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If you want to amend your subscription preferences please log in to your profile and change your employment preference selections.

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Personal Details*

* = mandatory field for completion

Title*

First Name*

Middle Name(s)

Surname*

Name in which you are registered with a professional body

Mobile*

Home Tel*

Email*

Email address confirmation*

UK National Insurance Number

Postcode*

Address Line 1*

Address Line 2

Address Line 3

Town/City*

County

Country*

Password*

Confirm Password*

Are you a United Kingdom (UK), European Community (EC), or European Economic Area (EEA) National?*

Yes

No

Country of residence*

Are you an NHS Professional returning to practice?*

Yes

No
Qualifications

Education & Professional Qualifications

Please also indicate subjects currently being studied. All qualifications disclosed will be subject to a satisfactory check.
Up to 11 qualifications can be entered here.

Relevent Training Courses Attended

Include in this section any relevant training courses that you have attended or details of courses that you are currently undertaking, together with the date completed or to be completed. Up to 7 training courses can be entered here.
Professional Bodies

Name of Professional Body

Member Registration Number

Are you currently the subject of a fitness to practice or proceedings by a licensing body in the UK or in any other country?

Yes

No

Have you ever been removed from the register or have conditions or undertakings been made on your registration by a fitness to practice committee or licensing or regulatory body in the UK or in any other country?

Yes

No
Employment History

Please record below full details of all your continuous employment history, beginning with your current or most recent employer and working backwards chronologically. If there are any gaps in your employment please ensure a full explanation is given at end of the ‘Employment History’ section.

IMPORTANT: If you are currently working within an NHS organisation but through an agency, please ensure you name the agency as your employer and not the NHS organisation you are currently contracted to.

Start Date of continuous NHS service (if applicable)

Current Most Recent Employer (reference always required)

Employer Name

Employer Address

Type of Business

Reporting to (Job Title)

Telephone

Your Job Title

Grade

Salary

Period of Notice

Reason for leaving (if applicable)

Brief description of duties and responsibilities

Start Date

End Date

Months since most recent employment ended (if applicable)

Employment Gaps
Monitoring Information*
NHS organisations recognise the benefits of having a diverse workforce and therefore welcome applications from all sections of the community. In addition to this, under the provisions of the Equality Act 2010, all NHS organisations are required to demonstrate that their recruitment processes are fair and that they are not discriminating against or disadvantaging anyone because of their age, disability, gender reassignment status, marriage or civil partnership status, pregnancy or maternity, race, religion or belief, sex or sexual orientation. Therefore a series of questions need to be raised in order to ascertain who is applying for each position and to ensure that no one is being unfairly discriminated against or disadvantaged.

This section of the form will be held separately by the trust and will not be used as part of any selection process nor will it be seen by anybody who is interviewing you. The information collected is only used for monitoring purposes in an anonymised format to assist the organisation in analysing the profile and make up of individuals who apply, are shortlisted for and appointed to each vacancy. In this way, they can check that they are complying with the Equality Act 2010.

Equality Act 2010

The Equality Act 2010 protects people against discrimination on the grounds of:
- Their age and sex.
- Their race which includes colour, nationality, ethnic or national origin.
- Their religion or belief, including a lack of any belief.
- Their sexual orientation, be it bisexual, gay, heterosexual and lesbian.
The Equality Act 2010 also protects people who are married or in a civil partnership.

Date of Birth*

Gender*

Marital Status*

Ethnic Origin*

Sexual Orientation*

Do you consider yourself to have a disability?*
Employment Preference*

Staff Group*

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Role Type*

Permanent

Full Time

Part Time

Temporary

Bank Staff

Locum

Contractor

Flexible

Work Experience
Notice Period
Safeguarding*

This section of the application form will only be viewed by those who need to see it as part of the recruitment process. Any information disclosed will be treated strictly confidential.

The Rehabilitation of Offenders Act 1974 (as amended) helps rehabilitated ex-offenders back into work by allowing them not to declare criminal convictions after the rehabilitation period set by the Court has elapsed and the convictions become 'spent'. During the rehabilitation period, convictions are referred to as 'unspent' convictions and must be declared to employers.

The organisation aims to promote equality of opportunity and is committed to treating all applicants for positions fairly and on merit regardless of ethnicity, disability, age, gender or gender re-assignment, religion or belief, sexual orientation, pregnancy or maternity and marriage or civil partnership. The organisation undertakes not to discriminate unfairly against applicants on the basis of a criminal conviction or other information declared.

