health care assistant application form

Application for employment

Application for Healthcare Support Worker - Assessment Day

Job reference HCA15-H Closing date 29-Apr-2015

Application submitted 27-Apr-2015 19:55 Application ID 4751294

Applicant Shelby Hannah Lucier

Personal details

Answers given in this part of the form are to help the Recruitment Centre to manage your application.If you have any difficulty completing this form please ask someone to help you.We would like to take this opportunity to thank you for applying.

Personal details

Surname Lucier

Forename Shelby

Middle name(s) Hannah

Title Miss

Name in which you are registered with aprofessional body, if different to current

surname

Address line 1 6 Glebe Road

Address line 2

Address line 3

City / Town Cambridge

County Cambridgeshire

Country United Kingdom

Postcode CB1 7SZ

Email [email protected]

Work telephone

Mobile telephone 07981423683

Home telephone 01223 472458

UK National Insurance number SC993821B

Rehabilitation of Offenders ActIf you have a criminal record or have received cautions this does not bar you from applying for employment with the Trust. However you must tell us about yourrecord.

This is because the Trust considers that the job for which you are applying is exempt from the Rehabilitation of Offenders Act 1974. This means that you must declareall police cautions, warnings or reprimands, conditional discharges, criminal convictions, criminal convictions pending or bind-overs which may be considered 'spent'for the purposes of other employment. Any failure to disclose such information could result in an offer of employment being revoked or dismissal or disciplinary actionby the Trust if you have already commenced employment.

Any information given will be completely confidential.

Do you have any cautions, criminal convictions(s) or criminal convictions pending, warnings or reprimands?No

If YES, please provide full details of the date and nature of all cautions, criminal convictions or criminal convictions pending, warnings or reprimands aswell as full details of any penalties received.

Internal/external and immigration

Before being given access to the online application form, the applicant was asked the following.

Job ref: HCA15-H Job title: Healthcare Support Worker - Assessment Day

Application: 4751294 [Vac: 374692] of 10

Are you currently an employee of Cambridge University Hospitals NHS Foundation Trust?No

Choose your immigration statusUK/EC/EEA Citizen with Right to work in the UK

Please supply details of any permit currently held including number, validity and expiry date







Application questions

Details entered in this part of the form will be made available to the shortlisting panel. Please make sure that you have read the job description and personspecification before completing the application form, and ensure that your answers clearly and honestly demonstrate how your skills and experience are relevant tothe post for which you are applying.

Education / Professional qualifications

Include in this section all the relevant qualifications. Please also indicate subjects currently being studied

Place of study Long Road Sixth Form College

Subject / qualification 12 Unit Media National Diploma

Grade / result Predicted 2 Merits

Date obtained August 2015


Subject / qualification AS Photography

Grade / result Predicted C



Subject / qualification Maths GCSE

Grade / result Predicted C


Place of study St Bede's Inter-Church School

Subject / qualification Maths GCSE

Grade / result D



Subject / qualification GCSE English Literature

Grade / result C



Subject / qualification GCSE English Language

Grade / result C



Subject / qualification GCSE Art Graphics

Grade / result B



Subject / qualification GCSE Drama



Grade / result C



Subject / qualification GCSE German

Grade / result C



Subject / qualification GCSE Religious Education

Grade / result D



Subject / qualification GCSE Science

Grade / result E


Training / other qualifications

Include in this section any relevant training courses that you have attended or details of courses that you are currently undertaking, together with the date completedor to be completed.

Membership of professional bodies

Healthcare professionals are required to provide a PIN / registration number along with expiry date.

Myprofessionalregistration

status is:

Prof Reg No. / Prof Reg PIN No:

Expiry date

Other professional membership no (e.g.finance / personnel)

Other information

Are you currently, or have you been, the subject of any investigation or proceedings by any body having regulatory functions relating to health / social careprofessionals including such a body in another country.

Are you currently the subject of any investigation or proceedings?No

If yes, please state the reason(s):

You must also disclose if you have ever been disqualified from the practice of a profession or required to practice it subject to specified limitations following fitnessto practice proceedings by a regulatory body in the UK or in another country.

