T 0300 303 0444 E hr@rcm.org.uk website www.rcm.org.uk
Role Application Form
Please email HR@rcm.org.uk or call 0300 303 0444 and ask to speak to the HR
Team if you require an accessible format of application form or have any queries
Please complete and return to HR@rcm.org.uk.
Role applied for :
Where did you see this role advertised:
Your personal details
Email address
Contact number
If appointed, how soon can you start work?
Do you need a work permit for employment in the United Kingdom? Yes
If yes,
please specify which type of work permit and expiry date:
Please note that we are required to carry out document checks for any prospective employees.
If you have a dis
ability, please indicate whether
you would
arrangements to be made if
you were invited to a selection test and interview.
Please contact the HR on 0300 303 0444 for any
Present (or last) employment
Name and address of employer
Job held
Date appointed
Date left
Reason for leaving
Present or last salary
Brief description of duties
The Royal College of Midwives Application Form
Previous employment history (most recent first, continue on a separate sheet if needed)
From To
Employer and job title
Duties and reasons for leaving
Please give details of your secondary and higher education, starting with the most recent results
(please continue on a separate sheet if necessary).
Other qualifications/training
Please list any other training, short courses or professional qualifications you have undertaken.
The R
oyal College of Midwives Application Form
Supporting statement
Please use this space, and a continuation sheet if necessary, to:
Describe how your experience, skills, knowledge and education and training meet the person
specification and are relevant to the job description including experiences outside of work;
Say why you are applying for the job; and
Provide any other information that is relevant to your application
Additional information
Please give any additional information that may be relevant for this application, such as the dates of
forthcoming holidays when you cannot be contacted.
The Roy
al College of Midwives Application Form
Please give the names and addresses of two people willing to support your application, one of whom
should be your present or last employer. If you have been out of paid employment for some time, or
this would be your first job, you may give people who know you well as referees, one of whom could be
someone who has taught you. Referees are not usually contacted until
a preliminary job offer has been
made, and will not be contacted without your consent.
Name of Organisation and address
Telephone no/Email
How do you know this referee?
Name of Organisation and address
Telephone No/ Email
How do you know this referee?
Please note that we will contact your referees at offer stage.
Data protection statement
The information in this Application Form will be held securely both manually and on the RCM’s
computerised HR database and will only be divulged to necessary staff members for the purpose of
the recruitment and selection process. Information on the successful candidate will be held for up
to 10 years following employment. Information on unsuccessful candidates will be held for up to 6
months. We reserve the right to verify the information you have provided and seek information from
other sources. The above rules have been assessed in line with the General Data Protection
Regulations 2018. You can find the RCM’s privacy policy relating to your rights regarding how we
handle your data here: https://www.rcm.org.uk/rcm-privacy-policy
. The information on the Equal
Opportunities Monitoring Form will only be used for monitoring our equal opportunities policy. Any
information required for statistical analysis will be used anonymously.
I declare that all the information given in this application is, to the best of my knowledge, complete
and correct.
I understand that if I am employed and any of the information I have provided is false, my Contract
may be terminated.
Signature Date