusion_within_3_months_of_the_date_of_interview (#PCDATA)> <!ELEMENT m8a_please_confirm_where_your_performers_list_is_currently_held (#PCDATA)> <!ELEMENT m9_do_you_have_current_section_12_mental_health_act_england_and_wales_approval_for_working_in_this_nhs_region (#PCDATA)> <!ELEMENT m10_are_you_currently_registered_in_this_employers_region_as_a_responsible_clinician (#PCDATA)> <!ELEMENT m11_have_your_foundation_programme_1_competencies_been_formally_signed_off (#PCDATA)> <!ELEMENT m12_have_your_foundation_programme_2_competencies_been_formally_signed_off (#PCDATA)> <!ELEMENT m12a_if_you_have_not_completed_foundation_training_please_provide_an_explanation_below_eg_equivalent_competency_formally_recognised_by_deanery_evidence_of_this_will_be_required (#PCDATA)> <!ELEMENT p1_what_grade_of_psychology_degree_do_you_hold (#PCDATA)> <!ELEMENT a1_are_you_registered_with_the_hcpc (#PCDATA)> <!ELEMENT a2_do_you_hold_a_relevant_degree_or_graduate_diploma_as_required_by_the_person_specification (#PCDATA)> <!ELEMENT d1_please_state_your_gdc_registration_status (#PCDATA)> <!ELEMENT d2_please_select_your_royal_college (#PCDATA)> <!ELEMENT d3_please_select_your_royal_college_membership_status (#PCDATA)> <!ELEMENT d4_are_you_currently_on_the_general_dental_councils_specialist_register_or_an_spr_due_to_obtain_a_relevant_cct_cesrcp_within_6_months_of_interview (#PCDATA)> <!ELEMENT d4a_please_confirm_your_anticipated_cct_cesrcp_date (#PCDATA)> <!ELEMENT d5_have_you_had_an_imer_update_in_the_past_5_years (#PCDATA)> <!ELEMENT s3_are_you_currently_bound_over_or_do_you_have_any_convictions_or_cautions_including_warnings_and_reprimands_which_are_not_deemed_protected_under_the_amendment_to_the_exceptions_order_1975_issued_by_a_court_or_court_martial_in_the_united_kingdom_or_in_any_other_country (#PCDATA)> <!ELEMENT s3a_if_yes_please_include_details_of_the_order_binding_you_over_and_or_the_nature_of_the_offence_the_penalty_sentence_or_order_of_the_court_and_the_date_and_place_of_the_court_hearing (#PCDATA)> <!ELEMENT s4_are_you_currently_bound_by_any_barring_decision_made_by_the_disclosure_and_barring_service_dbs_from_working_with_children (#PCDATA)> <!ELEMENT s5_are_you_currently_bound_by_any_barring_decision_made_by_the_disclosure_and_barring_service_dbs_from_working_with_vulnerable_adults (#PCDATA)> <!ELEMENT dv1_do_you_have_access_to_a_vehicle_which_can_be_used_for_work_purposes (#PCDATA)> <!ELEMENT dv2_do_you_have_a_valid_driving_licence_for_the_uk (#PCDATA)> <!ELEMENT dv3_please_specify_the_vehicle_categories_for_which_you_hold_a_licence (#PCDATA)> <!ELEMENT dv4_how_many_penalty_points_do_you_currently_have_on_your_driving_licence (#PCDATA)> <!ELEMENT dv4a_if_you_have_penalty_points_please_state_the_endorsement_offence_codes_and_the_date_of_issue (#PCDATA)> <!ELEMENT w2_can_you_speak_and_understand_spoken_welsh (#PCDATA)>
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<!ELEMENT w2a_please_select_the_level_that_best_fits_your_ability_to_speak_and_understand_spoken_welsh (#PCDATA)> <!ELEMENT w3_can_you_read_welsh (#PCDATA)> <!ELEMENT w3a_please_select_the_level_that_best_fits_your_ability_to_read_welsh (#PCDATA)> <!ELEMENT w4_can_you_write_in_welsh (#PCDATA)> <!ELEMENT w4a_please_select_the_level_that_best_fits_your_ability_to_write_in_welsh (#PCDATA)> <!ELEMENT i1_are_you_currently_employed_by_the_employer_advertising_this_vacancy (#PCDATA)> <!ELEMENT i1a_which_organisation_are_you_currently_employed_by (#PCDATA)> <!ELEMENT i2_what_is_your_current_position_title (#PCDATA)> <!ELEMENT i3_which_is_your_current_department (#PCDATA)> <!ELEMENT i4_who_is_your_current_manager (#PCDATA)> <!-- Additional application form questions that have been added by the organisation and selected for use on this vacancy will be listed here -->
]>
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Appendix D: DTD for ‘old’ application forms (2001 and 2002)Note: There are 2 optional additional application form questions that can be further customised within each vacancy. These are represented below by use of xxxxx although the file created by the NHS Jobs Service will contain the actual question text. Hence, this element, where used, will vary by vacancy.
<!DOCTYPE application [ <!ELEMENT application (application+)> <!ELEMENT application (form_ref, vpd_code, employer_id, display_ref, orig_vacancy_name, erec_vac_ref, application_ref, applicant_id, application_date_received, applicant_email_address, application_status, offline_application_reference, offline_application_location, where_seen, agree, title, surname_family_name, first_name, middle_names, name_in_which_you_are_registered_with_a_professional_body_if_applicable, uk_national_insurance_number, address_line_1, address_line_2, address_line_3, town_city, county_state, country, postcode_zip_code, home_telephone, work_telephone, mobile_telephone, may_we_contact_you_at_work, are_you_a_united_kingdom_uk_european_community_ec_or_european_economic_area_eea_national, please_select_the_category_that_relates_to_your_current_immigration_status_this_status_will_be_subject_to_checking_before_interview, if_other_please_provide_details_below, does_your_visa_have_a_condition_restricting_employment_or_occupation_in_the_uk, please_supply_details_of_any_visa_currently_held_number_start_expiry_dates_and_details_of_any_restrictions, are_you_a_department_of_work_and_pensions_new_deal_candidate, are_you_an_nhs_professional_returning_to_practice, do_you_currently_work_in_the_nhs, if_you_have_a_disability_do_you_require_any_reasonable_adjustments_to_be_made_during_the_recruitment_process_including_interview, if_so_please_give_details, if_you_have_a_disability_do_you_wish_to_be_considered_under_the_guaranteed_interview_scheme_if_you_meet_the_minimum_criteria_as_specified_in_the_personal_specification, education_professional_qualification_1_of_11_subject_qualification, education_professional_qualification_1_of_11_place_of_study, education_professional_qualification_1_of_11_grade_result, education_professional_qualification_1_of_11_year_obtained, education_professional_qualification_2_of_11_subject_qualification, education_professional_qualification_2_of_11_place_of_study, education_professional_qualification_2_of_11_grade_result, education_professional_qualification_2_of_11_year_obtained, education_professional_qualification_3_of_11_subject_qualification, education_professional_qualification_3_of_11_place_of_study, education_professional_qualification_3_of_11_grade_result, education_professional_qualification_3_of_11_year_obtained, education_professional_qualification_4_of_11_subject_qualification, education_professional_qualification_4_of_11_place_of_study, education_professional_qualification_4_of_11_grade_result, education_professional_qualification_4_of_11_year_obtained, education_professional_qualification_5_of_11_subject_qualification, education_professional_qualification_5_of_11_place_of_study, education_professional_qualification_5_of_11_grade_result, education_professional_qualification_5_of_11_year_obtained, education_professional_qualification_6_of_11_subject_qualification, education_professional_qualification_6_of_11_place_of_study, education_professional_qualification_6_of_11_grade_result, education_professional_qualification_6_of_11_year_obtained, education_professional_qualification_7_of_11