Have you ever been disqualified from the practice of a profession or required to practice it subject to specified limitations?No


Where such a post involves regularly caring for, training, supervising or being in sole charge of persons aged under 18 or vulnerable adults, you are required tostate whether you are currently the subject of any police investigation in the UK or any other country.



Are you currently the subject of any police investigation?No


Have you previously been dismissed from any employment, office or other position by a reason of misconduct.

Have you previously been dismissed by a reason of misconduct?No


Failure to disclose a relationship, with any director or governor of the Trust or canvassing of such persons shall disqualify you and, if appointed, render you liable tosummary dismissal.

Are you related to any director or governor of this Trust?No

If yes, please provide details:

Current Job, Course or other main activity

What is your current main activity Full or Part Time Student

Start date 01/09/13

Job title, if applicable

Description of your duties & responsibilities and hours (if employed)

Employer or college name Long Road Sixth Form College

Employer or college address 1 Long Road

Employer or college address 2

Employer or college city/town Cambridge

Employer or college county/state Cambridgeshire


Employer or college postcode CB2 8PX

Telephone number 01223 507400

Grade

Salary

Activities prior to above starting with most recent

Please include all periods of employment, unemployment, study, travel etc as necessary to cover a minimum period of the last 3 years. There should be no gaps inyour activity history for the last three years.. You may also add as many other periods of employment, unemployment, study, travel etc as you wish which took placeprior to the last three years. If you have other current part time jobs please add these first

Disability

The Trust is a 'two ticks' employer. This means that if you consider yourself to have a disability AND fulfil the essential criteria listed on the Person Specification forthis post the Trust is committed to offering you an interview. Please tell us if you consider yourself eligible and provide details of any adjustments/adaptations that youmay need during the application or interview process.

Do you consider youself to have a disability? No

If you are shortlisted, please describe any special arrangements that you would like the Trust tomake for your interview.

Further questions

The questions in this section are customised to the post for which you are applying.



Please state your current notice period?Not Applicable

The forthcoming assessment dates are provided on the advertisement and our health care support worker website pages. If you are shortlisted we willaim to invite you to the next possible assessment event, or one of the next possible dates. If any of the forthcoming dates are not convenient for youplease state the dates you cannot attend below:Not Applicable

Please include your reasons for applying and take the opportunity to highlight experiences, skills and attributes that help show you meet therequirements of this post. This may have been gained through work, study, volunteering, personal responsibilities or special interests.As I will be leaving college soon, I feel that it is the right time for me to choose a new career path. I have witnessed both of my parents earning degrees as maturestudents and I do not feel that this is the right time for me to go to university. It is something that I can choose to do later on in life. I want to gain life experience anda career in health and social care is a perfect way to do so as I will be able to meet many different people from all walks of life, with different beliefs and fromdifferent cultures.

I have first hand experience of seeing my sister being cared for in a hospital setting many times. I have seen good nursing care, and nursing care that is not sogood. I know that the role of a healthcare support worker is very important in today's NHS and I understand that it would be busy and varied. I want to be anexcellent healthcare support worker, valuing all patients as individuals and providing excellent care at a time when they are very vulnerable. I understand theimportance of good care, including hygiene cares and making sure each patient receives good nutrition. I also understand about preserving patient dignity, such asusing curtains when appropriate, and ensuring that patients are appropriately covered. It is important to encourage patients to return to being as independent aspossible, and this is something that is part of the role of being a healthcare support worker. This might be helping a patient to get out of bed to sit in a chair aftersurgery. Being an excellent healthcare support worker also means protecting patients, and I understand the importance of hand washing to help prevent the spreadof infection.

For my Year 10 work experience, I volunteered at the Salvation Army Community Centre in Cambridge. The next year, I went back and volunteered in the summerholidays before starting Sixth Form. This matured me in many ways. My people skills developed in that period of time, making me more confident in talking topeople of different ages and backgrounds. It made me appreciate the fact that everybody is unique and has their own story. I loved getting to know each and everyone of the customers I served. I was also the youngest worker at the Salvation Army, so it really helped me understand the importance of respect, particularlytowards colleagues older than I was. Of course, working in an environment like a community centre requires excellent communication skills. I understand thatcommunication is not just about talking but also about listening, reading and writing. It can be demonstrated in many different ways, such as following writteninstructions, like reading a recipe, or following verbal instructions, like taking food orders. In a healthcare support worker role, I know that I would be listening andfollowing instructions on a daily basis.

