Patient Flow Nurse

Previous Employment - include the last 5 years

Name of Employer *

Leave date

Reason for Leaving *

Name of Employer *

Leave date

Reason for Leaving *

Name of Employer *

Leave date *

Reason for Leaving *

Name of Employer *

Leave date *

Reason for Leaving *

General Education

Subject

Level/Grade

Subject

Level/Grade

Subject

Level/Grade

Subject

Level/Grade

Subject

Level/Grade

Subject

Level/Grade

University/College/Institute

University/College/Institute

Qualification/Subject/Grade

University/College/Institute

Qualification/Subject/Grade

Professional Registration

Body

Registration/PIN Number

Date of Registration

Statement in Support

It is essential that you complete this
. Please give details of why you are suitable for the position for which you have applied. In this section you should refer to previous relevant experience which may have been gained inside or outside the work environment. You must also state how you meet the requirements detailed in the job description and person specification.

Statement in Support *

Have you used AI (Artificial Intelligence) to help you complete any part of this application? *

Are You Eligible To Work In The UK? *

References

Please give below, the names, occupations and addresses of two referees.
One referee should be your current or most recent employer.

Referee 1

Name *

Job Title *

Company Name *

Address Line 1 *

Address Line 2 *

Town *

Postcode *

Email *

Telephone Number *

Referee 2

Name *

Job Title *

Company Name *

Address Line 1 *

Address Line 2 *

Town *

Postcode *

Email *

Telephone Number *

If your application is successful both referees will be contacted as part of our onboarding process. Please tick below box to confirm agreement for us to contact your referees:

Referee Contact
* Referee 1 Referee 2

Privacy statement

At Nightingale House Hospice, we are committed to protecting your privacy and ensuring your personal information is handled with care and transparency.

This Privacy Statement outlines how we collect, use, and protect the information you share with us, whether online, by phone, by email, in writing, or in person.

We want everyone who supports us or seeks our support to feel confident that their personal data is safe and respected.

As part of our commitment to integrity and openness, we have appointed a dedicated Data Protection Officer to oversee our compliance with the Data Protection Act 2018 and UK GDPR.

We process all personal information in accordance with the six core principles of data protection as set out in law. For full details on how we manage your data, please refer to our Privacy Policy:
Nightingale House Hospice Privacy Policy Our appointed Data Protection Officer is Amicis Data t/a Clinical DPO, and they can be contacted at:
Nighti Or telephone: