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    ce lame

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    pt lidilidi doo punte ics

    wirelesswtf 213129321 carti

    old

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    asfas

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    das

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    nh

    bnikvuociz!uoi!u

    sdfsdfsdfsdfsdfsd

    pe o bara se caca o cioara

    " #lease read the guidance notes before completing this f or m$

    %nternational application for registration &f or  applicants who have gained a qualification to practice their pr ofessionoutside the '()

    * +egistration ,epartment1. (ennington #ark +oad/ 0ondon/ 11 .'

    & 4.. &5).6 355 ..72 or 4.. &5)25 762 6.85 ww w$hcpc-uk$or g

    registration:hcpc-uk$or g3efore completing ;our application form ;ou will need to read the guidance notes for %nternational applicantsand the standards of proficienc; for ;our profession$ #lease complete this form in 0#%?>0 using a

    black pen$@our title

    @our first name

    @our surname A

    @our pr ofession

    completed application form

    2 > D#a;ing ;our scrutin; feeE form with scrutin; fee of F.96

    3 > photocop; of an eligible language test certificate or declaration that 2nglish is ;our first languageor proof of e!emption b; virtue of being an 22> citizen

    . > completed/ signed and dated G=#= character reference form

    6 =er tifiedH copies of two appropriate documents to confirm ;our identit;

    8 =er tifiedH evidence of an; change of name &if applicable)

    7 > legible cer tifiedH cop; of ;our qualification cer tif icate&s) and certified translation &if applicable)

    > certificate of professional status from the regulator in the countr; where ;ou last practised &ifapplicable)$

     >pplicants wishing to e!ercise 22> mutual recognition rights/ please include the attestation of legal9 #rofessional r efer ence&s)

    15 > legible certified course information form &not a photocop;)

    Ir Irs Iiss Is other &please specif;)

    famil; name

    http://www.hcpc-uk.org/http://www.hcpc-uk.org/http://www.hcpc-uk.org/http://www.hcpc-uk.org/http://www.hcpc-uk.org/http://www.hcpc-uk.org/http://www.hcpc-uk.org/http://www.hcpc-uk.org/http://www.hcpc-uk.org/mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]://www.hcpc-uk.org/

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    11 ackground check consent form

    H #lease refer to guidance notes for more information regarding certification of documents$

    #lease also check that ;ou have notJ #lease cr oss

    1 placed ;our application in a folder/ binder or plastic A paper wallet

    2 included an; original documents

    3 included an; document or item which ;ou need to be returned &completed application forms r emainthe propert; of G=#=)

    @our scrutin; f ee  >ttach a recentpassport sizedphotograph of ;ourself here$#lease do not

    staple$

    % enclose a cheque A mone; order for the amount of F.96 &please do not send cash)$

    % wish to pa; b; credit A debit card and enclose a Dpa;ing ;our scrutin; feeE form with m; accountdetails$

    Bor G=#= use onl;

    ,ate stamp

     >mount received F

     >pplication number 

     >pplication checked b;J

    ,ate of r egistr ation

    +egistration number 

    +egistered b;J

    K Gealth and =are #rofessions =ouncil/ 2516 2516551 >##%L?a 1

    $

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    ection 1 +egistration details

    Gave ;ou ever previousl; applied for registration with the G=#= or the Gealth #rofessions =ouncil &G#=)M

    %f ;es/ please give ;our application number 

    ocial workers onl;

    Gave ;ou ever been registered/ or applied for registration/ with the N== or the care council in1cotland/ Oales or Lorthern %r elandM

    %f ;es/ please provide ;our registration &or  application) number 

    % am appl;ing for registration as a A an &see guidance notes for details of protected titles)

     >rts therapist &%f ;ou have chosen arts therapist please cross the bo!&es) below relevant to ;ou)

     >rt ps;chotherapist  >rt ther apist

    ,rama therapist Iusic ther apist

    3iomedical scientist

    =hiropodist A podiatr ist

    =linical scientist &%f ;ou have chosen clinical scientist please cross the bo!&es) below relevant to ;ou)

     >udiolog; =ellular science

    =linical biochemistr; mbr ;olog;

    =linical genetics Gaematolog;

    @es Lo

    @es Lo

    =linical immunolog; Gistocompatibilit; and immunogenetics

    =linical microbiolog; Iedical ph;sics and clinical engineer ing

    =linical ph;siolog;

    ,ietitian

    Gearing aid dispenser

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    ection 2 =ontact details

    #revious name &if applicable)

    ,ate of birth &,,AIIA@@@@)

    Lationalit;

    Lational %nsurance number &if applicable)

    =ountr; of bir th

    ?own A cit; of bir th

    Nender  Iale Bemale

    Gome contact details

    Gouse A flat number 

    treet name

    ?own A cit;

    =ount; A state

    #ostcode A zipcode

    =ountr;

    ?elephone number 

    Iobile number 

    ; providing m; email address % consent to the G=#= sending me electronic marketing communications

    for the purposes set out in the G=#= subject information statement provided to me in the notes attached

    to this application f or m$

    2mail address

    Oork contact details

    ,epartment

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    ection 3 +egulator ; bod;

    %s ;our profession subject to registration/ licensing or an; other form of regulation in the jur isdiction

    where ;ou currentl; &or  most r ecentl;) live and A or workM @es Lo

    %f ;es/ please stateJ

    ?he name of the bod;

    Lame of countr; A  jur isdiction

    2mail address of the bod;

     >re ;ou registered with the above bod; in that jur isdictionM

    &this includes an; form of provisional/ limited or student r egistr ation) @es Lo

    %f ;es/ please stateJ

    @our registration A licence number 

    ?he professional title under which ;ou are r egister ed

    ,ates of practice &,,AIIA@@@@)J from to

    Gave ;ou ever taken a qualif;ing or entrance e!amination for ;our profession &eg licensingor registration board e!am)/ other than one which formed part of ;our professional educationM @es Lo%f P@esP/ please provide details and evidence of the marks A grades ;ou achieved$

    QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQQQ

     >pplicants e!ercising > mutual recognition rights/ please include the proof of legal establishment

    &see guidance note for more inf or mation)$

    ection . #rofessional bod; member ship

    .$1 #lease give details of an; relevant professional bodies of which ;ou are or have been a member$

    Lame of pr ofessional

    bod;

    =ontact details including address/email/ and website address

    Iember shipnumber 

    ,ate joined

    ,atemember ship

    e!pired &if applicable)

    0ength of member ship

    &@@II)

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    ection 6 =haracter and health self declarations A Retting and 3arring schemes

    Oe must check the health and character of ever;one that applies to join our +egister$ ?his is to make sure that applicantswill be able to practise safel; and effectivel; within their profession$ Oe can also take action against a registrant if their healthand A or character raises concerns about their abilit; to practise safel; and effectivel;$ #lease read the accompan;ingguidance notes carefull; before completing this section$ %f ;our answer to an; of the questions below is ;es/ please indicateb; placing a cross in the appropriate bo! and give details on a separate sheet$

    Gave ;ou been convicted of a criminal offence or received a police caution &other  than a protectedcaution or protected conviction)M

    Gave ;ou been disciplined b; a professional or regulator; bod; or ;our emplo;er M

    Gave ;ou had civil proceedings &other  than a divorce A dissolution of marriage or civil par tner ship)brought against ;ouM

    ,o ;ou have an; ph;sical or mental health condition that would impair ;our fitness to practise theprofession to which ;our application r elatesM

     >re ;ou or have ;ou ever been barred under the 1afeguarding Rulnerable Nroups >ct 2558 and A or the #rotection of Rulnerable Nroups &1cotland) >ct 2557 from working withJ =hildren and A or Rulnerable adults

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    ection 8 ducation and tr aining

    #lease provide details of ;our professional education and training &ie ;our qualification for the profession within which ;ou are

    seeking r egistr ation)

    ?itle of ;our relevant qualif ication

    &as it appears on ;our cer tif icate)

    =ourse start date &,,AIIA@@@@)

    =ourse end date &,,AIIA@@@@)

    Lame of educational institution

    treet name

    ?own A cit;

    =ount; A state

    #ostcode A zipcode

    #lease advise contact details for the course administrator if possible$

    Lame

    Sob title

    ?elephone number 

    mail

    %f ;ou have gained a further professional qualification relevant to ;our registration please provide details

    ?itle of ;our relevant qualif ication

    =ourse start date &,,AIIA@@@@)

    =ourse end date &,,AIIA@@@@)

    Lame of educational institution

    treet name

    ?own A cit; =ount; A 

    state #ostcode A 

    zipcode

    #lease continue on a separate sheet if necessar;$

    #lease advise contact details for the course administrator if possible$

    Lame

    Sob title

    ?elephone number 

    mail

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    ection 7 0anguage pr oficienc;

    #lease refer to point seven of the standards of conduct performance and ethics$ 2ver; registrant must ensure that the; can

    communicate effectivel; with patients/ clients/ users/ carers and other pr ofessionals$

    %s 2nglish ;our first languageM @ou should onl; indicate that nglish is ;our first language if it is the main or 

    onl; language ;ou use on a da;-to-da; basis$ Gaving studied 2nglish or undertaken education or training at an

    institution where the medium of instruction is 2nglish does not necessaril; mean that 2nglish is ;our first language$

    @es Lo

    %f no/ ;ou must provide proof of ;our 2nglish proficienc; unless ;ou are e!empt because ;ou are a citizen of a

    relevant uropean tate$ #lease refer to guidance notes for details of recognised language tests and the minimum

    acceptable scores$ #lease state either J

    1) which language test ;ou have included and state ;our scoreT

    QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ$$

    or 

    2) the relevant 2uropean tate of which ;ou are a citizen &this must be confirmed b; a certified photocop; of the

    relevant page of ;our passpor t) or other evidence of citizenship$

    QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ

     >ustr ia stonia 0atvia #or tugal

    elgium Binland 0iechtenstein +omania

    ulgar ia Brance 0ithuania 1lovakia=r oatia Nerman; 0u!embourg 1lovenia

    =;prus Nreece Ialta 1pain

    =zech +epublic Gungar; ?he Lether lands weden

    ,enmark %celand Lorwa; 1witzer land

    Uire &+epublic of %reland) %tal; #oland 'nited (ingdom

    #lease noteJ >ll applicants for the speech and language therapist #art of the +egister for whom nglish is

    not their first language must provide required language proficienc; test result &see guidance notes)$ ?his

    requirement e!tends to citizens of relevant uropean states$

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    ection =areer histor ;

    #lease provide a summar; of ;our career histor;$ #lease provide this in reverse chronological order with most recent post

    f ir st$

    mplo;er Es name

    @our job title in nglish

    @our job title in its original language&if applicable)

     >ddress

    ?own A cit; =ount;

    A state #ostcode A 

    zipcode =ountr;

    =ontact name &eg super visor )

    Sob title of contact

    Oork telephone number 

    2mplo;ment start date &,,AIIA@@@@)

    2mplo;ment end date &,,AIIA@@@@) &leave blank if ;ou are still in thisemplo;ment)

    #lease complete the sections belowJ

    ?hat profession A occupation was subject to regulation b; the following regulator; bod;

    Lame of regulator; bod;

     >ddress

    ?elephone number 

    mail

    Oebsite address

    @our registration number &or  equivalent)

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    %n the space below/ please tell us about ;our main duties and r esponsibilities$

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    =areer histor; &continued)

    mplo;er Es name

    @our job title in nglish

    @our job title in its original language

    &ifapp

    licab

    le)

     >ddress

    ?own A cit; =ount;

    A state #ostcode A 

    zipcode =ountr;

    =ontact name &eg super visor )

    Sob title of contact

    Oork telephone number 

    2mplo;ment start date &,,AIIA@@@@)

    2mplo;ment end date &,,AIIA@@@@) &leave blank if ;ou are still in thisemplo;ment)

    #lease complete the sections belowJ

    ?hat profession A occupation was subject to regulation b; the following regulator; bod;

    Lame of regulator; bod;

     >ddress

    ?elephone number 

    mail

    Oebsite address

    @our registration number &or  equivalent)

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    %n the space below/ please tell us about ;our main duties and r esponsibilities$

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    =areer histor; &continued)

    mplo;er Es name

    @our job title in nglish

    @our job title in its original language

    &ifapp

    licab

    le)

     >ddress

    ?own A cit; =ount;

    A state #ostcode A 

    zipcode =ountr;

    =ontact name &eg super visor )

    Sob title of contact

    Oork telephone number 

    2mplo;ment start date &,,AIIA@@@@)

    2mplo;ment end date &,,AIIA@@@@) &leave blank if ;ou are still in thisemplo;ment)

    #lease complete the sections belowJ

    ?hat profession A occupation was subject to regulation b; the following regulator; bod;

    Lame of regulator; bod;

     >ddress

    ?elephone number 

    mail

    Oebsite address

    @our registration number &or  equivalent)

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    %n the space below/ please tell us about ;our main duties and r esponsibilities$

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    ection 9 #rofessional r ef er ence

    +efereeEs guidance on completing the professional reference f or m

    @ou have been asked to complete a professional reference b; the person who has given ;ou this form because the; wantto be registered with the Gealth and =are #rofessions =ouncil &G=#=)$

    @ou can complete this reference onl; if ;ou are or have been responsible for managing or supervising the applicantPs

    professional practice or professional training &eg student inter nship)$

    #lease provide as much detail as possible and continue on e!tra sheets of paper if ;ou need to$

    ?he professional reference ma; be used b; the G=#= to verif; whether the applicant is a safe and effective professional$ > professional reference is to be provided on this form b; a person who is or has been responsible for managing orsupervising the applicantEs professional practice or student inter nship$

    ?he G=#= ma; make further enquiries of the applicant or the referee in order to verif; or clarif; an; part of this reference$

    #rofessional reference form 1

    ?his section is to be completed b; the applicant$

     >pplicant details

    @our title Ir Irs Iiss Is other &please specif;)

    @our first name

    @our surname A famil; name

    #revious name&s)