_subject_qualification, education_professional_qualification_7_of_11_place_of_study, education_professional_qualification_7_of_11_grade_result, education_professional_qualification_7_of_11_year_obtained, education_professional_qualification_8_of_11_subject_qualification, education_professional_qualification_8_of_11_place_of_study, education_professional_qualification_8_of_11_grade_result, education_professional_qualification_8_of_11_year_obtained, education_professional_qualification_9_of_11_subject_qualification, education_professional_qualification_9_of_11_place_of_study, education_professional_qualification_9_of_11_grade_result, education_professional_qualification_9_of_11_year_obtained, education_professional_qualification_10_of_11_subject_qualification, education_professional_qualification_10_of_11_place_of_study, education_professional_qualification_10_of_11_grade_result, education_professional_qualification_10_of_11_year_obtained, education_professional_qualification_11_of_11_subject_qualification, education_professional_qualification_11_of_11_place_of_study, education_professional_qualification_11_of_11_grade_result, education_professional_qualification_11_of_11_year_obtained, essential_qualification_1_of_5_subject_qualification, essential_qualification_1_of_5_place_of_study, essential_qualification_1_of_5_grade_result, essential_qualification_1_of_5_year_obtained, essential_qualification_1_of_5_prizes_or_other_academic_distinctions, essential_qualification_2_of_5_subject_qualification, essential_qualification_2_of_5_place_of_study, essential_qualification_2_of_5_grade_result, essential_qualification_2_of_5_year_obtained, essential_qualification_2_of_5_prizes_or_other_academic_distinctions, essential_qualification_3_of_5_subject_qualification, essential_qualification_3_of_5_place_of_study, essential_qualification_3_of_5_grade_result, essential_qualification_3_of_5_year_obtained, essential_qualification_3_of_5_prizes_or_other_academic_distinctions, essential_qualification_4_of_5_subject_qualification, essential_qualification_4_of_5_place_of_study,
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essential_qualification_4_of_5_grade_result, essential_qualification_4_of_5_year_obtained, essential_qualification_4_of_5_prizes_or_other_academic_distinctions, essential_qualification_5_of_5_subject_qualification, essential_qualification_5_of_5_place_of_study, essential_qualification_5_of_5_grade_result, essential_qualification_5_of_5_year_obtained, essential_qualification_5_of_5_prizes_or_other_academic_distinctions, desirable_qualification_1_of_6_subject_qualification, desirable_qualification_1_of_6_place_of_study, desirable_qualification_1_of_6_grade_result, desirable_qualification_1_of_6_year_obtained, desirable_qualification_1_of_6_prizes_or_other_academic_distinctions, desirable_qualification_2_of_6_subject_qualification, desirable_qualification_2_of_6_place_of_study, desirable_qualification_2_of_6_grade_result, desirable_qualification_2_of_6_year_obtained, desirable_qualification_2_of_6_prizes_or_other_academic_distinctions, desirable_qualification_3_of_6_subject_qualification, desirable_qualification_3_of_6_place_of_study, desirable_qualification_3_of_6_grade_result, desirable_qualification_3_of_6_year_obtained, desirable_qualification_3_of_6_prizes_or_other_academic_distinctions, desirable_qualification_4_of_6_subject_qualification, desirable_qualification_4_of_6_place_of_study, desirable_qualification_4_of_6_grade_result, desirable_qualification_4_of_6_year_obtained, desirable_qualification_4_of_6_prizes_or_other_academic_distinctions, desirable_qualification_5_of_6_subject_qualification, desirable_qualification_5_of_6_place_of_study, desirable_qualification_5_of_6_grade_result, desirable_qualification_5_of_6_year_obtained, desirable_qualification_5_of_6_prizes_or_other_academic_distinctions, desirable_qualification_6_of_6_subject_qualification, desirable_qualification_6_of_6_place_of_study, desirable_qualification_6_of_6_grade_result, desirable_qualification_6_of_6_year_obtained, desirable_qualification_6_of_6_prizes_or_other_academic_distinctions, training_courses_attended_1_of_7_course_title, training_courses_attended_1_of_7_training_provider, training_courses_attended_1_of_7_duration, training_courses_attended_1_of_7_year_obtained, training_courses_attended_2_of_7_course_title, training_courses_attended_2_of_7_training_provider, training_courses_attended_2_of_7_duration, training_courses_attended_2_of_7_year_obtained, training_courses_attended_3_of_7_course_title, training_courses_attended_3_of_7_training_provider, training_courses_attended_3_of_7_duration, training_courses_attended_3_of_7_year_obtained, training_courses_attended_4_of_7_course_title, training_courses_attended_4_of_7_training_provider, training_courses_attended_4_of_7_duration, training_courses_attended_4_of_7_year_obtained, training_courses_attended_5_of_7_course_title, training_courses_attended_5_of_7_training_provider, training_courses_attended_5_of_7_duration, training_courses_attended_5_of_7_year_obtained, training_courses_attended_6_of_7_course_title, training_courses_attended_6_of_7_training_provider, training_courses_attended_6_of_7_duration, training_courses_attended_6_of_7_year_obtained, training_courses_attended_7_of_7_course_title, training_courses_attended_7_of_7_training_provider, training_courses_attended_7_of_7_duration, training_courses_attended_7_of_7_year_obtained, please_indicate_your_uk_professional_registration_status, if_the_name_under_which_you_are_registered_is_different_from_your_current_name_please_give_details, do_you_have_a_cct, if_not_what_is_your_anticipated_cct_date, professional_body_and_membership_1_of_2_professional_body_and_membership, professional_body_and_membership_1_of_2_if_other_please_provide_details_below, professional_body_and_membership_1_of_2_membership_registration_pin_number, professional_body_and_membership_1_of_2_expiry_renewal_date, professional_body_and_membership_2_of_2_professional_body_and_membership, professional_body_and_membership_2_of_2_if_other_please_provide_details_below, professional_body_and_membership_2_of_2_membership_registration_pin_number, professional_body_and_membership_2_of_2_expiry_renewal_date, are_you_currently_the_subject_of_a_fitness_to_practise_investigation_or_proceedings_by_a_licensing_or_regulatory_body_in_the_uk_or_in_any_other_country, have_you_been_removed_from_the_register_or_have_conditions_been_made_on_your_registration_by_a_fitness_to_practise_committee_or_the_licensing_or_regulatory_body_in_the_uk_or_in_any_other_country, if_applicable_please_provide_details_of_any_conditions_restrictions_you_may_have, employer_name, employer_address, type_of_business, reporting_to_job_title, telephone_number, job_title, start_date, end_date_if_applicable, start_date_of_continuous_nhs_service_if_applicable, grade, salary, specialty, job_type, period_of_notice, reason_for_leaving_if_applicable, brief_description_of_your_duties_and_responsibilities, previous_employer_1_of_10_employer_name, previous_employer_1_of_10_employer_address, previous_employer_1_of_10_from, previous_employer_1_of_10_to, previous_employer_1_of_10_grade, previous_employer_1_of_10_specialty, previous_employer_1_of_10_job_type, previous_employer_1_of_10_reason_for_leaving, previous_employer_1_of_10_brief_description_of_duties_and_responsibilities, previous_employer_1_of_10_job_title, previous_employer_2_of_10_employer_name, previous_employer_2_of_10_employer_address, previous_employer_2_of_10_from, previous_employer_2_of_10_to, previous_employer_2_of_10_grade, previous_employer_2_of_10_specialty, previous_employer_2_of_10_job_type, previous_employer_2_of_10_reason_for_leaving, previous_employer_2_of_10_brief_description_of_duties_and_responsibilities, previous_employer_2_of_10_job_title, previous_employer_3_of_10_employer_name, previous_employer_3_of_10_employer_address, previous_employer_3_of_10_from, previous_employer_3_of_10_to, previous_employer_3_of_10_grade, previous_employer_3_of_10_specialty, previous_employer_3_of_10_job_type, previous_employer_3_of_10_reason_for_leaving, previous_employer_3_of_10_brief_description_of_duties_and_responsibilities, previous_employer_3_of_10_job_title, previous_employer_4_of_10_employer_name, previous_employer_4_of_10_employer_address, previous_employer_4_of_10_from, previous_employer_4_of_10_to, previous_employer_4_of_10_grade, previous_employer_4_of_10_specialty, previous_employer_4_of_10_job_type, previous_employer_4_of_10_reason_for_leaving, previous_employer_4_of_10_brief_description_of_duties_and_responsibilities, previous_employer_4_of_10_job_title, previous_employer_5_of_10_employer_name, previous_employer_5_of_10_employer_address, previous_employer_5_of_10_from, previous_employer_5_of_10_to, previous_employer_5_of_10_grade, previous_employer_5_of_10_specialty, previous_employer_5_of_10_job_type, previous_employer_5_of_10_reason_for_leaving,
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previous_employer_5_of_10_brief_description_of_duties_and_responsibilities, previous_employer_5_of_10_job_title, previous_employer_6_of_10_employer_name, previous_employer_6_of_10_employer_address, previous_employer_6_of_10_from, previous_employer_6_of_10_to, previous_employer_6_of_10_grade, previous_employer_6_of_10_specialty, previous_employer_6_of_10_job_type, previous_employer_6_of_10_reason_for_leaving, previous_employer_6_of_10_brief_description_of_duties_and_responsibilities, previous_employer_6_of_10_job_title, previous_employer_7_of_10_employer_name, previous_employer_7_of_10_employer_address, previous_employer_7_of_10_from, previous_employer_7_of_10_to, previous_employer_7_of_10_grade, previous_employer_7_of_10_specialty, previous_employer_7_of_10_job_type, previous_employer_7_of_10_reason_for_leaving, previous_employer_7_of_10_brief_description_of_duties_and_responsibilities, previous_employer_7_of_10_job_title, previous_employer_8_of_10_employer_name, previous_employer_8_of_10_employer_address, previous_employer_8_of_10_from, previous_employer_8_of_10_to, previous_employer_8_of_10_grade, previous_employer_8_of_10_specialty, previous_employer_8_of_10_job_type, previous_employer_8_of_10_reason_for_leaving, previous_employer_8_of_10_brief_description_of_duties_and_responsibilities, previous_employer_8_of_10_job_title, previous_employer_9_of_10_employer_name, previous_employer_9_of_10_employer_address, previous_employer_9_of_10_from, previous_employer_9_of_10_to, previous_employer_9_of_10_grade, previous_employer_9_of_10_specialty, previous_employer_9_of_10_job_type, previous_employer_9_of_10_reason_for_leaving, previous_employer_9_of_10_brief_description_of_duties_and_responsibilities, previous_employer_9_of_10_job_title, previous_employer_10_of_10_employer_name, previous_employer_10_of_10_employer_address, previous_employer_10_of_10_from, previous_employer_10_of_10_to, previous_employer_10_of_10_grade, previous_employer_10_of_10_specialty, previous_employer_10_of_10_job_type, previous_employer_10_of_10_reason_for_leaving, previous_employer_10_of_10_brief_description_of_duties_and_responsibilities, previous_employer_10_of_10_job_title, if_you_have_any_gaps_within_your_employment_history_please_state_below, referee_1_of_5_email, referee_1_of_5_title, referee_1_of_5_surname_family_name, referee_1_of_5_first_name, referee_1_of_5_relationship, referee_1_of_5_job_title, referee_1_of_5_address_line_1, referee_1_of_5_address_line_2, referee_1_of_5_address_line_3, referee_1_of_5_town_city, referee_1_of_5_county_state, referee_1_of_5_country, referee_1_of_5_postcode_zip_code, referee_1_of_5_telephone, referee_1_of_5_fax, referee_1_of_5_can_the_referee_be_approached_prior_to_interview, referee_2_of_5_email, referee_2_of_5_title, referee_2_of_5_surname_family_name, referee_2_of_5_first_name, referee_2_of_5_relationship, referee_2_of_5_job_title, referee_2_of_5_address_line_1, referee_2_of_5_address_line_2, referee_2_of_5_address_line_3, referee_2_of_5_town_city, referee_2_of_5_county_state, referee_2_of_5_country, referee_2_of_5_postcode_zip_code, referee_2_of_5_telephone, referee_2_of_5_fax, referee_2_of_5_can_the_referee_be_approached_prior_to_interview, referee_3_of_5_email, referee_3_of_5_title, referee_3_of_5_surname_family_name, referee_3_of_5_first_name, referee_3_of_5_relationship, referee_3_of_5_job_title, referee_3_of_5_address_line_1, referee_3_of_5_address_line_2, referee_3_of_5_address_line_3, referee_3_of_5_town_city, referee_3_of_5_county_state, referee_3_of_5_country, referee_3_of_5_postcode_zip_code, referee_3_of_5_telephone, referee_3_of_5_fax, referee_3_of_5_can_the_referee_be_approached_prior_to_interview, referee_4_of_5_email, referee_4_of_5_title, referee_4_of_5_surname_family_name, referee_4_of_5_first_name, referee_4_of_5_relationship, referee_4_of_5_job_title, referee_4_of_5_address_line_1, referee_4_of_5_address_line_2, referee_4_of_5_address_line_3, referee_4_of_5_town_city, referee_4_of_5_county_state, referee_4_of_5_country, referee_4_of_5_postcode_zip_code, referee_4_of_5_telephone, referee_4_of_5_fax, referee_4_of_5_can_the_referee_be_approached_prior_to_interview, referee_5_of_5_email, referee_5_of_5_title, referee_5_of_5_surname_family_name, referee_5_of_5_first_name, referee_5_of_5_relationship, referee_5_of_5_job_title, referee_5_of_5_address_line_1, referee_5_of_5_address_line_2, referee_5_of_5_address_line_3, referee_5_of_5_town_city, referee_5_of_5_county_state, referee_5_of_5_country, referee_5_of_5_postcode_zip_code, referee_5_of_5_telephone, referee_5_of_5_fax, referee_5_of_5_can_the_referee_be_approached_prior_to_interview, supporting_information, if_you_have_applied_to_us_within_the_last_3_months_are_you_happy_for_us_to_use_the_references_from_your_earlier_application, describe_your_experience_of_clinical_audit, describe_your_relevant_teaching_experience, details_of_your_most_relevant_research_work_and_publications_in_peerreviewed_journals, give_examples_of_your_approach_to_working_in_a_team, please_explain_your_areas_of_clinical_skill_and_competence_relevant_to_this_post, please_provide_any_other_supporting_information_that_you_think_may_be_helpful_or_that_is_requested_in_the_person_specification_please_ensure_that_this_does_not_contain_any_duplicate_information_already_provided_elsewhere_in_the_application_form_or_any_personal_details, preferred_employment_type, if_applicable_to_the_post_do_you_hold_a_certificate_to_support_your_responsibilities_under_irmer_2000, date_of_birth_dd_mm_yyyy, gender, i_would_describe_my_ethnic_origin_as_follows, please_indicate_which_term_would_best_describe_your_sexual_orientation, please_indicate_your_religion_or_belief, do_you_consider_yourself_to_have_a_disability, 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, are_you_currently_bound_over_or_do_you_have_any_unspent_convictions_issued_by_a_court_or_court_martial_in_the_uk_or_any_other_country, if_yes_please_include_details_of_the_order_binding_you_over_and_or_the_nature_of_the_offence_the_penalty_sentence_or_order_of_the_court_and_the_date_and_place_of_the_court_hearing_please_note_you_do_not_need_to_tell_us_about_parking_offences,
