Title Miss.Mr.Mrs.Other First Name Last Name Your email Phone Mobile ADDRESS Street Address 1 Street Address 2 City County Country Post Code How would you like to be contacted? By PhoneBy EmailNo Preference Are you Legally authorised to work in the UK? YesNo Upload Your CV Upload Your Cover Letter (Optional) Your message (optional) The information you provide on this form will be used to progress your application for employment and, if your application is successful, it will be added to your electronic staff file and printed and added to a physical paper file. The information will be kept on file while you are working with us and for six years after you leave. If your application is unsuccessful, your information will be held for 12 months and will then be erased from our system. You have the right to ask at any time and at no cost to see your records, edit them, have them erased or stop us using them. If we cannot comply with your request, we will tell you why. For more information on how we store and use your information please view our privacy statement by contacting our data protection team or viewing the Salubrity Healthcare website. I consent to my information given in this application being held and used for the purposes described above. I consent to the disclosure of information required to place me on assignments