    Sob title A position in nglish

    Sob title A position in its original language&if applicable)

    Oork details &wor k place A placement to which this reference is r elating)

    mplo;er Es name

     >ddress

    ?own A cit; =ount;

    A state #ostcode A 

    zipcode =ountr;

    Oork telephone number 

    mail

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    #lease use the space below to tell us an; additional information$ #lease use e!tra sheets if necessar;$

    QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQQ

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    ?he rest of this form should be completed in full b; the r ef er ee$

    @our title Ir Irs Iiss Is other &please specif;)

    @our first name

    @our surname A famil; name

    #revious name&s)

    Sob title A position

    Oork address &curr ent)

    treet name

    ?own A cit;

    =ount; A state

    #ostcode A zipcode

    =ountr;

    ?elephone number 

    Iobile number

    2mail address

    #lease use the following section to tell us about the applicant$

    Vualif ications

    QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ$$$QQQQQQQQ

    QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

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    QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQQQ

    %n what capacit; is the applicant known to ;ou &eg emplo;ee/ student/ volunteer )M

    QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQ

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    Gow long have ;ou known the applicantM ;ears months

    ,ates when ;ou supervised the applicant tart date &,,AIIA@@@@)

    nd date &,,AIIA@@@@)

    Bull-time hours per week

    #art-time hours per week

    #lease describe the work setting&s) and give an indication of the range of patients/ clients or users and the t;pe of conditions

    treated$

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    QQQQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQQQQQQQQQQQ

    QQQQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQQQQQQQQQQQ

    #lease tell us about the t;pes of assessment/ treatment and evaluation methods that the applicant used during their timeunder ;our super vision$

    QQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQQQQQQQQQQQQQ

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    ?he G=#= ma; make further enquiries in respect of the applicant and ;ou/ as referee/ to verif; or clarif; information about

    the applicant and ;our reference$ 1hould an; of the information ;ou have supplied in this reference not be accurate or if ;ou

    have made an; false claims/ ;ou ma; be committing a crime$

    ?he G=#= processes ;our personal data as disclosed in this reference for the purpose of administering the application

    to which it is attached$ ?he G=#= ma; contact ;ou to ensure that ;our reference is accurate and ma; also disclose ;our 

    personal data to third parties to check its accurac;$ 1hould an; inaccuracies be established/ ;our personal data ma; be

    transferred to a third part; for further investigation$ 1hould a registrant transfer to another countr;/ ;our reference ma; be

    passed to an; appropriate regulators in that countr;$

    ; signing this reference ;ou confirm that the information that ;ou have provided is accurate and that ;our personal data

    ma; be processed for the purposes specified above$

    ,ate &,,AIIA@@@@) 1igned QQQQQQQQ$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQ$

    #rint name

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    ection 9 #rofessional reference &continued)

    +efereeEs guidance on completing the professional reference f or m

    @ou have been asked to complete a professional reference b; the person who has given ;ou this form because the; wantto be registered with the Gealth and =are #rofessions =ouncil &G=#=)$

    @ou can complete this reference onl; if ;ou are or have been responsible for managing or supervising the applicantPs

    professional practice or professional training &ie student inter nship)$

    #lease provide as much detail as possible and continue on e!tra sheets of paper if ;ou need to$

    ?he professional reference ma; be used b; the G=#= to verif; whether the applicant is a safe and effective professional$ > professional reference is to be provided on this form b; a person who is or has been responsible for managing orsupervising the applicantEs professional practice or student inter nship$

    ?he G=#= ma; make further enquiries of the applicant or the referee in order to verif; or clarif; an; part of this reference$

    #rofessional reference form 2

    ?his section is to be completed b; the applicant$

     >pplicant details

    @our title Ir Irs Iiss Is other &please specif;)

    @our first name

    @our surname A famil; name

    #revious name&s)

    Sob title A position in nglish

    Sob title A position in its original language&if applicable)

    Oork details &wor k place A placement to which this reference is r elating)

    mplo;er Es name

     >ddress

    ?own A cit; =ount;

    A state #ostcode A 

    zipcode =ountr;

    Oork telephone number 

    mail

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    #lease use the space below to tell us an; additional information$ #lease use e!tra sheets if necessar;$

    QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQQ

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    ?he rest of this form should be completed in full b; the r ef er ee$

    @our title Ir Irs Iiss Is other &please specif;)

    @our first name

    @our surname A famil; name

    #revious name&s)

    Sob title A position

    Oork address &curr ent)

    treet name

    ?own A cit;

    =ount; A state

    #ostcode A zipcode

    =ountr;

    ?elephone number 

    Iobile number

    2mail address

    #lease use the following section to tell us about the applicant$

    Vualif ications

    QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ$$$QQQQQQQQ

    QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

    QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQQ

    QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQQQ

    %n what capacit; is the applicant known to ;ou &eg emplo;ee/ student/ volunteer )M

    QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQ

    QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQ

    QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQ

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    Gow long have ;ou known the applicantM ;ears months

    ,ates when ;ou supervised the applicant tart date &,,AIIA@@@@)

    nd date &,,AIIA@@@@)

    Bull-time hours per week

    #art-time hours per week

    #lease describe the work setting&s) and give an indication of the range of patients/ clients or users and the t;pe of conditions

    treated$

    QQQQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQQQQQQQQQQQ

    QQQQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQQQQQQQQQQQ

    QQQQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQQQQQQQQQQQ

    #lease tell us about the t;pes of assessment/ treatment and evaluation methods that the applicant used during their timeunder ;our super vision$

    QQQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQQQQQQQQQQQQQ

    QQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQQQQQQQQQQQQQQ

    QQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQQQQQQQQQQQQQQ

    QQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQQQQQQQQQQQQQQ

    QQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQQQQQQQQQQQQQQQ

    QQQQQQQQQQQQQQQQQQQ$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQQQQQQQQQQQQQQQ

    ?he G=#= ma; make further enquiries in respect of the applicant and ;ou/ as referee/ to verif; or clarif; information about

    the applicant and ;our reference$ 1hould an; of the information ;ou have supplied in this reference not be accurate or if ;ou

    have made an; false claims/ ;ou ma; be committing a crime$

    ?he G=#= processes ;our personal data as disclosed in this reference for the purpose of administering the application

    to which it is attached$ ?he G=#= ma; contact ;ou to ensure that ;our reference is accurate and ma; also disclose ;our 

    personal data to third parties to check its accurac;$ 1hould an; inaccuracies be established/ ;our personal data ma; be

    transferred to a third part; for further investigation$ 1hould a registrant transfer to another countr;/ ;our reference ma; be

    passed to an; appropriate regulators in that countr;$

    ; signing this reference ;ou confirm that the information that ;ou have provided is accurate and that ;our personal data

    ma; be processed for the purposes specified above$

    ,ate &,,AIIA@@@@) 1igned QQQQQQQQ$$$$$$$$$$$$$$$$$$$$$QQQQQQQQQ$

    #rint name

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    ection 15 #a;ing ;our scrutin; f ee

    #a;ment for this application onl; C include onl; the scrutin; fee for this application &pa;ment for multiple applications

    unfortunatel; cannot be accepted and ma; result in the applications being returned to ;ou)$

    % wish to pa; b; &please cross appropriate bo!)

    =heque &pa;able to Gealth and =are #rofessions =ouncil)

    3ritish postal order 

    Ione; order

    ankers draft

    ,ebit card

    =redit card

     >mount F .96$55

    %f ;ou have chosen to pa; b; debit or credit card please complete the section below

    =ar dholder Es signature QQQQQQQQQQQQQQQQQQQ$

    ,ate &,,AIIA@@@@)

    G=#= ' dvisor taking pa;ment QQQQQQQQQQQQQQQQQQ$$

    ,ate taken &,,AIIA@@@@)

     >uthorisation code

     >pplication number 

    =ar dholder Es name

    =ard number 

    Ralid from &IIA@@)

    1ecurit; code &the last 3 digits of the number on the signature strip - see diagram below)

    Visa

    Master car d

    Last 3 digits of the

    secur ity code

    %ssue number &if applicable)

     > >

    2!pires on &IIA@@)

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    ection 11 ,eclar ations

    W % declare that % have read/ understood and will compl; with the G=#=Es standards of conduct/ performance and ethics$

    W % understand that % must have in place a professional indemnit; arrangement which provides appropriate cover and %

    confirm that % will have this in place when % practise$ ?his does not appl; if ;ou are appl;ing for registration as a

    social wor ker $

    W % confirm that % have read the subject information statement which accompanies this application form and understand

    that the G=#= ma; process m; personal data as required b; the Gealth and 1ocial Oork #rofessions

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    ection 12 =haracter r ef er ence

    #lease give this section to the person ;ou ask to complete ;our character reference f or m$

    +efereeEs guidance on completing the character r ef er ence

    efore being registered under the Gealth and 1ocial Oork #rofessions character reference needs to be provided b; a person of standing in the communit; who is not a relative of the applicant

    and has known the applicant for at least three ;ears$ > professional person &eg a registered professional/ a solicitor/ barr ister 

    or other legal practitioner or an accountant) will be recognised as a person of standing in the communit; as will aJ

    W bank manager or off icer T

    W

     judge/ magistrateor other judicial off icialT

    W minister of the =hurch/ +abbi/ %mam or other recognised religious off icialT

    W member of a parliament or other legislative bod;T

    W serving officer in GI >rmed BorcesT or 

    W teacher or lectur er $

    ?his is not an e!haustive list and if ;ou have an; questions as to whether ;ou are able to provide a character

    reference please contact us on 4.. &5).6 355 ..72 or 4.. &5)25 762 6.85$

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    =haracter reference continued

    ?his form is to be completed b; ;our character r ef er ee

    efore being registered under the Gealth and 1ocial Oork #rofessions character reference must be provided on this form b; a person of standing in the

    communit; who is not a relative of the applicant and who has known the applicant for at least three ;ears$ Bor a list of

    acceptable referees/ please refer to the guidance notes for international applicants$

    #lease return this form to the applicant once complete$

     >pplicant details

    Lame

     >ddress

    #rofession in nglish

    #rofession in its original language&if applicable)

    +eferee details

    Lame

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    ection 13 ackground check consent f or m

     >pplicant details

    Lame

    #r ofession

    Lotes for app

    lican

    ts

    +ule 6&1) of the Gealth and =are #rofessions =ouncil &+egistr ation and Bees) +ules 2553 authorises the G=#= to seekadditional information about a registration applicant from an; person or source it considers appropriate/ for the purpose of satisf;ing itself as to the good character of that applicant$

     >s ;our application ma; be subject to such further backgrounds checks/ please provide the information and consentrequested below and include this =onsent Borm with ;our application$

    =onsent to background checks

    %n making m; application for G=#= r egistr ationJ

    1$ % understand that/ in order to verif; the accurac; of the information % have provided/ the G=#= ma; undertakefurther background checks including verif;ing the information % have given/ conducting background enquiries andasking for/ and checking m; emplo;ment/ qualifications and personal/ academic and emplo;er references$

    2$ % agree thatJ

    &1) the G=#= ma; undertake such background checks as it considers appropriate for the purpose of establishing that %am of good char acter T

    &2) the G=#= has appointed (roll ackground Oorldwide 0imited &(r oll) as its agent to carr; out the checks onits behalf and ma; appoint such other agents as it sees fit to carr; out such checksT

    &3) the recipient of an; inquiries made as part of such checks ma; release information about me which the; hold and

    which is relevant to a request for information made b; or on behalf of the G=#=T&.) m; personal data ma; be given toJW m; referees and an; other persons or bodies identified in m; applicationTW regulator; bodies/ law enforcement agencies and prosecuting authorities/ both in the '( and in other jurisdictionsT andW such other third parties as the G=#= considers appr opr iateT

    and that/ for the purpose of conducting background checks/ the G=#=/ (roll and an; other agent appointed b; theG=#= ma; transfer m; personal data outside of the 2uropean 2conomic >rea to be processed and stored in an;appropriate format$ % also agree that such data ma; be passed to (roll Nroup =ompanies/ both within and outside the22>/ for the purpose of conducting such background checks$

    3$ % confirm that the information % have provided in m; application is true and accurate and understand that/ if % have madea false declaration or provided an; false information or documents in support of m; application/ the G=#= ma; withholdm; registration and % ma; be liable to prosecution under >rticle 39 of the Gealth and 1ocial Oork #rofessions = etc)/ please also provide ;our usual signature and name usingcharacters from ;our first language in the bo!es belowJ

    1ignature QQQQ$$$$$$$$$$QQQQQQQQQQQQQQQ

    #rint name

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    Nuidance for international applicants &applicants who hold a qualification or have e!perience gained outside the '()

    H +egistration ,epartment1. (ennington #ark +oad/ 0ondon/ 11 .'

    & 4.. &5).6 355 ..72 or 4.. &5)25 762 6.85 ww w$hcpc-uk$or g

    registration:hcpc -uk$o r g

    ?hese guidance notes are intended to help ;ou complete the application form$ ?he; will also help ;ouunderstand the application process$ Gowever/ if after reading the guidance notes there is something;ou do not understand please contact us$

    %ntr oduction

    W  >bout the Gealth and =are #rofessions =ouncil &G=#=)W Gow we are run

    W  >bout registrationW  >ppl;ing for registrationW Ieeting our standardsW #rotected titles

     >bout this guidanceW  >ppl;ing through the international registration processW Neneral information on completing the formsW 1ending us ;our applicationW Ohat happens ne!tM

    W =ontact us

    W =ertified documentsW Rerif;ing ;our identit;W %f ;ou cannot provide photographic documentationW ?ranslation of documents

     >pplication process over view

    applicants

    W  >daptation period and aptitude test

    W Braudulent applicationsW ?he appeals process

    ection 1

    +egistration details

    W #revious applications

    ection 2

    =ontact detailsW Lame change

    W Gome address

    W Oork address

    W  >gencies

    http://www.hcpc-uk.org/http://www.hcpc-uk.org/http://www.hcpc-uk.org/http://www.hcpc-uk.org/http://www.hcpc-uk.org/http://www.hcpc-uk.org/http://www.hcpc-uk.org/http://www.hcpc-uk.org/http://www.hcpc-uk.org/mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]://www.hcpc-uk.org/mailto:[email protected]

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    K Gealth and =are #rofessions =ouncil/ 2516 2516551 >##%L?a 1

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    ection 3

    +egulator ; bod; member ship

    ection .

