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It requires submission of written references in English, a current CV, and either a police certificate from the country of residence or a clinic/hospital letter confirming a recent police check. Applicants must complete all sections in block capitals, specify desired sessions, provide languages proficiency (with English fluency requirements), disclose prior suspensions or child-related investigations, and sign the form.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/medical-application-form-application-requirements-complete-in-block-capitals/306063/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/medical-application-form-application-requirements-complete-in-block-capitals/306063.png","ImageObject",442,249,{"name":88,"@type":89},"Emma Mercer","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-07","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",7,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What documents must be enclosed with the medical application form?","Question",{"text":109,"@type":110},"The form requires two written references in English, a current CV (CV/Resumé), and either a police certificate from the country of residence or a clinic/hospital letter stating a recent police check has been conducted.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What does the form require for filling out the application?",{"text":114,"@type":110},"The application must be completed in block capitals. Applicants must also indicate which sessions they wish to apply for, referring to the attached sheet.",{"name":116,"@type":107,"acceptedAnswer":117},"What background disclosures are requested?",{"text":118,"@type":110},"Applicants must answer whether they have ever had any licence, certificate, or employment suspended, endorsed, revoked, or terminated, and whether they have been subject to investigations or actions related to offences involving children under 18 years of age. If yes, a full description including dates and circumstances is required.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},306063,1790435733,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":9},962084925502,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","For office use only:  \nMedical Application Form  \n\n| All applications must be accompanied by the following information\u003Cbr>(Incomplete applications will not be considered)\u003Cbr>I enclose:\u003Cbr>|  |  |  |  |  |  |  | |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| | Two written references in English.\u003Cbr>A current curriculum vitae (CV/Resumé)\u003Cbr>A police certificate from country of residence OR\u003Cbr>a letter from clinic or hospital that a recent police check has been conducted. |  |  |  |  |  |  |  |\n| |  | APPLICATION MUST BE COMPLETED IN BLOCK CAPITALS\u003Cbr>Please indicate which sessions you wish to apply for (Refer to sheet attached) |  |  |  |  |  |  |\n| Name: (First) (Surname/Family)\u003Cbr>\u003Cbr> |  |  |  |  |  |  |  |  |\n| Date of Birth: (dd/mm/yy) |  |  |  |  | Male:  Female:  Age: |  | |  |\n| Place of Birth: (City)  (Country) \u003Cbr>Passport Number:\u003Cbr> |  |  |  |  |  |  |  |  |\n| Current Address: |  |  |  |  |  |  |  |  |\n| Town/City: County/State:\u003Cbr>\u003Cbr>\u003Cbr>Postal code:  Country: \u003Cbr>Telephone: (Home)   Mobile:   Email:   Fax:   |  |  |  |  |  |  |  |  |\n| Permanent Address: |  |  |  |  |  |  |  |  |\n| Town/City: County/State:\u003Cbr>\u003Cbr>\u003Cbr>Postal code:  Country: \u003Cbr>Telephone: (Home)   Mobile:   Email:   Fax:   |  |  |  |  |  |  |  |  |\n| |  |  |  |  |  | |  |  |\n\n\n| BRIEF EMPLOYMENT HISTORY\u003Cbr>Please note: Full employment history should be supplied on CV/Resumé\u003Cbr>PRESENT/MOST RECENT EMPLOYER\u003Cbr>Employer's Name:   Telephone number:  \u003Cbr>Position Held:  \u003Cbr>Role/Responsibilities:   \u003Cbr>\u003Cbr>Manager's name:   Dates employed: From   to   |  |  |  |  |  |  | |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| LANGUAGES\u003Cbr>ALL BARRETSTOWN STAFF AND VOLUNTEERS MUST BE FLUENT IN ENGLISH.\u003Cbr>(Fluent eg. Baccalaureate/Cambridge First Certificate or equivalent)\u003Cbr>Qualification in English:   |  |  |  |  |  |  |  |  |\n| Other languages:    Native speaker |  |  |  | Fluent\u003Cbr>Fluent\u003Cbr>Fluent |  | Good\u003Cbr>Good\u003Cbr>Good |  | Basic\u003Cbr>Basic\u003Cbr>Basic |\n|  |  | Native speaker\u003Cbr>Native speaker |  |  |  |  |  |  |\n| How did you hear about camp?\u003Cbr> Media:    Hospital clinic:  \u003Cbr>\u003Cbr> Internet:    Company: Name:  \u003Cbr> Barretstown staff member:    Other: Describe:  \u003Cbr>Have you ever had any licence, certificate or employment suspended, endorsed, revoked or terminated?  Yes  No\u003Cbr>Are you at present, or have you in the past, been the subject of any investigation or has any action ever been taken against you for any offence pertaining to a child/children under 18 years of age, or any other investigation, criminal or otherwise, whether or not resulting in acquittal or exoneration? Yes  No \u003Cbr>If yes, provide a full description including dates and circumstances:  \u003Cbr>\u003Cbr>\u003Cbr>Signature:   |  |  |  |  |  |  |  |  |\n\nBarretstown is an equal opportunities employer and does not discriminate because of race, gender, religion, marital status, national origin or disability.  \nPlease return completed application form to:  \nMedical Centre, Barretstown, Barretstown Castle, Ballymore Eustace, Co Kildare, Republic of Ireland  \nEmail: [recruit@barretstown.org](recruit@barretstown.org)  \nTel: +353 45 864 115 Fax: +353 45 864 711  \n[Website: www.barretstown.org](Website: www.barretstown.org)","cbCainBRnVHf9dnG","https://ap.wps.com/l/cbCainBRnVHf9dnG","pdf",530471,"English","# For office use only\n# Applicant requirements\n## Enclosures and eligibility information\n## Sections to complete in block capitals\n# Personal details\n# Employment history\n# Languages\n# Background and disclosures\n# Signature and submission","[{\"question\":\"What documents must be enclosed with the medical application form?\",\"answer\":\"The form requires two written references in English, a current CV (CV/Resumé), and either a police certificate from the country of residence or a clinic/hospital letter stating a recent police check has been conducted.\"},{\"question\":\"What does the form require for filling out the application?\",\"answer\":\"The application must be completed in block capitals. Applicants must also indicate which sessions they wish to apply for, referring to the attached sheet.\"},{\"question\":\"What background disclosures are requested?\",\"answer\":\"Applicants must answer whether they have ever had any licence, certificate, or employment suspended, endorsed, revoked, or terminated, and whether they have been subject to investigations or actions related to offences involving children under 18 years of age. If yes, a full description including dates and circumstances is required.\"}]","Medical Application Form - Application Requirements - Complete in Block Capitals | PDF",1789832595]