You are required to declare all current 'unspent' criminal convictions or cautions (including reprimands and final warnings). You are not required to disclose convictions or cautions which have become 'spent'.

As part of assessing your application, organisations will only take into account relevant criminal record and other information declared which is relevant to the position being applied for.

Answering 'yes' to the question below will not necessarily bar you from appointment. This will depend on the relevance of the information you provide in respect of the nature of the position for which you are applying and the particular circumstances.

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?

Yes

No
CV Upload & CV Builder
Supported file types for document uploads are Microsoft Word docs and PDFs, these will need to be uploaded from a PC, not a mobile device.

If your document is an alternative to these, please convert to one of the supported types or use the CV Builder facilities provided, you will be able to download your CV to a PC only, not a mobile device.

…or create a CV using our CV Builder
- CV Upload
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CV Builder

Tips for writing your CV
Personal Profile

Use this space as a mini advert and in a couple of sentences, summarise your achievements, what you can do and what you want from your career.

Feel free to also add any social media links that you wish to include on your CV.

Interests

Use this space to let us know your interests.

References

Please detail two professional references who have agreed that they are happy to be your referee or alternatively, tick the ‘references available on request’ box and have two referees in mind if your recruiter requires them.

References available on request? Yes

Referee Name

Referee Job Title

Referee relationship to you

Name of Employer

Referee Telephone Number

Referee Email Address

Referee Address

Referee Postcode

Your CV is your chance to show a hiring manager the experience and skills you have. It’s about selling yourself and showing them you’re the right person for the role. Below is some basic advice and guidance on what to include to create a great CV. After reading this you can choose to build your CV using our online CV builder by entering your information.

Your personal details

You should include your name, address and contact details (clearly visible/bold at the top)

There’s no need to include your age, marital status or nationality. Hiring managers should be able to make a decision about your skills and abilities without this information.

If you’re adding your personal email address to your contact details make sure that it sounds professional and creates the right impression.

You may also want to add a link to a professional social media website like LinkedIn. If you do, check that your profile shows you in a positive light and doesn’t contain anything you wouldn’t want an employer to see.

Your personal profile

Your personal profile is a mini-advert for you and should summarise in a couple of sentences, your:

Skills and qualities

Work experience and achievements

Career aims

It should only be a few lines and must grab the reader's attention. Try to avoid over-used terms, such as 'reliable', 'hard working', 'team player', 'good communication skills' etc. These general terms are heard very often and they don't help to build up a picture of you.

Employment history and work experience

In this section you should start with your present or most recent role and work backwards

You should include the employer, the dates you worked for them, job title and your main duties

Provide more detail on the roles you've had that are very relevant to the role you are applying for and give examples of the skills you used and what you achieved

Use bullet pointed lists and positive language

Try thinking of ‘action’ words that you can use to describe what you did in your role, like achieved, designed, established, supervised, co-ordinated, created or transformed

Make an effort to tailor your CV to suit the requirements of each particular role you are applying for as it can greatly increase your chances of securing an interview

Take time to understand the qualities and skills a hiring manager is looking for, check against the role profile and relook at your achievements and skills and draw out the ones that will help you be successful in the role you are applying for

Avoid unexplained gaps in your employment history. If you had time out travelling, job seeking, volunteering or caring for a relative, include this along with details of what you've learned and skills you’ve gained

Education and training

Start with your most recent qualifications and work back to the ones you got at school.

Include:

The university, college or school you went to

The dates the qualifications were awarded and any grades

Any work-related courses, if they're relevant.

Interests and achievements

You can include hobbies, interests and achievements that are relevant to the role.

For example, if you're involved in any clubs or societies this can show that you enjoy meeting new people. A CV shouldn’t be too long though, so don’t go into too much detail in this section.

References

You can list your referees on your CV or just put 'references available on request'.

If you decide to include their details you should state the relationship of each referee to you – for example 'John Smith, Line Manager'.

You should check with the individual you want to be your referee that they are happy to provide references, before you list them as a referee.
Terms & Conditions* Agree to terms & conditions Yes No

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Terms and Conditions:

Acceptance of terms

Welcome to Leeds Teaching Hospitals Trust careers website - jobs.leedsth.nhs.uk You are permitted to use our Website solely on the basis of these Terms and Conditions. This legal notice applies to the contents of the website under the domain name www.jobs.leedsth.nhs.uk ("Website").