    #rofessional bod; member ship

    ection 6

    =haracter and health self declarations A Retting and 3arring schemes

    ection 8

    ducation and tr aining

    W =ourse inf or mation

    ection 7

    0anguage pr oficienc;

    W 2!emption from language proficienc; testW =itizenship of a relevant 2uropean tateW +elevant 2uropean tatesW

    ,ual nationali

    t;

    ection

    =areer histor ;

    ection 9

    #rofessional r ef er ence&s)

    ection 15

    #a;ing ;our f ee

    W 1crutin; feeW +egistration c;cleW Iethods of pa;ment

    ection 11

    ,eclar ations

    W #rofessional indemnit;

    ection 12

    =haracter r ef er ence

    ection 13ackground check consent f or m

     >ppendi!J other helpful inf or mation

    W

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    %ntr oduction

     >bout the G=#=

    Oe are the Gealth and =are #rofessions =ouncil$ Oe are a regulator of health and care pr ofessionalsand our job is to protect the health and wellbeing of people who use the services of the health and careprofessionals registered with us$

    ?o protect the public/ we set standards that health and care professionals must meet$ rts therapistsW 3iomedical scientistsW =hiropodists A podiatr istsW =linical scientistsW ,ietitiansW Gearing aid dispenser s

    W

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    Ieeting our standar ds

    2ver;one on our +egister must meet the standards of proficienc; we have set$ ?he standards ofproficienc; are the professional standards which health and care professionals must meet in order tobe registered$ %f ;ou need a cop; in an alternative format/ please contact us$ n;one who uses one ofthese titles must be on our +egister$ >n;one who uses a protected title who is not registered withus is breaking the law and could be prosecuted$

    #art of +egister  ?itle

     >rts therapistsJ  >rt/ ,rama or Iusic  >rt ps;chother apist >rt ther apist,rama ther apistIusic therapist

    3iomedical scientists 3iomedical scientist

    =hiropodists A podiatr ists =hir opodist#odiatr ist

    =linical scientists =linical scientist

    ,ietitians ,ietitian,ietician

    Gearing aid dispenser s Gearing aid dispenser 

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     >bout this guidance

     >ppl;ing through the international application pr ocess

    ?he international application form is for those who do not hold an approved '( qualification buthave gained their professional qualification outside of the 'nited (ingdom &'()$

    Neneral information on completing the f or ms

    ?o make sure we can process ;our form/ please complete it in black ink and block capitals$ #leasemark bo!es with a cross$ %f ;ou run out of space please continue on a separate piece of paper$@ou must answer all the questions as full; as possible$

    #lease do not send us original documents unless otherwise specified$

    ending us ;our application#lease send ;our application when ;ou are read; to start practising ;our profession and A or using theprotected title&s)$

    %mportant points

    W #lease ensure the address ;ou provide is accurate and that ;ou can be sure toreceive correspondence from us$W Oe cannot guarantee the outcome of an application/ so ;ou are advised not to make

    arrangements that are reliant on ;ou being registered &eg starting a job)$W  >pplicants that choose to make travel or work arrangements before knowing the outcome of their 

    application do so at their own r isk$W %t is preferable to appl; directl; to G=#=$ Gowever/ if ;ou appl; with the assistance of an agenc;

    make sure the; are reputable and be aware that ;ou remain responsible for the information ;ousuppl; on ;our application form$

    Ohat happens ne!tM

    ?he average processing time for applications ma; var; depending on the volume of applicationsreceived$ Gowever/ G=#= will endeavour toJW acknowledge receipt of an application within one month of the date of receiptT andW assess ;our application and advise ;ou of the initial decision within a further three months from the

    date of acknowledgment$

    %f ;our application is approved/ we will contact ;ou to ask ;ou to pa; a registration fee$

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    =ertified documents

    %n the section below/ we e!plain what documents ;ou must send with ;our application to verif; ;our identit;$ ?hese documents must be certified as a true cop; of the original b; a person of professional standing in the communit;$ ?his means that the person ;ou ask to certif; ;our document&s)must write on it D% certif; that this is a true cop; of the original documentE and must sign it and pr inttheir name and professional title$ > professional person &eg a registered professional/ a solicitor/ barr ister or other legal practitioner or an accountant) will be recognised as a person of standing in thecommunit; as will aJW a bank managerTW a Sustice of the #eace or other judicial off icialTW a minister of the =hurch/ +abbi/ %mam or other recognised religious off icialTW a Iember of #arliament/ Iember of 1cottish #arliament/ Iember of the Lorthern %reland >ssembl;/

    Iember of the Oelsh >ssembl;TW an rmed BorcesTW a teacher or lecturerT or W a registered health and care pr ofessional$

    ?his is not an e!haustive list and if ;ou have an; questions as to whether a person is considered to

    be a person of professional standing in the communit; please contact us$

    Rerif;ing ;our identit;

    Oe ask all applicants to provide us with a legible certified photocop; ofJW a document containing ;our photographT andW a document proving ;our current address$

    ,ocuments ;ou ma; consider sending us includeJW current signed full passportTW national identification card and A or other valid documentation relating to immigration status and

    permission to work in the '(TW current valid driving licenceTW current benefit book or card or original notification letter from the appropriate government

    departmentT

    W marriage or civil partnership cer tif icateTW confirmation from an 2lectoral +egister HTW recent utilit; billHTW local authorit; ta! bill &valid for the current ;ear )TW bank/ building societ; or credit union statement or passbook containing current addressHTW recent mortgage statement from a recognised lender HTW current local council rent card or tenanc; agreement$H %f these documents are submitted/ the date should be within the last si! months$ %f ;ou are sending a bank or building societ; or creditunion statement please black out the account number and sort code details$

    ?he Gealth and =are #rofessions =ouncil &+egistration and Bees) +ules 2553 authorises the G=#= toseek additional information about a registration applicant from an; person or source it consider sappropriate/ for the purpose of satisf;ing itself as to the good character of that applicant$ >s ;ourapplication ma; be subject to such further background checks/ please complete and return thebackground check consent form in section 13 of the application pack$

    %f ;ou cannot provide photographic documentation

    %f ;ou are unable to provide photographic documentation/ ;ou should provide us with a passport sized

    photograph of ;ourself$ ?his should be endorsed on the back with the signature of a person of standingin the communit; who has known ;ou for at least three ;ears$ ?he photograph should be accompaniedb; a signed statement from that person/ indicating the period of time that ;ou have been known tothem$ ?he; should also provide us with their contact details$

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    ?ranslation of documents