I understand what it means to work as part of a team, whether it be in my previous voluntary work or at college. I know that I will be working as part of amulti-disciplinary team. Although I can work as a leader when needed, I respect team members and am able to listen. In my media class at college, we are oftensorted into groups and left to organise our own duties. I always enjoy putting my ideas and thoughts forward, as well as listening to others and their ideas. This is agood example of my understanding of what makes an effective team member. We are also sometimes expected to work individually. This means that I can stayfocused, on task and that I can show initiative.

I have good IT skills and use many software packages frequently at college and at home. I also take responsibility for my own learning progression. At college, Iwent to the Learning Support office to ask for extra help with my maths when needed.

The Trust's Values are Together - Safe, Kind, Excellent, as outlined in our Behaviour Standard. Please give examples how you have behaved in a safe,kind, excellent way. (Examples can be from work, study, volunteering, personal interest).Kindness: Caring for people has always been a priority in my life whether it was in Year 6 when I was selected to be part of the 'Buddy System' looking afterreception children or more recently when I started running a support group at college for those who struggle with depression and anxiety. The support group wasextremely significant in helping me understand the vital importance of confidentiality. Being the leader of the group, I had to demonstrate to the members that theycould confide in me with complete confidence. I had to show them that I was open to listening, regardless of what they had to say.

Many close friends of mine have struggled with mental health issues. This has been very challenging to me in many ways. It has been a real test to my loyalty andunderstanding of how people feel. I have enjoyed getting to know these people and feel that I am a person that they can rely on and confide in.

Growing up, I have been fortunate enough to witness my mum choosing a career in healthcare. She started as a ward clerk and is now training to be a children'snurse. She has told me about the joy of delivering care to meet each patient's individual needs, and the reward of family members and patients thanking her forexcellent care and kindness. Kindness is definitely something that I know I could bring to work and demonstrate to each patient.

Safety: I understand the importance of infection control with regards to hand washing and patient hygiene, as I have frequently visited my sister in hospital.Additionally, I would ensure that if necessary, my patient's bed rails were up to protect them from falls. Also, if I felt a patient was at risk of harm, I would bring this tothe attention of my supervisor. Besides being familiar with a hospital environment, I also babysit for several families frequently. One family trusted me to care fortheir baby safely when he was as young as six weeks old.

Excellent: I have shown examples of how I believe I can be an excellent healthcare support worker. I am respectful, compassionate, have empathy, am a good teamworker. At college, I always try and produce my best work consistently in media and photography and take pride in everything I do.

ReferencesIf you are successful, prior to appointment, we will take up as many references as needed to cover all activities, including periods of employment and fulltime education, that you have undertaken over the past three years. Any offer will be subject to these being satisfactory. Please ensure that you provide fullcontact details for your Employer/Line Managers or Course Tutors for each activity. Please include their work email address where possible to avoid anyunnecessary delays.

If during the last three years you have any periods in which you have not been in either employment or full-time education please provide details of someone who canprovide a character reference for you to cover this period. Character references should be provided by a person of standing in the community such as a Teacher,Health Care Professional (i.e. Doctor, Physiotherapist, Registered Nurse), Minister of Religion, Police Officer or Solicitor. Character references should only be usedin EXCEPTIONAL circumstances to cover periods of time when you have not been in either employment or education.

Please use the "Add another" button below to add as many referees as required to meet the above requirements. Periods that referees cover may overlapbut there should not be any gaps over the past three years.



Referee's title Dr

Referee's first name(s) Ken

Referee's surname Ong

Job title Consultant Paediatrician

How do they know you? Personal / Character Reference

Address 1 69 Glebe Road

Address 2

Address 3


County / State Cambridgeshire


Postcode CB1 7TF

Telephone no. 01223 511186

Mobile no. 07813896578

Fax no.

Email address [email protected]

Can the referee be approached prior to theinterview?

Yes

Period this reference covers from: January 2011

Period this reference covers to: April 2015

What name will the referee know you by ifdifferent from your current name?

Why has your name changed?