Terms and Conditions for use.

Please read these Terms and Conditions for use carefully before you start to use this service. These represent the Terms and conditions for using this service.

By using this Website, you confirm that you accept these Terms and Conditions of use and that you agree to comply with them. If you do not agree to these Terms and Conditions of use, you must not use the Website. We reserve the right, at our discretion, to update and/or revise these Terms and Conditions.

Please check periodically for changes.

1. Use of the website

1.1 Subject to these Terms and Conditions you are authorised to view and download our Website for your personal use only. Leeds Teaching Hospitals Trust may change, suspend or discontinue the Website at any time, including the availability of any feature, database, or content. Leeds Teaching Hospitals Trust may also impose limits on certain features and services or restrict your access to parts or all of this Website without notice or liability.

1.2 You must not misuse the Website by knowingly introducing viruses; Trojans; worms; logic bombs or other material which is malicious or technologically harmful. You must not attempt to gain unauthorised access to the Website, the server on which the Website is stored or any server, computer or database connected to the website. You must not attack the Website via a denial of service attack or a distributed denial of service attack. By breaching this provision, you would commit a criminal offence under the Computer Misuse Act 1990. Leeds Teaching Hospitals Trust will report any such breach to the relevant law enforcement authorities and Leeds Teaching Hospitals Trust will cooperate with these authorities by disclosing your identity to them. In the event of such a breach your right to use the Website will cease immediately.

1.2 You shall be responsible for obtaining and maintaining any equipment or ancillary services needed to connect to, access or otherwise use the Website, including, without limitation, modems, hardware, software, and long distance or local telephone service.

1.3 Any Leeds Teaching Hospitals Trust's Site may contain additional terms (for example conduct guidelines) that further govern the use of that Leeds Teaching Hospitals Trust's Website, including without limitation particular features. If any Terms and Conditions contained in this agreement conflict with any Terms and Conditions contained within a Leeds Teaching Hospitals Trust’s Careers Site, then the Terms and Conditions in this agreement shall prevail. To contact the trust please use: www.leedsth.nhs.uk/contact-us

1.4 You are responsible for ensuring that all persons who access the Website through your internet connection are aware of these Terms and Conditions and any other applicable terms and conditions and that they comply with them.

2. Privacy

2.1 Registration data and certain other information about you is subject to our Privacy Policy, [hyperlink/popup of the privacy policy on live site] which has been updated recently to include important information about Leeds Teaching Hospitals Trust’s use of cookies on this website. The Privacy Policy sets out the terms on which Leeds Teaching Hospitals NHS trust processes any personal data collected from you or that you provide. By using the Website, you consent to such processing and you warrant that all data provided by you is accurate.

2.2 If you choose or you are provided with a user identification code, password or any other piece of information that is part of the Website security procedures, you must treat such information as confidential. You must not disclose it to any third party. If you know or suspect that anyone other than you knows your user identification code or password, you must promptly notify Leeds Teaching Hospitals Trust. To contact the trust please use: www.leedsth.nhs.uk/contact-us

3. Intellectual property

3.1 The content of the Leeds Teaching Hospitals Trust's careers site are protected by copyright, trademarks, database and other intellectual property rights. You may retrieve and display the content of the Leeds Teaching Hospitals Trust’s career Site on a computer screen, store such content in electronic form on disk (but not any server or other storage device connected to a network) or print one copy of such content for your own personal, non-commercial use, provided you keep intact all and any copyright and proprietary notices. You may not otherwise reproduce, modify, copy or distribute or use for commercial purposes any of the materials or content on the Websites without written permission from Leeds Teaching Hospitals Trust.

3.2 Any content you upload to the Website will be considered non-confidential and non-proprietary. You retain all your ownership rights in your content, but you are required to grant Leeds Teaching Hospitals Trust a limited, perpetual, worldwide, non-exclusive, royalty free, transferable licence to use, reproduce, distribute, store and copy that content and to make it available to third parties. Leeds Teaching Hospitals Trust also has the right to disclose your identity to any third party who is claiming that any content posted or uploaded by you to the Website constitutes a violation of their intellectual property rights or of their right to privacy. To contact the trust please use: www.leedsth.nhs.uk/contact-us

4. Indemnity

4.1 You agree to indemnify and hold Leeds Teaching Hospitals Trust harmless from all liabilities, claims and expenses that arise out of the content you submit, post or transmit via the Website or the Leeds Teaching Hospitals Trust’s career sites, or from your use/misuse of the sites or the use/misuse by any person for whom you are responsible or from your violation of the Terms and Conditions.