    %f ;ou submit documents that are not in 2nglish/ ;ou must also provide us with certified nglishtranslations$ %f ;ou are appl;ing from abroad/ the 3ritish 2mbass;/ =onsulate or Gigh =ommission ma;be able to help ;ou find a translator$ %n the '(/ ;our own 2mbass;/ =onsulate or Gigh =ommission ma;be able to help$

    #lease noteJ

    W  >ll completed application forms are the propert; of G=#= and should be returned to us$ #lease donot send us documents which ;ou would like to be returned to ;ou$

    W #lease read the checklist carefull; and provide all the appropriate items A documents$W #lease make sure ;our contact details are kept up to date$W  >ll references and the declaration of information must be dated within si! months of the date ;our 

    application is received b; G=#=$W Oe will process ;our application and endeavour to tell ;ou the decision as quickl; as possible$

    #lease do not make an; arrangements or incur an; e!penses which depend upon the approval of ;our application with us$ Oe will not accept liabilit; for an; loss or e!penses incurred as a result of the above$

    W %t is illegal to use a protected title unless ;ou are registered with us$ %t is illegal to claim ;ou

    are registered with the G=#= when ;ou are not$

     >pplication process over view

     >ll applications are checked in G=#=Es offices for completenessT once the; are deemed to becomplete the; are read; to be assessed b; registration assessors &member s of the relevant pr ofession)$?he assessment is based on the standards of proficienc; for each pr ofession$?he assessors pass their recommendations to the 2ducation and ?raining =ommittee who make thedecision on ;our application$?he G=#= also conducts verification checks to confirm an applicantEs professional e!per ience/education and training$

    ?wo t;pes of international applicationsJ > and %nter national

     >pplicants who are citizens of an ' or 22> member state or 1witzerland and who are full; qualified topractise in a relevant 2uropean tate other than the 'nited (ingdom ma; have mutual recognitionrights under ' ,irective 2556A38A'$

    Bor this purpose a relevant 2uropean state means the member states of the 2uropean 'nion &')/ the2uropean 2conomic  >rea &>) and 1witzer landJ

     >ustria/ 3elgium/ 3ulgaria/ =roatia/ =;prus/ =zech +epublic/ ,enmark/ Uire &+epublic of %reland)/2stonia/ Binland/ Brance/ Nerman;/ Nreece/ Gungar;/ %celand/ %tal;/ 0atvia/ 0iechtenstein/ 0ithuania/0u!embourg/ Ialta/ ?he Letherlands/ Lorwa;/ #oland/ #ortugal/ +omania/ 1lovakia/ 1lovenia/ 1pain/weden/ 1witzerland and the 'nited (ingdom$

    ?o assert ;our mutual recognition rights ;ou must show that ;ou are an '/ 22> or 1wiss national oran e!empt person &b; providing a certified cop; of ;our passport or other relevant documentation) andestablish that ;ou are full; qualified to practise in a relevant 2uropean tate other than the 'nited(ingdom &f or  e!ample/ b; providing the proof of legal establishment to practice in another uropean1tate)$

    Oe refer to those e!ercising mutual recognition rights as D> applicantsE$

    Oe refer to those who do not hold mutual recognition rights as D%nternational applicantsE$

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    test of competence ma; cover an; of the following for the purposes of deter miningwhether ;ou are proficient in relation toJW knowledge and understanding of the nature and ethical basis of ;our pr ofessionTW understanding the ke; concepts of the bodies of knowledge relevant to ;our pr ofessionTW assessment/ before and during the provision of professional servicesH and the preparation of case

    histories or e!emplar sTW the selection of appropriate professional ser vicesHTW the deliver; of professional servicesH/ the evaluation of the response to them and their effectivenessTW giving advice concerning an; professional ser vicesHTW communication with service users/ other professionals and other service providers/ which ma;

    include assessment of the need for referrals or second opinionsT andW record keeping$

    HBor this purpose Dpr ofessional ser vicesE means an; treatment/ therap;/ consultation/ interventionor other provision of ser vices$

     > test of competence ma; be conducted as an oral or written test &or  both) and ma; include a testrequiring a practical demonstration$  > test of competence will be conducted b; assessors who will beregistered practitioners from the same part of the +egister $

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    +ejected applications

    @our application ma; be rejected if we believe ;ou do not meet our standards of proficienc; or ourhealth and character requirements$ #lease note ;our application can onl; be assessed based on theinformation ;ou provide with ;our form$ %f ;our application is rejected ;ou can appeal against thedecision$ @ou ma; also reappl;/ submitting a new form/ supporting documents and registration fee$

    @our right of appeal against the final decision to reject ;our application arises if ;ou believe thatJW the decision to reject ;our application is wrongT and

    W ;ou meet the standards of proficienc;T andW ;ou meet the G=#=Es character and health r equir ements$

    %f ;ou appeal/ ;ou will need to provide the grounds for ;our appeal &i$e$ wh; ;ou believe that thedecision taken is wr ong) and follow the appeals procedure$

    > applicants

     >daptation period and aptitude test

    ?hose applicants with mutual recognition rights ma; be asked to undergo an adaptation period in casethe; do not meet all the standards of proficienc; relevant to their profession at the point of application$?he; ma; also choose to take an aptitude test in place of their recommended adaptation per iod$

    Braudulent applications

    %f ;ou falsif; information about ;our identit; or an; other aspect of ;our application/ the G=#= willsuspend ;our application pending an investigation$ %f such information becomes known to us after ;ouhave been registered/ an investigation will be launched and ;our registration ma; be suspended orterminated$ %t is a criminal offence to fraudulentl; obtain registration with the G=#=$ @ou ma; becommitting a criminal offence if ;ou suppl; false information and ;ou ma; be prosecuted$

    ?he appeals pr ocess

    %f ;our application is rejected ;ou have 2 da;s following the date of the letter rejecting ;our applicationto write to us setting out concise grounds of appeal against the decision$ Oe will then provide ;ou withfurther information on the appeals process$

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    ection 1 +egistration details

    #revious applications

    %f ;ou have previousl; applied for registration with the G=#=/ the Gealth #rofessions =ouncil &G#=) or our predecessor the =ouncil for #rofessions 1upplementar; to Iedicine &=#1I)/ please tell usJW ;our application numberTW when ;ou applied &an appro!imate date if ;ou cannot remember e!actl;)TW the t;pe of application ;ou made &eg '(/ international/ grandparenting)T andW an; further information &eg ;ou withdrew ;our application)$

    ocial workers onl;

    ?he N== is the Neneral 1ocial =are =oucil/ which was the regulator of the social work profession andeducation in 2ngland until 1 >ugust 2512$ ?he other three '( care councils are the 1cottish 1ocial1ervices =ouncil &111=)/ the =are =ouncil for Oales &==O) and the Lorthern %reland 1ocial =are=ouncil &L%1==) in 1cotland/ Oales and Lorthern %reland respectivel;$ %f ;ou have ever been registeredor  applied for registration with an; of the above councils/ please tell usJW ;our registration &or  application) numberTW when ;ou applied &an appro!imate date if ;ou cannot remember e!actl;)T and

    W an; further information &eg ;ou withdrew ;our application)$

    ection 2 =ontact details

    %t is essential that ;our personal contact details are kept up to date$ ?his is a requirement of the Gealthand 1ocial Oork #rofessions gencies

