All successful applicants need to provide a
reference from their current or last employer.
Application Pack
Thank you for requesting this application
pack.
Notes on Application
Please read these notes carefully, they will
help you to provide us with all the information
we need to consider your application.
Completing the application form
Please note that only applications completed
on this form will be accepted. Applications
made on old application forms may be
rejected.
All sections of the form must be completed for
us to be able to assess your application, if a
section isn’t relevant please put ‘N/A’ (not
applicable). Don’t substitute, or cross
reference information on this form, with
curriculum vitae.
When you have completed all sections, you
should return by email all pages by the closing
date advertised.
If we wish to progress your application
further, you will be contacted by phone or
letter advising you of the next stage of the
selection process. Unfortunately we don’t
have the resources to inform applicants who
are not shortlisted; therefore, if you haven’t
heard from us within two weeks of the closing
date regrettably you have not been selected
for interview.
Information required on application
We require you to give us the details of
referees covering your last 2 years of
employment. They will need to be able to give
their opinion as to your suitability for the role
in question.
Referees must be professional and appropriate
to the position applied for although for school
or college leavers, an academic reference
would be suitable.
We are unable to accept a reference from a
family member or personal friend.
References will be requested automatically
after a conditional verbal job offer has been
accepted.
Please ensure that your contact details are
correct as this will prevent delays in the
application process.
The interview process
If you are being invited for interview, you will
be contacted in writing to give you details of
the date, time and venue for the interview.
You will be required to sign a hard copy of your
application form at the interview.
DBS checks
Staff in most positions within CRI are required
to undergo a DBS check at enhanced level;
any job offer is subject to a satisfactory DBS
check.
Queries or concerns
Please contact the Human Resources
Department at CRI directly if you have any
queries regarding this process.
Please note that only applications
submitted via email will be accepted. If
your circumstances require allowances to be
made in relation to completion of this form
please ring 01273 645084 for further
assistance.
Application for Employment
Please complete all sections unless the section is not relevant in which case please put N/A (not applicable)
in the space provided.

Position applied for

Job Title: NM554 Health and well-being Reference Number: NM554
assistant Closing Date: 25/11/15
Location: Pathways 2 recovery, Warrington

Where did you see this position advertised? CRI website

Personal details

Family name - Turner

Forename - Charlotte

Title (Mr/Ms/Mrs/Miss etc) - Miss

Address – 2 Merlin Close, Haresfinch, St Helens

Postcode - WA11 9YP

Telephone (home) – 01744759605

Mobile phone number - 07429295406

Work - 01744633740

Email Address – charlturn94@gmail.com

Do you require a work permit or any other kind of document to show that you No
have necessary permission to work in the UK?

Do you currently have the necessary documentation to enable you to work in No

the UK?

Are you related to, friends with or in a relationship with any current or former No
CRI staff member, volunteer or service user?

If you answered yes to any of the 3 questions above, please give details below
Occupational History Please give details of your last 3 positions. Please note references
will be requested automatically after a conditional verbal job offer has been accepted.

Name and address of current or most recent employer Your job title
Millennium Centre Pharmacy Dispensary Assistant
Corporation Street
St Helens

Postcode – WA10 1HJ

Start date Month-August Year-2010 Present salary - £13000 per anum
Brief description of duties Leaving date
Mth Year
General managerial duties- My duties included the Reason for leaving or for wanting
allocation of daily jobs to non-senior members of staff, and to leave -
liason with pharmacists regarding monthly targets. I was I sought to pursue a challenging,
also responsible for checking customer satisfaction, and fulfilling career which centered
the monitoring of rotas. I acted as a peer mentor to newer around helping people who needed
members of staff, or students on work experience. I was it most.
also responsible for the distribution of the syringe
exchange as well as the dispensing and supervision of
substance misuse prescriptions. I also performed everyday
day tasks such as cash handling, customer service and
communication both via telephone and in person. Finally, I
was responsible for the handling of customer queries, the
labeling and dispensing of prescriptions, and the
preparation of invoices for wholesaling, as well as route
planning.

Referees name and telephone number: Referees job title – Senior

Stuart Ellis – 01744 633740/ 07912842862 Pharmacist/Pharmacy manager
Referees business email address:
millenniumcentrepharmacy@gmail.com

Referees name and telephone number: Referees job title – Previous

Mohammed Ahmad - 07742297960 Pharmacy Manager

Referees business email address

Previous history

Please give as much information as you can about your work/voluntary work history previous to the three
jobs above. If you have taken study/career breaks please include details. For guidance, information about
unrelated positions dating back more than 15 years need not be provided.

