Application for Employment

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In order to ensure the Practice’s Equal Opportunities Policy is carried out, please complete the monitoring questions. This information will be used for monitoring purposes only and will be treated as confidential.

Gender: *

Have you a disability that you would like us to know about: *

Under the definition within the Disability Discrimination Act 1995, what type of disability do you have: *

Ethnicity: *

Do you need any equipment or support because of your disability in order to carry out the duties described in the Job Description for this post: *

Privacy Consent

This form collects information about you in order to ensure the Practice’s Equal Opportunities Policy is carried out. This information will be used for monitoring purposes only and will be treated as confidential

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Application for Employment

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HADLEIGH HEALTH CENTRE

BOXFORD MILL SURGERY

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