     >ll correspondence from G=#= will be sent to the applicant onl;$ ?his means ;ou must provide ahome address and not the address of an agenc;$ #lease be aware if ;ou provide an agenc; address

    ;our application will be returned to ;ou$

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    ection 3 +egulator ; bod; member ship

    %f ;our profession is regulated in the jurisdiction where ;ou currentl; live or work ;ou should enterthe details of ;our registration here$ > distinction should be made between a regulator; bod; and aprofessional bod;$ @ou can enter details of membership of an; professional bod; in 1ection .$

    1ection 3 should be used to inform us of an; registration ;ou ma; currentl; &or  most r ecentl;) have witha regulator; bod;$ #lease tell us the title under which ;ou are registered in the original language$ %f ;ou

    have been registered with a number of regulator; bodies in the past please complete the details in1ection &career  histor ;) of the application form relating to each position ;ou have held$

    %f ;our profession is not currentl; regulated in ;our home jurisdiction it will not affect ;our application$@our application will be assessed on whether or not ;ou meet our standards of proficienc;$ 1imilarl;/if ;ou are registered with another regulator; bod; their standards ma; be different from ours andtherefore it does not guarantee that ;ou will be accepted for registration with G=#=$ @ou must stilldemonstrate that ;ou meet the G=#= standards of pr of icienc;$

     >pplicants e!ercising mutual recognition rights should provide a certified attestation of legalestablishment to practice in another relevant 2uropean tate$

    ection . #rofessional bod; member ship

    %f ;ou are a member of an; professional bod; please enter the details in 1ection . of the application form$

    ection 6 =haracter and health self declarations A Retting and 3arring schemes

    Oe must check the health and character of ever;one that applies to join our +egister$ ?his is to makesure that applicants will be able to practise safel; and effectivel; within their profession$ Oe can alsotake action against a registrant if their health and character raises concerns about their abilit; topractise safel; and effectivel;$

    Ohen making decisions about character/ we look at whether someone is of Dgood characterE orwhether there is an; evidence of past actions which might suggest that the person is not of DgoodcharacterE$ 2vidence that someone might not be of Dgood characterE could include evidence ofuntrustworthiness/ dishonest;/ actions which harmed a service user or a member of the public oractions which might affect the publicEs confidence in the registered pr ofessions$

    Ohen we talk about DhealthE we mean health conditions which ma; affect an applicantEs fitness topractise$ Oe are not asking whether an applicant is Dhealth;E$ ?his is because someone ma; beunwell or ma; have a health condition which the; manage appropriatel; but the; ma; still be able topr actise their profession safel;$ Oe do not need information about an; health condition unless itaffects ;our fitness to practise$ Oe recognise that a disabilit; ma; not be seen as a health condition$o/ we onl; need information about a disabilit; or health condition if it affects ;our fitness to pr actise$

    Gaving a disabilit; should not be seen as a barrier to becoming a health and care professional$ Oehave produced guidance for disabled applicants called > disabled personEs guide to becoming a healthand care professional which ;ou should refer to for more information on this issue$

    %f ;ou answer D;esE to an; of the questions in this section/ please read our brochure Nuidance on healthand character which can be found on our website at ww w$hcpc-uk$o r gApubli cations

    =har acter 

    ?he +ehabilitation of ct 197. does not appl; to an application for admission to the G=#=+egister$ ?his means that ;ou must declare to us an; convictions or police cautions that ;ou havereceived/ even if the; are DspentE under that >ct/ other than a protected caution or protected conviction$Bailure to do so ma; result in an investigation which could lead to ;ou being removed from the +egister $

    http://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publicationshttp://www.hcpc-uk.org/publications

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     > caution is protected from disclosure si! ;ears after it was accepted$ %f the offender was under 1when the caution was accepted then that period is reduced to two ;ears$

     > conviction is protected from disclosure after 11 ;ears$ %f the offender was under 1 when convictedthen that period is reduced to five and a half ;ears$ %n either case a conviction will onl; be protected if the offender received a noncustodial sentence and has no other convictions$

     > caution or conviction will L

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    %f sufficient detail is provided/ the training institution or universit; ma; wish to retain the form as atemplate for future use when applicants with the same course background appl; in the future$

    #lease ensure that the form is stamped with the training institution or univer sit;Es official seal before the;send it back to ;ou$

    #lease provide contact details for course administrator A leader$ ?his will help us conduct necessar;verification checks$

    ection 7 0anguage pr oficienc;

    ach registrant must be confident that the; can communicate effectivel; in 2nglish in order to meet our standards of proficienc; unless ;ou are e!empt because ;ou are a citizen of a relevant 2uropeantate$

    @ou must declare whether 2nglish is ;our first language or not$ @ou should onl; indicate 2nglish is;our first language if it is the main or onl; language ;ou use on a da;-to-da; basis$

    Gaving studied 2nglish or undertaken education or training at an institution where the medium ofinstruction is 2nglish does not necessaril; mean that 2nglish is ;our first language$ %f 2nglish is not ;ourfirst language then ;ou must provide proof of ;our 2nglish language proficienc;/ unless ;ou are e!emptas e!plained below$

     >pplicants whose first language is not 2nglish and who are required to provide a language testcertificate as evidence of their proficienc; must ensure that it is/ or is comparable to/ %20?1 level 7$5with no element below 8$6$

    #lease note that from the 1st >pril 2512 the G=#= will onl; accept the following tests and scoresJ

    0>LN'>N2 ?? 1#22=G >L, 0>LN'>N?G+ >#%1?1H

     >00

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    ,ual nationalit;

    %f ;ou hold dual nationalit; status and one or more of those nationalities are of a relevant uropeantate then ;ou are also e!empt from providing proof of ;our 2nglish language pr of icienc;$

    ection =areer histor ;

    %f ;ou have e!perience in addition to ;our training and qualifications/ please enter details of ;ourcareer histor; in reverse order/ with ;our most recent position first$ #rovide as much detail as ;ou canto illustrate to the assessors that ;ou meet the standards of proficienc; for ;our profession$ 2!plainan; significant gaps in ;our career histor; on additional sheet of paper$

    ection 9 #rofessional r ef er ence&s)

    @ou must provide us with at least one professional reference in order for us to assess ;our applicationE$

    ?he professional reference should be given b; someone who has been ;our supervisor A line manager or otherwise responsible for ;ou in a professional capacit;$ Oe cannot consider a reference provided b;

    someone who is related to ;ou b; birth/ marriage or a relationship similar to marr iage$Oe will consider all forms of reference/ whether a simple statement about ;our time in practice or amore detailed statement about the nature of ;our practice$ @ou must use the professionalreference for m&s) and additional sheets as necessar;$

    Oe ask ;ou to complete the first section of the professional reference form before ;ou send the formto ;our referee$

