Nomination Form for Aspirant Directors – Ready Now – South West Regional Talent Board Application Form

Application-ID
Privacy Agreement
Any information you provide in completing this application will be stored and processed in accordance with our Data Privacy Policy which you are required to read and accept before completing your application.
Please check the box below to accept our Data Privacy Policy Required

I confirm I have read and accept the Academy’s Data Privacy Policy

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Contact Details
Name Required

First Last
Email Required

Your primary email address
Post Code Required

Your home post code
Phone Required

Your main telephone number with international dialing code and extension if necessary

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Nomination
How were you nominated for the Aspire Together Talent Pool: Aspirant Directors? Required

I put myself forward
My organisation nominated me
Which talent pool are you applying for?

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Job Role
Please enter the details of your current main job role.
Organisation Required
Country Required

Please select your country
Organisation Type Required

Please enter the type of organisation
New Organisation
Hidden section that is only shown when the organisation is unknown
Organisation Name Required

Please enter the name of the organisation
Organisation Post Code Required

Please enter the post code of the organisation
Is this an NHS organisation? Required

Yes
No
Does this organisation provide any NHS-funded care? Required

Yes
No
Don't know
Role Required
Job Title Required

Please enter your job title
Salary/Band Required

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Nominated Senior Leader
Please provide the details of your Nominated Senior Leader (this may be your line manager). This person should be operating at board / governing body level. If you are invited for interview your Nominated Senior Leader will be asked to complete an assessment of you in preparation for your assessment day. If you do not have a senior nominated leader, please skip this page
Name

First Last
Email
Phone
Role
Job Title

Please enter your nominated senior leader's job title

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Career Conversation

As part of the nomination process, we highly recommend that individuals have discussed their career aspirations with a senior leader (someone typically working at an executive level or equivalent).

It is important to remember that a career conversation is not a performance management discussion and should be a jointly agreed process.

We suggest you follow these steps:
- Hold a career / talent conversation using your organisation’s talent management processes and tools or, those produced by the Leadership Academy with your ‘Nominated Senior Leader’ (board / governing body executive director or equivalent). You can access the NHS Leadership Academy Talent Management Guide below:
- Consider your skills, knowledge and experience against the Success Profile such that where possible you can both agree you are ready to be assessed for a board / governing body executive director level role. Please note that we do not expect you to have all of the competencies and experiences listed in the Success Profile and understand that we need different styles and types of leadership. We'll be looking for those who understand the board / governing body executive director role, have a good range of experience and demonstrate a range of strengths in the competencies.
Please note below whether you were able to hold a career conversation and which talent conversation tool you used.
Write your answers here Required

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Supporting documents
Please upload the following documents: Required
- Your completed Nomination Form - Part B (Mandatory)
- Your completed CEO sign-off (Optional)
Drop files here or

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Equality & Diversity
We hold the principles of equality and inclusion at the heart of everything we do and all that we stand for. Each programme is held to account for its inclusion practice through a review of anonymised statistics based on this data. Your equality and diversity data is not used to determine the success of your application. This data is stored securely in compliance with the General Data Protection Regulation (GDPR) 2016. The Regional Talent Boards are committed to improving equality, diversity and inclusion in talent management across the NHS. By answering these questions, you are helping us to ensure that we work in a way that reduces discrimination on the basis of race, gender, sexual orientation, disability and other protected characteristics.
Which of the following best describes your gender? Required
Which of the following best describes your sexuality? Required
Do you consider yourself to have a disability? Required

Many people do not consider themselves to be disabled. However under the Disability Discrimination Act 1995 and the Equality Act 2010, you are protected from discrimination if you have a physical or mental impairment or long term health condition, the effects are expected to last – or have lasted – for a year or longer and have a substantial impact on your ability to carry out day to day activities; or your day to day activities would be limited without medication, treatment or adjustments (for example the use of inhalers, physiotherapy, a hearing or visual aid or insulin). Taking this into account, do you consider yourself to have a disability?
Which of the following best describes your ethnic background? Required
Which of the following best describes your religion or belief system? Required

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Agreement
Please check the box below to accept our Terms and Conditions Required

1. I confirm that all the information provided in the Nomination Form is up to date and accurate.

2. My Nominated Senior Leader has agreed to supply an assessment of me and my abilities.

3. I understand that by applying I am identifying myself as an individual looking for a new role in the NHS.

4. I will attend and partake in all elements of the assessment process and understand that not attending or partaking without agreeing extenuating circumstances with the Aspire Together team could mean that I may lose my place to be assessed.

5. I will ensure I provide feedback when asked to do so, recognising that this will help inform future development of the Gateway Assessment Process.

6. If I am assessed as ‘not ready’ for the Talent Pool I understand that I can reapply to the Aspire Together Gateway Assessment Process at a later date and once I have closed my development gaps.

7. I acknowledge I cannot defer my application to a later date.

8. I understand that I need to make my own
arrangement to cover travel costs and subsistence (other than refreshments available at interview).

9. I agree to advise the Aspire Together team as soon as possible if I am successful at interview elsewhere or if I am no longer looking to join the Talent Pool and that this will result in withdrawal from the process.

10. I understand that my information will be used for reporting purposes as part of the NHS Leadership Academies work.

11. I understand that following assessment my contact information and readiness rating will be shared with the Local Leadership Academies who will provide access to coaching and support.

12. If I enter the talent pool NHS Executive Search team will communicate with me following the assessment process regarding career opportunities.

13. I understand my organisation will be advised of my status during the nomination, pre-assessment and assessment outcome stages of this process. This information will be shared unless I specify my reasons in writing to aspire.together@nhs.net that I wish this information be withheld.

14. I understand that if at any time I wish my contact details not to be shared I must advise in writing that I do not wish this to happen. Any requests should be made to: aspire.together@nhs.net

15. I understand that the Aspire Together team will be in touch during the assessment process and post assessment. We may contact you to discuss some of the information contained within this form and only if we feel that we need more detail from you. This will be via the contact details I have shared in this form or otherwise stated.

16. I understand that I may be contacted during the process and following assessment regarding (but not limited to) potential development opportunities and various programmes, workshops, newsletters or networking events which may be of interest to me in developing my career.
I agree to the Terms and Conditions

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Summary
Please check your details and, if correct, submit this form.
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Nomination Form for Aspirant Directors – Ready Now

Nomination Form: Aspirant Directors - Ready Now

Privacy Agreement

Contact Details

Nomination

Job Role

New Organisation

Nominated Senior Leader

Career Conversation

Supporting documents

Equality & Diversity

Agreement

Summary

Problems?