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if_you_are_related_to_a_director_or_have_a_relationship_with_a_director_or_employee_of_an_appointing_organisation_please_state_the_relationship, g1_do_you_have_xxxxx_qualification_or_an_equivalent, g2_do_you_have_relevant_teaching_or_training_experience_as_required_by_the_person_specification, n1_do_you_have_xxxxx_registration, n2_does_the_nmc_require_you_to_have_a_period_of_supervised_practice_or_to_undergo_the_overseas_nurses_programme_onp, n3_if_you_have_a_decision_letter_for_nmc_registration_please_enter_its_date, m1_please_state_your_gmc_registration_status__if_you_have_limited_registration_please_explain_these_limitations_in_the_supporting_information, m2_have_you_completed_research_work_relevant_to_this_post, p1_what_grade_of_psychology_degree_do_you_hold, a1_are_you_registered_with_the_hpc, a2_do_you_hold_a_relevant_degree_or_graduate_diploma_as_required_by_the_person_specification, d1_please_state_your_gdc_registration_status, d2_please_select_your_royal_college, d3_please_select_your_royal_college_membership_status, s1_has_your_name_ever_appeared_on_the_protection_of_childrens_list_or_have_you_ever_been_referred_to_the_independent_safeguarding_authority_isa_for_consideration_of_barring_against_the_childrens_list, s2_has_your_name_ever_appeared_on_the_protection_of_vulnerable_adults_list_or_have_you_ever_been_referred_to_the_independent_safeguarding_authority_isa_for_consideration_of_barring_against_the_vulnerable_adults_list, s3_have_you_at_any_time_received_or_had_pending_a_criminal_conviction_caution_warning_reprimand_or_bind-over, s3a_if_yes_please_include_details_of_the_order_binding_you_over_and_or_the_nature_of_the_offence_the_penalty_sentence_or_order_of_the_court_and_the_date_and_place_of_the_court_hearing_please_note_you_do_not_need_to_tell_us_about_parking_offences, s4_are_you_currently_bound_by_any_barring_decision_made_by_the_disclosure_and_barring_service_dbs_from_working_with_children, s5_are_you_currently_bound_by_any_barring_decision_made_by_the_disclosure_and_barring_service_dbs_from_working_with_vulnerable_adults, dv1_do_you_have_access_to_a_vehicle_which_can_be_used_for_work_purposes, dv2_do_you_have_a_valid_driving_licence_for_the_uk, dv3_please_specify_the_vehicle_categories_for_which_you_hold_a_licence, dv4_how_many_penalty_points_do_you_currently_have_on_your_driving_licence, dv4a_if_you_have_penalty_points_please_state_the_endorsement_offence_codes_and_the_date_of_issue, w1_are_you_a_welsh_speaker)>
<!ELEMENT form_ref (#PCDATA)> <!ELEMENT vpd_code (#PCDATA)> <!ELEMENT employer_id (#PCDATA)> <!ELEMENT display_ref (#PCDATA)> <!ELEMENT orig_vacancy_name (#PCDATA)> <!ELEMENT erec_vac_ref (#PCDATA)> <!ELEMENT application_ref (#PCDATA)> <!ELEMENT applicant_id (#PCDATA)> <!ELEMENT application_date_received (#PCDATA)> <!ELEMENT applicant_email_address (#PCDATA)> <!ELEMENT application_status (#PCDATA)> <!ELEMENT offline_application_reference (#PCDATA)> <!ELEMENT offline_application_location (#PCDATA)> <!ELEMENT where_seen (#PCDATA)> <!ELEMENT agree (#PCDATA)> <!ELEMENT title (#PCDATA)> <!ELEMENT surname_family_name (#PCDATA)> <!ELEMENT first_name (#PCDATA)> <!ELEMENT middle_names (#PCDATA)> <!ELEMENT name_in_which_you_are_registered_with_a_professional_body_if_applicable (#PCDATA)>
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<!ELEMENT uk_national_insurance_number (#PCDATA)> <!ELEMENT address_line_1 (#PCDATA)> <!ELEMENT address_line_2 (#PCDATA)> <!ELEMENT address_line_3 (#PCDATA)> <!ELEMENT town_city (#PCDATA)> <!ELEMENT county_state (#PCDATA)> <!ELEMENT country (#PCDATA)> <!ELEMENT postcode_zip_code (#PCDATA)> <!ELEMENT home_telephone (#PCDATA)> <!ELEMENT work_telephone (#PCDATA)> <!ELEMENT mobile_telephone (#PCDATA)> <!ELEMENT may_we_contact_you_at_work (#PCDATA)> <!ELEMENT are_you_a_united_kingdom_uk_european_community_ec_or_european_economic_area_eea_national (#PCDATA)> <!ELEMENT please_select_the_category_that_relates_to_your_current_immigration_status_this_status_will_be_subject_to_checking_before_interview (#PCDATA)> <!ELEMENT if_other_please_provide_details_below (#PCDATA)> <!ELEMENT does_your_visa_have_a_condition_restricting_employment_or_occupation_in_the_uk (#PCDATA)> <!ELEMENT please_supply_details_of_any_visa_currently_held_number_start_expiry_dates_and_details_of_any_restrictions (#PCDATA)> <!ELEMENT are_you_a_department_of_work_and_pensions_new_deal_candidate (#PCDATA)> <!ELEMENT are_you_an_nhs_professional_returning_to_practice (#PCDATA)> <!ELEMENT do_you_currently_work_in_the_nhs (#PCDATA)> <!ELEMENT if_you_have_a_disability_do_you_require_any_reasonable_adjustments_to_be_made_during_the_recruitment_process_including_interview (#PCDATA)> <!ELEMENT if_so_please_give_details (#PCDATA)> <!ELEMENT if_you_have_a_disability_do_you_wish_to_be_considered_under_the_guaranteed_interview_scheme_if_you_meet_the_minimum_criteria_as_specified_in_the_personal_specification (#PCDATA)> <!ELEMENT education_professional_qualification_1_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualification_1_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualification_1_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualification_1_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualification_2_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualification_2_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualification_2_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualification_2_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualification_3_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualification_3_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualification_3_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualification_3_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualification_4_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualification_4_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualification_4_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualification_4_of_11_year_obtained (#PCDATA)>