    %mportant points

    W ?he professional reference must be completed on a G=#= professional reference form$W +eferences should be signed no more than si! months before the submission of ;our application$W +eferees ma; charge a fee for completing ;our professional reference form$ >n; costs incurred will

    have to be met b; ;ou$

    W +eferees must confirm their occupation practice or business address$ >ll references must becompleted b; the referee/ returned to ;ou in a sealed envelope and forwarded with ;our applicationform to us$ ?he; must have the original signature of the referee$ Oe cannot accept fa!ed/photocopied or emailed copies of reference forms$

    W Oe cannot accept references sent directl; to us b; ;our referee$W #lease remember that if ;ou provide fraudulent references ;ou ma; be prosecuted$

     >fter ;ou have obtained ;our professional r ef er ence

    Ohen ;our referee has completed ;our professional reference/ it should be returned to ;ou$ (eepthis with ;our character reference and send to us with the rest of ;our application$

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    ection 15 #a;ing ;our f ee

    crutin; f ee

    ?he fee we ask ;ou to send with ;our application is called a scrutin; fee$ ?his is a one offnon- refundable pa;ment of F.96$ Oe cannot process ;our application without this pa;ment$

    +egistration c;cle

    @our registration c;cle is biennial &two-;ear l;) and is made up of two Dpr ofessional ;earsE$ Oe will advise

    ;ou of the registration fee when ;our application has been processed and approved$ ?he table belowshows the professional ;ears for each profession we regulate$

     >rts therapists 1 Sune C 31 Ia;3iomedical scientists 1 ,ecember C 35 Lovember =hiropodists A podiatrists 1 >ugust C 31 Sul;=linical scientists 1 ugust C 31 Sul;

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    W @ou must make sure that the professional indemnit; arrangement ;ou have in place pr ovidesappropriate cover$ ?his means that the cover needs to be appropriate to the risks involved in;our practice so that enough compensation will be paid if a successful claim is made against ;ou$

    W %f ;ou are emplo;ed/ ;our emplo;er Es indemnit; arrangements are ver; likel; to provideappr opr iate cover for the activities that ;ou perform as part of ;our  job$

    W %f ;ou are self-emplo;ed/ ;ou will need to make sure that ;ou have put in place ;ourown arrangements for professional indemnit;$

    W %f ;ou carr; out both emplo;ed and self-emplo;ed work/ ;ou need to make sure that ;ou haveprofessional indemnit; arrangements in place which provide appropriate cover for all parts of ;our practice$

    W %f ;ou are registered with us but are not currentl; practising/ ;ou do not need to have apr ofessional indemnit; arrangement in place$ Gowever/ ;ou will need to make sure that ;ou dohave this arrangement when ;ou begin to practise$

    W %f ;ou are registered with us as a social worker/ this condition of registration does not appl; to

    ;ou$ Bor further information/ please visit ww w$hcpc-uk$orgAregi strantsAi ndemni t;A

    ection 12 =haracter r ef er ence

    efore being registered under the Gealth and 1ocial Oork #rofessions character reference needs to be provided b; a person of standing in the communit; who is not arelative of the applicant and has known the applicant for at least three ;ears$ ?his means that ;our

    referee must have a reputation in the communit;$ > professional person &eg a registered professional/ asolicitor/ barrister or other legal practitioner or an accountant) will be recognised as a person of standingin the communit; as willJ

    W a bank managerT

    W a Sustice of the #eace or other judicial off icialTW a Iinister of the =hurch/ +abbi/ %mam or other recognised religious off icialTW a Iember of #arliament/ Iember of 1cottish #arliament/ Iember of the Lorthern %reland >ssembl;/

    Iember of the Oelsh >ssembl;TW an rmed BorcesTW a teacher or lecturerT or W a registered health and care pr ofessional$

    ?his is not an e!haustive list and if ;ou have an; questions as to whether a person is considered tobe a person of standing in the communit; please contact us$

    %mportant points

    W ?he character reference must be completed on a G=#= character reference form$W +eferences should be signed no more than si! months before the submission of ;our application$W +eferees ma; charge a fee for completing ;our character reference form$ >n; costs incurred

    will have to be met b; ;ou$

    W +eferees must confirm their occupation practice or business address$ >ll references must be

    completed b; the referee/ returned to ;ou and forwarded with ;our application form to us$ ?he; musthave the original signature of the referee$ Oe cannot accept fa!ed/ photocopied or emailed copies of reference forms$

    http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/http://www.hcpc-uk.org/registrants/indemnity/

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    W Oe cannot accept references sent directl; to us b; ;our referee$W #lease remember that if ;ou provide fraudulent references ;ou ma; be prosecuted$

     >fter ;ouEve obtained ;our character r ef er ence

    Ohen ;our referee has completed ;our character reference/ it should be returned to ;ou$ (eep thiswith ;our professional reference and send it in to us with the rest of ;our application$

    ection 13 ackground check consent f or m

     >ll applicants must sign and return a background check consent f or m

    @our registration will be subject to verification of background information entailing investigative reportsand references from emplo;ers/ academic and professional bodies$ ?he information ;ou provide in ;our application ma; be verified and comprehensive background enquiries ma; be undertaken b; the G=#=and A or the G=#=Es agents and their representatives$ ?he information ma; be used outside of the2uropean 2conomic  >rea if appropriate$ ?he information ;ou provide ma; be disclosed to referees/government bodies and such other third parties as ma; be reasonabl; necessar;$ #lease note thatfraudulentl; procuring an entr; in the G=#= +egister is a criminal offence under article 39 of the Gealthand 1ocial Oork #rofessions

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     >ppendi!J other helpful inf or mation

    s a condition of ;our registration with us/ ;ou need to undertake continuing professional development&=#,)$ 2ver; time ;ou renew ;our registration/ ;ou need to sign to confirm ;ou are undertaking =#,&f or  social workers this will appl; from 251.)$ Ohenever ;our profession renews its registration/ asample of ;our profession will be randoml; selected for audit/ to check our =#, standards are beingmet$ ?o find out more about =#,/ our standards and the audit process/ please see our brochure@our guide to our standards for continuing professional development$

    Gow to keep ;our name on the +egister 

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    ,ata protection inf or mation

    ubject information statement

    ?he Gealth and =are #rofessions =ouncil &G=#=)  processes ;our personal data &as  defined b; the,ata

    #rotection >ct 199 &the 199 >ct)) for the following purposesJW administering ;our application to register with the G=#= and an; subsequent renewalsTW maintaining and publishing the health and care professions +egister T

    W undertaking regulator; activities for the purposes of the Gealth and 1ocial Oork #rofessions rea and wor ldwideTW keeping ;ou informed about an; developments/ activities or products of third parties which ma;

    affect or assist ;our practiceT andW achieving the general and statutor; objectives of the G=#=$

    Oe collect personal information from ;ou when ;ou communicate with us b; an; media$ Oe ma; alsocollect personal data which relate to ;ou from third par ties$

    Oe ma; contact ;ou b; means of electronic communication/ including but not limited to email or Ifor the purposes set out above$ Oe will onl; undertake activities considered to be electronic mar ketingif permitted to do so b; the #rivac; and 2lectronic =ommunications &= ,irective) +egulations 2553$

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    ensitive personal data

    =ertain personal information is categorised b; the 199 >ct as D1ensitive #ersonal ,ataE$

    %n som