Application Form - Administrator - Newquay Health Centre

Application Form - Administrator

Please click the link below to find out more information about the role before completing the application form:

Application Form

Thank you for your interest in working at Newquay Health Centre. Please complete all sections of this form. If any section is not relevant to your application, you should state ‘N/A’ (not applicable).

Our organisation aims to maintain an inclusive working environment free from any bias that is founded in unlawful discrimination. We will ensure that recruitment practices demonstrate our commitment to fairness, diversity, equity, and equality of opportunity.

If you require further assistance with the recruitment process, including any request for reasonable adjustments connected with a disability, please contact our HR Department.

Position applied for: *

Administrator

Where did you see this vacancy advertised?

Personal Details

Name *

Address *

Email *

Phone number *

Do you have a legal right to work in the UK? Evidence of legal right to work in the UK will be checked for all successful candidates. If you wish to discuss this in advance, please contact our recruitment team directly. *

Yes No

Driving Information

A UK driving licence and/or vehicle access are not necessary for all roles. Check the advert and job specification for information about the specific vacancy you are applying for.

Do you have a UK driving licence? *

Yes No

Do you have access to your own vehicle for transport? *

Yes No

Current/most recent employer

Employer *

Job title *

Start date *

End date (if applicable)

Brief summary of duties and responsibilities *

Reason for leaving *

Previous employment history - most recent first

Employer

Job title

Start date

End date

Reason for leaving

Employer

Job title

Start date

End date

Reason for leaving

Employer

Job title

Start date

End date

Reason for leaving

Learning and development

Please provide details of relevant qualifications or specialist training.

Course name and level, awarding body, grade (if applicable) and date completed

Periods not in employment (within the last 5 years)

Date from

Date to

Reason

Volunteering/unpaid work history (if relevant)

Organisation

Role

Start date

end date

Is there any volunteering above that you would continue in if successful in obtaining this role?

Personal Statement

Please use this space to evidence how you meet criteria set out in the job specification for this vacancy. You are encouraged to structure your answer clearly, and to use brief examples where appropriate.

Please use this space to evidence how you meet criteria set out in the job specification for this vacancy. *

References

You must provide the names, organisation name (where applicable) and contact details of two people from whom we may obtain references. One should be your current or most recent employer. Please do not use relatives, partners, or friends as referees. We will only contact referees with your consent following a conditional offer of employment.

Referee 1: (current employer) - Name *

Referee 1: (current employer) - Organisation *

Referee 1: (current employer) - Relationship to applicant (e.g former manager) *

Referee 1: (current employer) - Email address *

Referee 1: (current employer) - Phone number *

Referee 2: Name *

Referee 2: Organisation *

Referee 2: Relationship to applicant (e.g. former manager) *

Referee 2: Email address *

Referee 2: phone number *

Relationships

If you have a family or close personal relationship to any partner or employee at the organisation, you must declare this so we can take steps to limit any conflict of interest during the recruitment process.

Partner/employee name

Relationship

Data Protection and Privacy Notice (Applicants)

The information collected in this application form is necessary and relevant to the recruitment process and to assessing your suitability for the role applied for. We will use the information you provide, together with information obtained from referees you have named, for recruitment and selection purposes only.

The processing of your personal data is carried out in accordance with the Data Protection Act 2018, the UK General Data Protection Regulation (UK GDPR), and related legislation. These laws require us to process personal data fairly, lawfully, transparently, and securely, and to respect your rights to privacy and confidentiality.

If your application is successful, the information provided will form part of your personnel record. Additional information may also be collected where necessary for the administration of your employment and to comply with legal and regulatory requirements, including the management of any potential legal claims relating to recruitment or employment. This may include, where relevant and lawful, information relating to health and/or criminal convictions.

Declaration

By submitting this application form electronically or via paper copy I confirm that the above information is complete and correct, and that any untrue or misleading information will give the organisation the right to terminate any employment offered.

I understand that any offer of employment by the organisation will be conditional on satisfactory pre-employment checks relating to identity, criminal records, health assessment, right to work, professional registration and qualifications (where relevant), and references.

I confirm that the above information is complete and correct *

Yes

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Page last reviewed: 02 June 2026