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<!ELEMENT education_professional_qualification_5_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualification_5_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualification_5_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualification_5_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualification_6_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualification_6_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualification_6_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualification_6_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualification_7_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualification_7_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualification_7_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualification_7_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualification_8_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualification_8_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualification_8_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualification_8_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualification_9_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualification_9_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualification_9_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualification_9_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualification_10_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualification_10_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualification_10_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualification_10_of_11_year_obtained (#PCDATA)> <!ELEMENT education_professional_qualification_11_of_11_subject_qualification (#PCDATA)> <!ELEMENT education_professional_qualification_11_of_11_place_of_study (#PCDATA)> <!ELEMENT education_professional_qualification_11_of_11_grade_result (#PCDATA)> <!ELEMENT education_professional_qualification_11_of_11_year_obtained (#PCDATA)> <!ELEMENT essential_qualification_1_of_5_subject_qualification (#PCDATA)> <!ELEMENT essential_qualification_1_of_5_place_of_study (#PCDATA)> <!ELEMENT essential_qualification_1_of_5_grade_result (#PCDATA)> <!ELEMENT essential_qualification_1_of_5_year_obtained (#PCDATA)> <!ELEMENT essential_qualification_1_of_5_prizes_or_other_academic_distinctions (#PCDATA)> <!ELEMENT essential_qualification_2_of_5_subject_qualification (#PCDATA)> <!ELEMENT essential_qualification_2_of_5_place_of_study (#PCDATA)> <!ELEMENT essential_qualification_2_of_5_grade_result (#PCDATA)> <!ELEMENT essential_qualification_2_of_5_year_obtained (#PCDATA)> <!ELEMENT essential_qualification_2_of_5_prizes_or_other_academic_distinctions (#PCDATA)> <!ELEMENT essential_qualification_3_of_5_subject_qualification (#PCDATA)> <!ELEMENT essential_qualification_3_of_5_place_of_study (#PCDATA)>
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<!ELEMENT essential_qualification_3_of_5_grade_result (#PCDATA)> <!ELEMENT essential_qualification_3_of_5_year_obtained (#PCDATA)> <!ELEMENT essential_qualification_3_of_5_prizes_or_other_academic_distinctions (#PCDATA)> <!ELEMENT essential_qualification_4_of_5_subject_qualification (#PCDATA)> <!ELEMENT essential_qualification_4_of_5_place_of_study (#PCDATA)> <!ELEMENT essential_qualification_4_of_5_grade_result (#PCDATA)> <!ELEMENT essential_qualification_4_of_5_year_obtained (#PCDATA)> <!ELEMENT essential_qualification_4_of_5_prizes_or_other_academic_distinctions (#PCDATA)> <!ELEMENT essential_qualification_5_of_5_subject_qualification (#PCDATA)> <!ELEMENT essential_qualification_5_of_5_place_of_study (#PCDATA)> <!ELEMENT essential_qualification_5_of_5_grade_result (#PCDATA)> <!ELEMENT essential_qualification_5_of_5_year_obtained (#PCDATA)> <!ELEMENT essential_qualification_5_of_5_prizes_or_other_academic_distinctions (#PCDATA)> <!ELEMENT desirable_qualification_1_of_6_subject_qualification (#PCDATA)> <!ELEMENT desirable_qualification_1_of_6_place_of_study (#PCDATA)> <!ELEMENT desirable_qualification_1_of_6_grade_result (#PCDATA)> <!ELEMENT desirable_qualification_1_of_6_year_obtained (#PCDATA)> <!ELEMENT desirable_qualification_1_of_6_prizes_or_other_academic_distinctions (#PCDATA)> <!ELEMENT desirable_qualification_2_of_6_subject_qualification (#PCDATA)> <!ELEMENT desirable_qualification_2_of_6_place_of_study (#PCDATA)> <!ELEMENT desirable_qualification_2_of_6_grade_result (#PCDATA)> <!ELEMENT desirable_qualification_2_of_6_year_obtained (#PCDATA)> <!ELEMENT desirable_qualification_2_of_6_prizes_or_other_academic_distinctions (#PCDATA)> <!ELEMENT desirable_qualification_3_of_6_subject_qualification (#PCDATA)> <!ELEMENT desirable_qualification_3_of_6_place_of_study (#PCDATA)> <!ELEMENT desirable_qualification_3_of_6_grade_result (#PCDATA)> <!ELEMENT desirable_qualification_3_of_6_year_obtained (#PCDATA)> <!ELEMENT desirable_qualification_3_of_6_prizes_or_other_academic_distinctions (#PCDATA)> <!ELEMENT desirable_qualification_4_of_6_subject_qualification (#PCDATA)> <!ELEMENT desirable_qualification_4_of_6_place_of_study (#PCDATA)> <!ELEMENT desirable_qualification_4_of_6_grade_result (#PCDATA)> <!ELEMENT desirable_qualification_4_of_6_year_obtained (#PCDATA)> <!ELEMENT desirable_qualification_4_of_6_prizes_or_other_academic_distinctions (#PCDATA)> <!ELEMENT desirable_qualification_5_of_6_subject_qualification (#PCDATA)> <!ELEMENT desirable_qualification_5_of_6_place_of_study (#PCDATA)> <!ELEMENT desirable_qualification_5_of_6_grade_result (#PCDATA)> <!ELEMENT desirable_qualification_5_of_6_year_obtained (#PCDATA)> <!ELEMENT desirable_qualification_5_of_6_prizes_or_other_academic_distinctions (#PCDATA)> <!ELEMENT desirable_qualification_6_of_6_subject_qualification (#PCDATA)> <!ELEMENT desirable_qualification_6_of_6_place_of_study (#PCDATA)>
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<!ELEMENT desirable_qualification_6_of_6_grade_result (#PCDATA)> <!ELEMENT desirable_qualification_6_of_6_year_obtained (#PCDATA)> <!ELEMENT desirable_qualification_6_of_6_prizes_or_other_academic_distinctions (#PCDATA)> <!ELEMENT training_courses_attended_1_of_7_course_title (#PCDATA)> <!ELEMENT training_courses_attended_1_of_7_training_provider (#PCDATA)> <!ELEMENT training_courses_attended_1_of_7_duration (#PCDATA)> <!ELEMENT training_courses_attended_1_of_7_year_obtained (#PCDATA)> <!ELEMENT training_courses_attended_2_of_7_course_title (#PCDATA)> <!ELEMENT training_courses_attended_2_of_7_training_provider (#PCDATA)> <!ELEMENT training_courses_attended_2_of_7_duration (#PCDATA)> <!ELEMENT training_courses_attended_2_of_7_year_obtained (#PCDATA)> <!ELEMENT training_courses_attended_3_of_7_course_title (#PCDATA)> <!ELEMENT training_courses_attended_3_of_7_training_provider (#PCDATA)> <!ELEMENT training_courses_attended_3_of_7_duration (#PCDATA)> <!ELEMENT training_courses_attended_3_of_7_year_obtained (#PCDATA)> <!ELEMENT training_courses_attended_4_of_7_course_title (#PCDATA)> <!ELEMENT training_courses_attended_4_of_7_training_provider (#PCDATA)> <!ELEMENT training_courses_attended_4_of_7_duration (#PCDATA)> <!ELEMENT training_courses_attended_4_of_7_year_obtained (#PCDATA)> <!ELEMENT training_courses_attended_5_of_7_course_title (#PCDATA)> <!ELEMENT training_courses_attended_5_of_7_training_provider (#PCDATA)> <!ELEMENT training_courses_attended_5_of_7_duration (#PCDATA)> <!ELEMENT training_courses_attended_5_of_7_year_obtained (#PCDATA)> <!ELEMENT training_courses_attended_6_of_7_course_title (#PCDATA)> <!ELEMENT training_courses_attended_6_of_7_training_provider (#PCDATA)> <!ELEMENT training_courses_attended_6_of_7_duration (#PCDATA)> <!ELEMENT training_courses_attended_6_of_7_year_obtained (#PCDATA)> <!ELEMENT training_courses_attended_7_of_7_course_title (#PCDATA)> <!ELEMENT training_courses_attended_7_of_7_training_provider (#PCDATA)> <!ELEMENT training_courses_attended_7_of_7_duration (#PCDATA)> <!ELEMENT training_courses_attended_7_of_7_year_obtained (#PCDATA)> <!ELEMENT please_indicate_your_uk_professional_registration_status (#PCDATA)> <!ELEMENT if_the_name_under_which_you_are_registered_is_different_from_your_current_name_please_give_details (#PCDATA)> <!ELEMENT do_you_have_a_cct (#PCDATA)> <!ELEMENT if_not_what_is_your_anticipated_cct_date (#PCDATA)> <!ELEMENT professional_body_and_membership_1_of_2_professional_body_and_membership (#PCDATA)> <!ELEMENT professional_body_and_membership_1_of_2_if_other_please_provide_details_below (#PCDATA)> <!ELEMENT professional_body_and_membership_1_of_2_membership_registration_pin_number (#PCDATA)> <!ELEMENT professional_body_and_membership_1_of_2_expiry_renewal_date (#PCDATA)> <!ELEMENT professional_body_and_membership_2_of_2_professional_body_and_membership (#PCDATA)>