Referee's title Mr

Referee's first name(s) Thomas

Referee's surname Woodcock

Job title Teacher

How do they know you? Course Tutor / School or College Principal

Address 1 Long Road Sixth Form College, Long Road

Address 2

Address 3




Postcode CB2 8PX

Telephone no. 01223 507400

Mobile no.

Fax no.



Yes

Period this reference covers from: September 2014

Period this reference covers to: June 2015





Referee's title Mr

Referee's first name(s) Daniel

Referee's surname Haak

Job title IT Technician

How do they know you? Personal / Character Reference

Address 1 219 Cherry Hinton Road

Address 2

Address 3




Postcode CB1 7DA

Telephone no.

Mobile no. 07813993054

Fax no.



Yes

Period this reference covers from: April 2012

Period this reference covers to: April 2015



Declaration

I understand that any appointment is subject to satisfactory pre-employment checks including occupational health, verification of identity and right to work in the UK ,references and DBS Disclosure (where this is a requirement of the post).

I understand that any appointment is subject to the information on this or any other form I complete relating to this post being correct and that any false ormisleading information may lead to the application being rejected or summary dismissal if appointed and possible referral to the police.

I understand that information from this form will be stored electronically as part of the recruitment processes.

(For signing at interview) Signed:________________________________________ Date:_________________

Cambridge University Hospitals NHS Foundation Trust is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults.

I am making an online application. By marking this box I indicate that I agree with the above declaration and that I will sign printed copies of thisapplication form on request.Yes







Equal opportunities

Equal opportunities

As a large, public employer we have a legal duty to monitor our recruitment and selection processes to ensure that all applicants are treated fairly.

The information that we collect is stored in a secure database and is only used for statutory monitoring purposes. Please note that any monitoring reports producedfrom the database do not include any data that will link to named individuals. Furthermore, our staff involved in the recruitment and selection process do not haveaccess to this part of your application form.

There are two exceptions to the above. The first relates to some of the information about disabilities, and this is explained below. The second is that for successfulapplicants some of the monitoring information will be stored against their permanent staff record. This information is recorded for all of the organisation's employeesto ensure that the profile of the staff we employ reflects the community in which we are based.

General questions

Gender Female

Marital status Single

Date of birth 15/01/97

Nationality English

Ethnic Origin

Ethnic origin does not mean nationality, but normally refers to the people or culture with which a person's immediate family identify.

I would describe my ethnic origin as follows: White British

Employment Equality Regulations 2003

In order to comply with these regulations NHS Employers are monitoring sexual orientation, religion / belief in applications. Please answer the following questions:

Do you have a sexual orientation towards: Persons of the opposite sex (Heterosexual)

Please indicate your religious belief: Christianity

Disability

The answer to the question about the Guaranteed Interview Scheme is presented to the lead short-lister before they make the final decision on who to invite tointerview. This is done so that we can meet our obligation as a 'Two Ticks' employer to invite to interview any applicant, who has a disability, who meets the essentialcriteria for a post that they have applied for. If you are invited to interview you will need to let us know if you will need any special help or adaptations.

Do you consider yourself to have a disability?No

Guidance on types of disabilities

Physical impairment, such as difficulty using your arms or mobility issues which means using a wheelchair or crutches• Sensory impairment, such as being blind/having a serious visual impairment or being deaf/having a serious hearing impairment• Mental health condition, such as depression or schizophrenia• Learning disability/difficulty, (such as Down's syndrome or dyslexia) or cognitive impairment (such as autistic spectrum disorder)• Longstanding illness or health condition such as cancer, HIV, diabetes, chronic heart disease, or epilepsy• Other is anything that does not fall into one of the categories detailed above•

If you are selected for interview you will have the chance to let the recruitment centre know about any particular needs you have. This will enable us to offer you afair interview if, for example, you have a speech difficulty or need a wheelchair accessible room.

I would describe my main disability as:None / Not Applicable



If you have a disability, do you wish to be considered under the Guaranteed Interview Scheme if you meet the minimum criteria as specified in thePerson Specification?

Where did you first hear about the career opportunities at CUH?

Where did you first hear about the career opportunities at CUH?Cambridge University Hospitals NHS Foundation Trust Website or intranet

If other please state:



health care assistant application form

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