Western Sussex Hospitals NHS Foundation Trust - Summer Student Application 2021
You'll need to register / create or signin into a google account in order to fill this form (but you can use your normal email address for correspondence)

This application works best if you use google chrome to complete it

The deadline for completing this application is 31st January 2021 (applications are time / date stamped)

If you are successfully shortlisted to interview you will hear from us by mid February 2021

The date of the interview is to be determined but we are aiming for March 2021 over Microsoft Teams video conferencing.

We will have up to 6 placements available (3 x Worthing Hospital & 3 x Chichester Hospital ). Each placement is 1 week in length

Placements will take place in June or July 2021 (COVID-19 / workplace capacity permitting)
Email address *
Surname *
First name *
Mobile telephone number *
Have you any unspent criminal convictions or bind-overs, or any cautions, warnings or reprimands? *
If yes please give details
Have you at any time received or had pending a criminal conviction, caution, warning, reprimand or bind-over? *
If yes please give details
Does your name appear on the Protection of Children Act List? *
Does your name appear on the Protection of Vulnerable Adults List? *
Are you a candidate signed up for to the "Guaranteed interview scheme" for people with disabilities? *
Which hospital site would you pick as your 1st choice to have a summer placement? *
Do you have any particular weeks / months during the summer you are available for the summer placement? If you are free all summer please state "AVAILABLE ALL SUMMER" *
A levels - subjects & grades *
School of Pharmacy you are studying at? *
Can you confirm you are currently a 3rd year Pharmacy Student? *
References & Work Experience
Reference 1 (Academic): Include name, job title, email, telephone *
Reference 2 (Non-academic): Include name, job title, email, telephone *
Previous Work Experience 1: Include employment date, your job title, responsibilities *
Previous Work Experience 2: Include employment date, your job title, responsibilities *
Personal Statement
Please use the following sections 1-4 for your personal statement. Please list any additional information that you feel is relevant to support your application. 200 words MAX per section ;
1. Experience / knowledge (200 words MAX)
2. Skills / abilities (200 words MAX)
3. Reasons for your interest in working in hospital pharmacy and this chosen hospital (Western Sussex) (200 words MAX)
4. What are your main interests outside work (200 words MAX)
Do you require accommodation? *
Do you hold a drivers license / can you drive to the hospital or surrounding areas for visits? *
Declaration - The information in this application form is true and complete. *
A copy of your responses will be emailed to the address you provided.
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