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<!ELEMENT professional_body_and_membership_2_of_2_if_other_please_provide_details_below (#PCDATA)> <!ELEMENT professional_body_and_membership_2_of_2_membership_registration_pin_number (#PCDATA)> <!ELEMENT professional_body_and_membership_2_of_2_expiry_renewal_date (#PCDATA)> <!ELEMENT are_you_currently_the_subject_of_a_fitness_to_practise_investigation_or_proceedings_by_a_licensing_or_regulatory_body_in_the_uk_or_in_any_other_country (#PCDATA)> <!ELEMENT have_you_been_removed_from_the_register_or_have_conditions_been_made_on_your_registration_by_a_fitness_to_practise_committee_or_the_licensing_or_regulatory_body_in_the_uk_or_in_any_other_country (#PCDATA)> <!ELEMENT if_applicable_please_provide_details_of_any_conditions_restrictions_you_may_have (#PCDATA)> <!ELEMENT employer_name (#PCDATA)> <!ELEMENT employer_address (#PCDATA)> <!ELEMENT type_of_business (#PCDATA)> <!ELEEMNT reporting_to_job_title (#PCDATA)> <!ELEMENT telephone_number (#PCDATA)> <!ELEMENT job_title (#PCDATA)> <!ELEMENT start_date (#PCDATA)> <!ELEMENT end_date_if_applicable (#PCDATA)> <!ELEMENT start_date_of_continuous_nhs_service_if_applicable (#PCDATA)> <!ELEMENT grade (#PCDATA)> <!ELEMENT salary (#PCDATA)> <!ELEMENT specialty (#PCDATA)> <!ELEMENT job_type (#PCDATA)> <!ELEMENT period_of_notice (#PCDATA)> <!ELEMENT reason_for_leaving_if_applicable (#PCDATA)> <!ELEMENT brief_description_of_your_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_1_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_1_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_1_of_10_from (#PCDATA)> <!ELEMENT previous_employer_1_of_10_to (#PCDATA)> <!ELEMENT previous_employer_1_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_1_of_10_specialty (#PCDATA)> <!ELEMENT previous_employer_1_of_10_job_type (#PCDATA)> <!ELEMENT previous_employer_1_of_10_reason_for_leaving (#PCDATA)> <!ELEMENT previous_employer_1_of_10_brief_description_of_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_1_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_2_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_2_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_2_of_10_from (#PCDATA)> <!ELEMENT previous_employer_2_of_10_to (#PCDATA)> <!ELEMENT previous_employer_2_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_2_of_10_specialty (#PCDATA)>
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<!ELEMENT previous_employer_2_of_10_job_type (#PCDATA)> <!ELEMENT previous_employer_2_of_10_reason_for_leaving (#PCDATA)> <!ELEMENT previous_employer_2_of_10_brief_description_of_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_2_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_3_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_3_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_3_of_10_from (#PCDATA)> <!ELEMENT previous_employer_3_of_10_to (#PCDATA)> <!ELEMENT previous_employer_3_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_3_of_10_specialty (#PCDATA)> <!ELEMENT previous_employer_3_of_10_job_type (#PCDATA)> <!ELEMENT previous_employer_3_of_10_reason_for_leaving (#PCDATA)> <!ELEMENT previous_employer_3_of_10_brief_description_of_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_3_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_4_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_4_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_4_of_10_from (#PCDATA)> <!ELEMENT previous_employer_4_of_10_to (#PCDATA)> <!ELEMENT previous_employer_4_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_4_of_10_specialty (#PCDATA)> <!ELEMENT previous_employer_4_of_10_job_type (#PCDATA)> <!ELEMENT previous_employer_4_of_10_reason_for_leaving (#PCDATA)> <!ELEMENT previous_employer_4_of_10_brief_description_of_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_4_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_5_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_5_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_5_of_10_from (#PCDATA)> <!ELEMENT previous_employer_5_of_10_to (#PCDATA)> <!ELEMENT previous_employer_5_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_5_of_10_specialty (#PCDATA)> <!ELEMENT previous_employer_5_of_10_job_type (#PCDATA)> <!ELEMENT previous_employer_5_of_10_reason_for_leaving (#PCDATA)> <!ELEMENT previous_employer_5_of_10_brief_description_of_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_5_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_6_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_6_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_6_of_10_from (#PCDATA)> <!ELEMENT previous_employer_6_of_10_to (#PCDATA)> <!ELEMENT previous_employer_6_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_6_of_10_specialty (#PCDATA)>
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<!ELEMENT previous_employer_6_of_10_job_type (#PCDATA)> <!ELEMENT previous_employer_6_of_10_reason_for_leaving (#PCDATA)> <!ELEMENT previous_employer_6_of_10_brief_description_of_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_6_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_7_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_7_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_7_of_10_from (#PCDATA)> <!ELEMENT previous_employer_7_of_10_to (#PCDATA)> <!ELEMENT previous_employer_7_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_7_of_10_specialty (#PCDATA)> <!ELEMENT previous_employer_7_of_10_job_type (#PCDATA)> <!ELEMENT previous_employer_7_of_10_reason_for_leaving (#PCDATA)> <!ELEMENT previous_employer_7_of_10_brief_description_of_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_7_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_8_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_8_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_8_of_10_from (#PCDATA)> <!ELEMENT previous_employer_8_of_10_to (#PCDATA)> <!ELEMENT previous_employer_8_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_8_of_10_specialty (#PCDATA)> <!ELEMENT previous_employer_8_of_10_job_type (#PCDATA)> <!ELEMENT previous_employer_8_of_10_reason_for_leaving (#PCDATA)> <!ELEMENT previous_employer_8_of_10_brief_description_of_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_8_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_9_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_9_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_9_of_10_from (#PCDATA)> <!ELEMENT previous_employer_9_of_10_to (#PCDATA)> <!ELEMENT previous_employer_9_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_9_of_10_specialty (#PCDATA)> <!ELEMENT previous_employer_9_of_10_job_type (#PCDATA)> <!ELEMENT previous_employer_9_of_10_reason_for_leaving (#PCDATA)> <!ELEMENT previous_employer_9_of_10_brief_description_of_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_9_of_10_job_title (#PCDATA)> <!ELEMENT previous_employer_10_of_10_employer_name (#PCDATA)> <!ELEMENT previous_employer_10_of_10_employer_address (#PCDATA)> <!ELEMENT previous_employer_10_of_10_from (#PCDATA)> <!ELEMENT previous_employer_10_of_10_to (#PCDATA)> <!ELEMENT previous_employer_10_of_10_grade (#PCDATA)> <!ELEMENT previous_employer_10_of_10_specialty (#PCDATA)>
