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Pre-qualification questions

Please answer the following questions
If you do not have the right to work in the uk you will not be eligible to apply.
If yes, this may not mean that your application will be unsuccessful. However, you will be asked to provide further details if selected for interview.
If yes, this may not mean that your application will be unsuccessful. However, you will be asked to provide further details if selected for interview.

Dorothy House is committed to providing a safe environment for all our service users, volunteers and staff.

As a regulated healthcare provider, we are obliged to ask all applicants specific questions about their suitability for the role. Further information can be found in our Safer Recruitment Policy.

Contact details

Education / Qualifications

Employment history

Professional identification

Supporting information

Equal opportunities

Step 1: Contact details
Step 2: Education and qualifications

Please include any relevant qualifications or CPD information for the role you are applying for.



From To Where Qualification
Step 3: Employment history

Please include your full employment history starting with your most recent employer. Please make sure to highlight any employers where you have worked with children or vulnerable adults.
If you have not worked before, please state “I have not worked before” in the mandatory fields and put your date of birth as employment start date.
As part of our Safer Recruitment process, we also need to clarify any gaps in employment outlined in your application. If there are any gaps in your employment history (e.g. sabbatical, unemployment, travel) please write “GAP” in the mandatory fields, along with a brief summation of the details in the duties and responsibilities section.



From To Name
Step 4: Professional identification and/or membership


Name Expires
Step 5: Information in support of your application

To support your application, please demonstrate how your attributes, skills and previous experience relates to our values

Step 6: Confidential equal opportunities monitoring

Dorothy House Hospice is committed to pursuing equality of opportunity and recognises the benefits of having a diverse workforce. To achieve this, we would be grateful if you would answer the following questions.

This form will be separated from your Application Form and will not be used as part of the decision making or selection process for this vacancy. Should a disability be highlighted, this will be shared with the relevant hiring team to ensure we take all reasonable steps to accommodate any needs you may have during the interview process.

Thank you for your help.