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									                  Recruitment Activity/Advertisement Request                                               Rec1
                            Details of Position to be Advertised

Job Details
Employing Organisation                 Please Select
Department                             Please Select
Position Title
AfC Reference Number
ESR Position Number
Establishment Control Form Number
Speciality/Function
Displayed Town / Location              Please Select
Post Code of Location
Hours Per Week                                                          Enter in Decimal (e.g. 37.50)
No of Position to be Advertised
Advert Posting Date                                                     Date Format (dd mmm yyyy)
Closing Date                                                            Date Format (dd mmm yyyy)
Interview Date (If Known)                                               Date Format (dd mmm yyyy)
Closing Instructions                   Please Select
Number of Applicants
Contract Type                          Please Select
Nature of Contract                     Please Select
If Fixed Term Enter End Date
Display Closing Date                   Please Select
Display Interview Date                 Please Select
Staff Group                            Please Select
Area of Work                           Please Select
Payscale                               Please Select
Qualified Post                         Please Select

Contact Details
Recruiting Manager Name
Job Title
Recruiting Manager E-Mail
Telephone Number
Informal Contact Name
Informal Contact Job Title
Informal Contact Name E-Mail
Informal Contact Telephone Number

Options
Application Form Type                  Please Select
Publish Advert Type                    Please Select
CRB Check                              Please Select
Declaration Form to be Used            Please Select
Show Work Permit Message               Please Select
Show UK Registration Message           Please Select

Shortlisting Panel Details
Panel Member                           Job Title                      E-Mail Address




                                                             Employment Services Department Version 1.0 January 2008
Recruitment Activity/Advertisement Request                           Rec1




                       Employment Services Department Version 1.0 January 2008
                     Recruitment Activity/Advertisement Request                                                      Rec1
Advertisement
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WARNING: Please use the following filtering questions with caution, as the NHS Jobs system does not allow flexibility in
this area. For example, by selecting a question or questions requesting a candidate to hold a particular qualification, you
  may be omitting candidates with an equivalent qualification/experience who do not necessarily hold that qualification
                                  required for the post but may be equally employable.

Pre- Application Filtering Questions

Please indicate if you want to use the following questions or not.

How well do you meet the essential requirements set-out in the Person Specification for this job?    Please Select
Do you have the right, under UK immigration rules, to live & work in the UK & without restriction?   Please Select
Do you have XXXXX qualification or equivalent?                                                       Please Select
Max 30 characters

Do you have XXXXX registration?                                                                      Please Select
Max 30 characters

Have you passed PLAB 2?                                                                              Please Select
Have you passed the IQE?                                                                             Please Select

General Filtering Questions
How much XXXXX experience do you have?                                                               Please Select
Max 30 characters

How much XXXXX experience do you have? (Second Alternative)                                          Please Select
Max 30 characters

Do you have XXXXX qualification or an equivalent?                                                    Please Select
Max 30 characters


                                                                    Employment Services Department Version 1.0 January 2008
                        Recruitment Activity/Advertisement Request                                                            Rec1

Do you have relevant teaching or training experience (as required by the Person Specification)?               Please Select
Does your name appear on the Protection of Children Act List?                                                 Please Select
Does your name appear on the Protection of Vulnerable Adults List?                                            Please Select
Have you any time received or had pending a criminal conviction, caution, warning, reprimand or bind-Over ?   Please Select
How many penalty points do you currently have on your driving licence?                                        Please Select


Additional Filtering Questions


Please select a group for additional questions and show against any questions that appear if you actually want the
questions to be displayed. Any other questions should be included in the job advert content.


Which Group of Questions do you wish to use                                               Please Select


                                                                                                              Please Select




Do you wish to ask any Driving Licence Questions?                                         Please Select


                                                                                                              Please Select




Additional Documents


The Job Description and Person Specification held on your Trusts database will be used with this advertisement however
if you wish to add any additional vacancy specific document(s) to this advertisement please indicate below and remember
to attach to this request.


Do you require additional vacancy specific documentation to be attached to this advertisement?
                                                                                          Please Select




Have I Finished ?
If you believe the form is completed then please select YES. If there is anything missing you will be advised in the
messages box below
                                                                             Please Select




                                                                   Employment Services Department Version 1.0 January 2008
                                            The Form is not yet Completed
                    Recruitment Activity/Advertisement Request                                                  Rec1


                                     The Form is not yet Completed




Please do not send this form until the message above advises you that the form is complete as it will not be actioned
until it has been completed.

When complete please send the form by e-mail to the following e-mail address



                           RecruitmentAdmin@northstaffs.nhs.uk




                                                               Employment Services Department Version 1.0 January 2008
Recruitment Activity/Advertisement Request                           Rec1




                       Employment Services Department Version 1.0 January 2008
Recruitment Activity/Advertisement Request                           Rec1




                       Employment Services Department Version 1.0 January 2008
Recruitment Activity/Advertisement Request                           Rec1




                       Employment Services Department Version 1.0 January 2008
Recruitment Activity/Advertisement Request                           Rec1




                       Employment Services Department Version 1.0 January 2008
Form Designed and developed by the Employment Services Team

Version 5.0 - January 2009

RecruitmentAdmin@northstaffs.nhs.uk
stephen.lawrence@northstaffs.nhs.uk

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