The information supplied on this form will be entered into a database but it will not be disclosed to anyone outside this company.
Please select the job title for which this application is made.
If we need to contact you on your work telephone number we will take into account the fact that your employer or colleagues may not know that you have applied elsewhere for a job.
Starting with the most recent, please give details of your education, qualifications and any training relevant
to this application.
Starting with your present or most recent job, please give a summary of all employment, including any
freelance and relevant unpaid work.
Please use this space to outline the skills and experience you have gained whether in paid or
unpaid/voluntary work, work at home, through your studies or your leisure activities and which you think are relevant to the job for which you are applying and which you believe make you suitable for the post.
You may require a Disclosure and Barring Service (DBS) Certificate for your employment with us. If you have a recent certificate (less than three months old) please provide a copy with this application.
Please provide the names and addresses of two referees which apply to the last five years of your employment and/or education. One of these must be from your current or most recent employment. Personal referees will only be accepted when there is no previous employer or educational establishment able to provide a reference.
References that are deemed satisfactory to us must be received before a Contract of Employment is issued, and your employment will not be confirmed until all references are received.
Please note that references cannot be sought by e-mail or telephone as original signed statements
are the only acceptable format.
Health Services Laboratories LLP are committed to equal opportunities for all, irrespective of race, colour, creed, ethnic origin, gender, marital status, sexuality, disability or age.
Please help us by providing the following information so that we can monitor the implementation of this policy. The information provided here will be treated in the strictest confidence and will be used only for statistical purposes and will not be used as part of the selection process.
I agree that any offer of employment made by Health Services Laboratories LLP is subject always to the receipt of two references that are satisfactory to us, plus the evidence of right to work in the UK and for certain positions, a Disclosure Barring Service (DBS) certificate. I confirm that the information supplied by me on this form is true and correct. Furthermore, I have also read and understood the HSL Privacy Notice, which explains how my data is processed in accordance with the General Data Protection Regulation.
HSL is a progressive partnership between The Doctors Laboratory, Royal Free London NHS Foundation Trust (the Royal Free London) and University College London Hospitals NHS Foundation Trust (UCLH)