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<!ELEMENT previous_employer_10_of_10_job_type (#PCDATA)> <!ELEMENT previous_employer_10_of_10_reason_for_leaving (#PCDATA)> <!ELEMENT previous_employer_10_of_10_brief_description_of_duties_and_responsibilities (#PCDATA)> <!ELEMENT previous_employer_10_of_10_job_title (#PCDATA)> <!ELEMENT if_you_have_any_gaps_within_your_employment_history_please_state_below (#PCDATA)> <!ELEMENT referee_1_of_5_email (#PCDATA)> <!ELEMENT referee_1_of_5_title (#PCDATA)> <!ELEMENT referee_1_of_5_surname_family_name (#PCDATA)> <!ELEMENT referee_1_of_5_first_name (#PCDATA)> <!ELEMENT referee_1_of_5_relationship (#PCDATA)> <!ELEMENT referee_1_of_5_job_title (#PCDATA)> <!ELEMENT referee_1_of_5_address_line_1 (#PCDATA)> <!ELEMENT referee_1_of_5_address_line_2 (#PCDATA)> <!ELEMENT referee_1_of_5_address_line_3 (#PCDATA)> <!ELEMENT referee_1_of_5_town_city (#PCDATA)> <!ELEMENT referee_1_of_5_county_state (#PCDATA)> <!ELEMENT referee_1_of_5_country (#PCDATA)> <!ELEMENT referee_1_of_5_postcode_zip_code (#PCDATA)> <!ELEMENT referee_1_of_5_telephone (#PCDATA)> <!ELEMENT referee_1_of_5_fax (#PCDATA)> <!ELEMENT referee_1_of_5_can_the_referee_be_approached_prior_to_interview (#PCDATA)> <!ELEMENT referee_2_of_5_email (#PCDATA)> <!ELEMENT referee_2_of_5_title (#PCDATA)> <!ELEMENT referee_2_of_5_surname_family_name (#PCDATA)> <!ELEMENT referee_2_of_5_first_name (#PCDATA)> <!ELEMENT referee_2_of_5_relationship (#PCDATA)> <!ELEMENT referee_2_of_5_job_title (#PCDATA)> <!ELEMENT referee_2_of_5_address_line_1 (#PCDATA)> <!ELEMENT referee_2_of_5_address_line_2 (#PCDATA)> <!ELEMENT referee_2_of_5_address_line_3 (#PCDATA)> <!ELEMENT referee_2_of_5_town_city (#PCDATA)> <!ELEMENT referee_2_of_5_county_state (#PCDATA)> <!ELEMENT referee_2_of_5_country (#PCDATA)> <!ELEMENT referee_2_of_5_postcode_zip_code (#PCDATA)> <!ELEMENT referee_2_of_5_telephone (#PCDATA)> <!ELEMENT referee_2_of_5_fax (#PCDATA)> <!ELEMENT referee_2_of_5_can_the_referee_be_approached_prior_to_interview (#PCDATA)> <!ELEMENT referee_3_of_5_email (#PCDATA)> <!ELEMENT referee_3_of_5_title (#PCDATA)> <!ELEMENT referee_3_of_5_surname_family_name (#PCDATA)>
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<!ELEMENT referee_3_of_5_first_name (#PCDATA)> <!ELEMENT referee_3_of_5_relationship (#PCDATA)> <!ELEMENT referee_3_of_5_job_title (#PCDATA)> <!ELEMENT referee_3_of_5_address_line_1 (#PCDATA)> <!ELEMENT referee_3_of_5_address_line_2 (#PCDATA)> <!ELEMENT referee_3_of_5_address_line_3 (#PCDATA)> <!ELEMENT referee_3_of_5_town_city (#PCDATA)> <!ELEMENT referee_3_of_5_county_state (#PCDATA)> <!ELEMENT referee_3_of_5_country (#PCDATA)> <!ELEMENT referee_3_of_5_postcode_zip_code (#PCDATA)> <!ELEMENT referee_3_of_5_telephone (#PCDATA)> <!ELEMENT referee_3_of_5_fax (#PCDATA)> <!ELEMENT referee_3_of_5_can_the_referee_be_approached_prior_to_interview (#PCDATA)> <!ELEMENT referee_4_of_5_email (#PCDATA)> <!ELEMENT referee_4_of_5_title (#PCDATA)> <!ELEMENT referee_4_of_5_surname_family_name (#PCDATA)> <!ELEMENT referee_4_of_5_first_name (#PCDATA)> <!ELEMENT referee_4_of_5_relationship (#PCDATA)> <!ELEMENT referee_4_of_5_job_title (#PCDATA)> <!ELEMENT referee_4_of_5_address_line_1 (#PCDATA)> <!ELEMENT referee_4_of_5_address_line_2 (#PCDATA)> <!ELEMENT referee_4_of_5_address_line_3 (#PCDATA)> <!ELEMENT referee_4_of_5_town_city (#PCDATA)> <!ELEMENT referee_4_of_5_county_state (#PCDATA)> <!ELEMENT referee_4_of_5_country (#PCDATA)> <!ELEMENT referee_4_of_5_postcode_zip_code (#PCDATA)> <!ELEMENT referee_4_of_5_telephone (#PCDATA)> <!ELEMENT referee_4_of_5_fax (#PCDATA)> <!ELEMENT referee_4_of_5_can_the_referee_be_approached_prior_to_interview (#PCDATA)> <!ELEMENT referee_5_of_5_email (#PCDATA)> <!ELEMENT referee_5_of_5_title (#PCDATA)> <!ELEMENT referee_5_of_5_surname_family_name (#PCDATA)> <!ELEMENT referee_5_of_5_first_name (#PCDATA)> <!ELEMENT referee_5_of_5_relationship (#PCDATA)> <!ELEMENT referee_5_of_5_job_title (#PCDATA)> <!ELEMENT referee_5_of_5_address_line_1 (#PCDATA)> <!ELEMENT referee_5_of_5_address_line_2 (#PCDATA)> <!ELEMENT referee_5_of_5_address_line_3 (#PCDATA)> <!ELEMENT referee_5_of_5_town_city (#PCDATA)> <!ELEMENT referee_5_of_5_county_state (#PCDATA)>
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<!ELEMENT referee_5_of_5_country (#PCDATA)> <!ELEMENT referee_5_of_5_postcode_zip_code (#PCDATA)> <!ELEMENT referee_5_of_5_telephone (#PCDATA)> <!ELEMENT referee_5_of_5_fax (#PCDATA)> <!ELEMENT referee_5_of_5_can_the_referee_be_approached_prior_to_interview (#PCDATA)> <!ELEMENT supporting_information (#PCDATA)> <!ELEMENT if_you_have_applied_to_us_within_the_last_3_months_are_you_happy_for_us_to_use_the_references_from_your_earlier_application (#PCDATA)> <!ELEMENT describe_your_experience_of_clinical_audit (#PCDATA)> <!ELEMENT describe_your_relevant_teaching_experience (#PCDATA)> <!ELEMENT details_of_your_most_relevant_research_work_and_publications_in_peerreviewed_journals (#PCDATA)> <!ELEMENT give_examples_of_your_approach_to_working_in_a_team (#PCDATA)> <!ELEMENT please_explain_your_areas_of_clinical_skill_and_competence_relevant_to_this_post (#PCDATA)> <!ELEMENT please_provide_any_other_supporting_information_that_you_think_may_be_helpful_or_that_is_requested_in_the_person_specification_please_ensure_that_this_does_not_contain_any_duplicate_information_already_provided_elsewhere_in_the_application_form_or_any_personal_details (#PCDATA)> <!ELEMENT preferred_employment_type (#PCDATA)> <!ELEMENT if_applicable_to_the_post_do_you_hold_a_certificate_to_support_your_responsibilities_under_irmer_2000 (#PCDATA)> <!ELEMENT date_of_birth_dd_mm_yyyy (#PCDATA)> <!ELEMENT gender (#PCDATA)> <!ELEMENT i_would_describe_my_ethnic_origin_as_follows (#PCDATA)> <!ELEMENT please_indicate_which_term_would_best_describe_your_sexual_orientation (#PCDATA)> <!ELEMENT please_indicate_your_religion_or_belief (#PCDATA)> <!ELEMENT do_you_consider_yourself_to_have_a_disability (#PCDATA)> <!ELEMENT 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 (#PCDATA)> <!ELEMENT are_you_currently_bound_over_or_do_you_have_any_unspent_convictions_issued_by_a_court_or_court_martial_in_the_uk_or_any_other_country (#PCDATA)> <!ELEMENT if_yes_please_include_details_of_the_order_binding_you_over_and_or_the_nature_of_the_offence_the_penalty_sentence_or_order_of_the_court_and_the_date_and_place_of_the_court_hearing_please_note_you_do_not_need_to_tell_us_about_parking_offences (#PCDATA)> <!ELEMENT if_you_are_related_to_a_director_or_have_a_relationship_with_a_director_or_employee_of_an_appointing_organisation_please_state_the_relationship (#PCDATA)> <!ELEMENT g1_do_you_have_xxxxx_qualification_or_an_equivalent (#PCDATA)> <!ELEMENT g2_do_you_have_relevant_teaching_or_training_experience_as_required_by_the_person_specification (#PCDATA)> <!ELEMENT n1_do_you_have_xxxxx_registration (#PCDATA)> <!ELEMENT n2_does_the_nmc_require_you_to_have_a_period_of_supervised_practice_or_to_undergo_the_overseas_nurses_programme_onp (#PCDATA)> <!ELEMENT n3_if_you_have_a_decision_letter_for_nmc_registration_please_enter_its_date (#PCDATA)> <!ELEMENT m1_please_state_your_gmc_registration_status__if_you_have_limited_registration_please_explain_these_limitations_in_the_supporting_information (#PCDATA)> <!ELEMENT m2_have_you_completed_research_work_relevant_to_this_post (#PCDATA)> <!ELEMENT p1_what_grade_of_psychology_degree_do_you_hold (#PCDATA)> <!ELEMENT a1_are_you_registered_with_the_hpc (#PCDATA)>
