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View Application Form - Day in the Life

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Support<strong>in</strong>g InformationIn this section please give your reasons for apply<strong>in</strong>g for this post and additional <strong>in</strong>formation which shows how you match <strong>the</strong> personspecification for <strong>the</strong> job (you will have been sent this document with <strong>the</strong> application form). This can <strong>in</strong>clude relevant skills, knowledge,experience, voluntary activities and tra<strong>in</strong><strong>in</strong>g etc. If relevant to <strong>the</strong> post for which you are apply<strong>in</strong>g you should <strong>in</strong>clude details about researchexperience, publications or poster presentation, cl<strong>in</strong>ical care (knowledge and skills) and cl<strong>in</strong>ical audit.Support<strong>in</strong>g <strong>in</strong>formation (Please cont<strong>in</strong>ue on additional sheets if necessary).Additional Personal InformationPreferred Employment Type Full Time Part Time Job Share Secondment Flexible HoursDo you have a valid driv<strong>in</strong>g licence for <strong>the</strong> UK? Yes No Motorbike (A) Car (B) Car with Trailer (B + E) Medium Sized Vehicle (C1) Medium Sized Vehicle with Trailer (C1 + E) C1 Provisional Licence M<strong>in</strong>ibus (D1) M<strong>in</strong>ibus with Trailer (C1 + E) Large Goods Vehicle (C) Large Goods Vehicle with Trailer (C + E) Passenger Carry<strong>in</strong>g Vehicle (D) Passenger Carry<strong>in</strong>g Vehicle with Trailer (D + E)Please specify <strong>the</strong> vehicle category for which you hold a licenceIf you have penalty po<strong>in</strong>ts, please state <strong>the</strong> Endorsement Offence Codes and <strong>the</strong> date of issueDo you have access to a vehicle which can be used for work purposes? Yes NoIf aoolicable to <strong>the</strong> post, do you hold a certificate to support your Yes Noresponsibilities under IR(ME)R 2000?Evidence of relevant tra<strong>in</strong><strong>in</strong>g and experience is required for those justify<strong>in</strong>g or undertak<strong>in</strong>g x-rays, <strong>in</strong>terventional radiology, CT scans etc.Please place this evidence with<strong>in</strong> your support<strong>in</strong>g statement.Standard_<strong>Application</strong>_<strong>Form</strong>.doc Page 8 of 9

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