Employer’s name and address Position held

St Peter and St Paul Primary School Voluntary work
 Derwent Road
St Helens From April 2010 To July 2010

Postcode

Reason for leaving – It was a temporary voluntary position

to help gain experience working with young children.

Employer’s name and address Position held – Grooming

Barking Beauties Assistant (Casual work as
2 Merlin Close required)
St Helens

From To

Postcode – WA11 9YP

Reason for leaving

I only worked there when I was required during busy weeks
etc.

Employer’s name and address Position held – Member of bar

Halcyon Bar and promotion staff
Westfield Street
St Helens
From June 2014 To December
2014

Postcode

Reason for leaving

Bar was shut down.

Please give details of any breaks in your work history

Professional Qualifications
Please give details of any professional qualifications or membership of professional bodies

Qualification/level Issuing college/authority Date issued

Dispensary Assistant NVQ Level 2 December 2014
Professional Registrations
Please give details of any clinical registrations

Professional Body & Registration Status Registration/PIN Expiry/Renewal

Number date

If you are applying for a post that requires professional registration you are required to provide
the following information:

Are you currently the subject of a fitness to practice investigation or Yes / No

proceedings by a licensing or regulatory body in the UK or in any other country?

Have you been removed from the register or have conditions been made on Yes / No
your registration by a fitness to practice committee or the licensing or
regulatory body in the UK or in any other country?
Do you have personal liability insurance cover? Yes / No

Educational Qualifications
Please give details of educational qualifications and examinations passed

School/college Subject Date issued

Rainford High Technology College English Language GCSE July 2010
Rainford High Technology College English Literature GCSE July 2010
Rainford High Technology College Fine Art GCSE July 2010
Rainford High Technology College Graphic Design GCSE July 2010
Rainford High Technology College Biology GCSE July 2010
Rainford High Technology College Chemistry GCSE July 2010
Rainford High Technology College Physics GCSE July 2010
Rainford High Technology College Statistics GCSE July 2010
Rainford High Technology College ICT GCSE July 2010
Rainford High Technology College Mathematics GCSE July 2010

Qualifications currently being studied for

Qualification/level Issuing college/authority Finishing date

Personal statement

Please refer to the person specification, where you will find the skills and experience required for this
post. Please state how you feel you meet these criteria. This information will play a significant part in
the shortlisting process.
Please continue on an additional sheet if necessary

Having worked within a town centre pharmacy for the past 5 years Ipossess
an extensive experience of drug and alcohol treatment services. For
example, we currently provide methadone and subutex therapy
prescriptions, sourced by the local treatment provider to 80+ clients from
the St Helens area on a daily basis. Furthermore, we provide a Syringe
Exchange Program available to those who need it. I firmly believe that having
the largest client base of substance misusers in St Helens has enabled me to
acquire knowledge and vital experience of the issues clients face on a daily
basis, and the challenges they face during the recovery process. Part of a
100 hour pharmacy attached to the local walk in Centre, I understand the
need to deliver the highest standards of health care to the community,
helping to maintain their health and well-being. As a result of delivering this
service, I understand the importance of recording and securely storing
patient information, as I kept detailed records including Medicine Use
Reviews and the New Medicine Service. Total and complete patient
confidentiality was maintained throughout. In order to ensure the delivery
of the highest standards of service to all patients, it is essential that the
pharmacy team work closely together, maximising good customer service,
as well as improving efficiency. The pharmacy is attached to the walk in
centre, and subsequently we work regularly with distressed, vulnerable and
anxious adults and children. Some of them therefore can occasionally
present us with difficult behavior, which sometimes requires the situation to
be dealt with in a calm and controlled manner. On occasion we have had to
identify situations that need to be escalated to the appropriate authorities to
safeguard our more vulnerable customers. In order to further expand my
role, I have also taken responsibility for the back office organisation. I liaise
daily with a variety of health and other care professionals, including GP's,
hostels, drug treatment facilities and prison services. I ensure that all
electronic records are input and maintained so that we are able to respond
accurately and appropriately to information requests from other professional
bodies that are involved with our customers.

Vaccinations

Many of the job roles within CRI involve employees and sessional staff working with various service users
and clients, therefore depending on the job role vaccinations for various illnesses are recommended.

Have you had a tetanus injection? Yes – 10/10/15

If yes, please give the date of your most recent one.
 Have you had a BCG vaccination (for the prevention of tuberculosis)? Not applicable as no
If yes, please give the date longer in national
routine vaccination
schedule.
Have you had a Hepatitis B vaccination? Yes – 10/10/15
If yes, please give the date

Declaration

To my knowledge the information above is correct. I understand that if I am appointed and this information
is found to be inaccurate this may affect my continued employment with CRI.

SIGNATURE DATE
C.Turner 17/11/15