5. Links

5.1 The Website may provide, or third parties may provide, links to other websites or resources. As Leeds Teaching Hospitals Trust has no control over such websites and resources you agree that links to third party websites are provided solely for your convenience and Leeds Teaching Hospitals Trust is not responsible for the availability of such external sites or resources and is not liable for the content found at such sites or resources. If you decide to access any third party websites linked to the website you do so entirely at your own risk. Leeds Teaching Hospitals Trust will not be liable for any loss or damage you may incur from your use of any third party websites.

6. Limitations of Liability

6.1 This Website and the Leeds Teaching Hospitals Trust's career Sites are provided on an "AS IS" basis, without warranties of any kind, either express or implied, including, without limitation, implied warranties of merchantability, fitness for a particular purpose or non-infringement.

6.2 Leeds Teaching Hospitals Trust assumes no liability for any viruses or any other disabling features that affect your access to or use of the Website or the Leeds Teaching Hospitals Trust’s career Sites.

6.3 Leeds Teaching Hospitals Trust assumes no liability for any incompatibility between the Website or the Leeds Teaching Hospitals Trust’s career Sites and other websites, services, software and hardware.

6.4 Leeds Teaching Hospitals Trust assumes no liability for any delays or failures you may experience in initiating, conducting or completing any transmissions or transactions in connection with the Website or the Leeds Teaching Hospitals Trust’s career Sites.

6.5 Leeds Teaching Hospitals Trust assumes no liability for any modification, suspension or discontinuance of any of its Websites, domain names or services.

6.6 Leeds Teaching Hospitals Trust assume no liability for any use of the Website or the Leeds Teaching Hospitals Trust's career Sites including, without limitation, direct, indirect, incidental or consequential loss or damages or any loss of profits, loss of revenue business interruption, loss or programme or otherwise. Nothing in these terms and conditions shall exclude or limit Leeds Teaching Hospitals Trust’s liability for:

a) death or personal injury caused by negligence; or

b) fraud or fraudulent misrepresentation; or

c) any liability which cannot be excluded or limited under law.

7. Force majeure

7.1 While Leeds Teaching Hospitals Trust endeavours to ensure the Website is available 24 hours a day, Leeds Teaching Hospitals Trust shall not be liable if for any reason the Website is unavailable at any time, for any period.

8. Termination

8.1 Leeds Teaching Hospitals Trust reserves the right, in our absolute discretion, to terminate your access to all or part of the Website or the Leeds Teaching Hospitals Trust’s career sites without notice. Upon such termination or suspension you will be denied access to any information or files you have stored on the Leeds Teaching Hospitals Trust’s Website or Leeds Teaching Hospitals Trust’s career sites.

9. Miscellaneous

9.1 The failure of either party to exercise in any respect any right provided for herein shall not be deemed a waiver of any further rights hereunder.

9.2 If any provision of this Agreement is found to be unenforceable or invalid, that provision shall be limited or eliminated to the minimum extent necessary so that this Agreement shall otherwise remain in full force and effect and enforceable.

9.3 This Agreement shall be governed by and construed in accordance with the laws of England and the parties submit to the exclusive jurisdiction of the English Courts.

10. Trust details

jobs.leedsth.nhs.uk is owned and operated by Leeds Teaching Hospitals NHS Trust, Great George Street, Leeds, West Yorkshire, LS1 3EX

To contact the trust please use: www.leedsth.nhs.uk/contact-us

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Education & Professional Qualifications

Relevent Training Courses Attended

Current Most Recent Employer (reference always required)

CV Upload

Build CV

CV Builder

Tips for writing your CV

Your personal details

Your personal profile

Employment history and work experience

Education and training

Interests and achievements

References

Terms and Conditions:

Acceptance of terms

Terms and Conditions for use.

1. Use of the website

2. Privacy

3. Intellectual property

4. Indemnity

5. Links

6. Limitations of Liability

7. Force majeure

8. Termination

9. Miscellaneous

10. Trust details