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<!ELEMENT a2_do_you_hold_a_relevant_degree_or_graduate_diploma_as_required_by_the_person_specification (#PCDATA)> <!ELEMENT d1_please_state_your_gdc_registration_status (#PCDATA)> <!ELEMENT d2_please_select_your_royal_college (#PCDATA)> <!ELEMENT d3_please_select_your_royal_college_membership_status (#PCDATA)> <!ELEMENT s1_has_your_name_ever_appeared_on_the_protection_of_childrens_list_or_have_you_ever_been_referred_to_the_independent_safeguarding_authority_isa_for_consideration_of_barring_against_the_childrens_list (#PCDATA)> <!ELEMENT s2_has_your_name_ever_appeared_on_the_protection_of_vulnerable_adults_list_or_have_you_ever_been_referred_to_the_independent_safeguarding_authority_isa_for_consideration_of_barring_against_the_vulnerable_adults_list (#PCDATA)> <!ELEMENT s3_have_you_at_any_time_received_or_had_pending_a_criminal_conviction_caution_warning_reprimand_or_bind_over (#PCDATA)> <!ELEMENT s3a_if_yes_please_include_details_of_the_order_binding_you_over_and_or_the_nature_of_the_offence_the_penalty_sentence_or_order_of_the_court_and_the_date_and_place_of_the_court_hearing_please_note_you_do_not_need_to_tell_us_about_parking_offences (#PCDATA)> <!ELEMENT s4_are_you_currently_bound_by_any_barring_decision_made_by_the_disclosure_and_barring_service_dbs_from_working_with_children (#PCDATA)> <!ELEMENT s5_are_you_currently_bound_by_any_barring_decision_made_by_the_disclosure_and_barring_service_dbs_from_working_with_vulnerable_adults (#PCDATA)> <!ELEMENT dv1_do_you_have_access_to_a_vehicle_which_can_be_used_for_work_purposes (#PCDATA)> <!ELEMENT dv2_do_you_have_a_valid_driving_licence_for_the_uk (#PCDATA)> <!ELEMENT dv3_please_specify_the_vehicle_categories_for_which_you_hold_a_licence (#PCDATA)> <!ELEMENT dv4_how_many_penalty_points_do_you_currently_have_on_your_driving_licence (#PCDATA)> <!ELEMENT dv4a_if_you_have_penalty_points_please_state_the_endorsement_offence_codes_and_the_date_of_issue (#PCDATA)> <!ELEMENT w1_are_you_a_welsh_speaker (#PCDATA)>
]>
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Appendix E: Example files using ‘new’ application forms (3009, 3010 and 3012)
The files referred to below are available from the NHS Jobs 2 website in the Users’ Toolkit or can be requested from the NHS Jobs helpdesk.
The examples are based on a Medical application form with the following additional application form questions included:
All medical questions One safeguarding question.
The example files are as follows:
Long CSV: application_3009_long_csv_example.csv
Short CSV file: application_3009_short_csv_example.csv
XML file: application_3009_example.xml
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Appendix F: Example files for ‘old’ application forms (2001 and 2002)
The files referred to below are available from the NHS Jobs 2 website in the Users’ Toolkit or can be requested from the NHS Jobs helpdesk.
The examples are based on a Medical application form with the following additional application form questions included:
All medical questions One safeguarding question.
The example files are as follows:
Long CSV: application_2002_long_csv_example.csv
Short CSV file: application_2002_short_csv_example.csv
XML file: application_2002_example.xml
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Appendix G: Welsh Language Skills Self-Assessment Guide
Listening/Speaking
Level
1 I can:
Pronounce Welsh words, people’s names, place names etc. Greet and understand a greeting Understand and use basic everyday words and phrases e.g. thank you, please,
excuse me, may I speak to… etc.
2 I can:
Understand the gist of Welsh conversations in work Understand, ask and respond to simple job related requests, questions and
instructions Express opinions in a limited way as long as the topic is familiar
3 I can:
Understand much of what is said in the workplace Keep up a simple conversation or answer simple questions on a work related
topic but may need to revert to English to discuss complex or technical issues Offer advice on simple job-related matters
4 I can:
Keep up an extended casual work related conversation Give a presentation with a good degree of fluency but may need to revert to
English to answer unpredictable questions or explain complex points.
5 I can:
Advise on/talk about routine, non-routine, complex, contentious or sensitive issues related to own experiences
Give a presentation/demonstration and deal confidently with hostile or unpredictable questions
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Reading
Level
1 I can:
Understand simple key words and sentences on familiar/predictable matters relating to my own job area, e.g. on signs, in letters
2 I can:
Understand factual, routine information and the gist of non-routine information on familiar matters related to my own job area, e.g. in standard letters, leaflets etc.
3 Scan texts for relevant information Understand a fair range of job-related routine and non-routine correspondence,
factual literature, etc. when standard language is used
4 I can:
Read and understand information fairly quickly as long as no unusual vocabulary is used and no particular complex or technical information is involved
5 I can:
Understand complex ideas and information expressed in complex or specialist language in documents, reports, correspondence and articles etc.
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Writing
1 I can:
Fill in simple forms, note down simple information, e.g. Welsh name, address, date etc.
2 I can:
Write short simple notes/letters/messages on a limited range of predictable topics related to my personal experiences or my own job area
3 I can:
Write a detailed/descriptive letter relating to my own job area, but will need to have it checked by a Welsh speaker
Make reasonably accurate notes while someone is talking
4 I can:
Prepare formal letters of many familiar types such as an enquiry, complaint, request and application
Take reasonably accurate notes in meetings or straightforward dictation Write a report/document relating to my own job area but will need to have it
checked by a Welsh speaker
5 I can:
Write letters on any subject Write full/accurate notes of meetings while continuing to follow discussions and
participate in them Write reports/documents with confidence but they may need to be checked for
minor errors in terms of spelling and grammar.
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Document RevisionVersion Date Issue
1.0 27/08/2013 First release
1.1 28/08/2013 Revision to correct typographical errors
Version 1.1
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