If you attempt to submit this form but do not receive an acknowledgement email, please contact us immediately on appointments@rcn.org.uk so we can confirm whether your submission has been received.

Incomplete forms and forms submitted after the deadline will not be accepted

Part one: Your details

Part two: Your personal statement

The Students Committee provides a voice for the thousands of student nurses who are members of the RCN.

Part three: Your CV

Once you have submitted this form, please also email your CV to appointments@rcn.org.uk stating your name and the role you are applying for.

Please remove any personal data from your CV, including addresses, email addresses and phone numbers.

Part four: Declaration

Eligibility criteria for our roles can be found at the top of this form. Please tick the box to confirm you meet the criteria for the role you are applying for.

Part five: Declaration of interests

You must disclose in advance of submitting your application any potential conflicts and actual or perceived conflicts of interest (including those that are not referred to below).

Please declare the following:

• posts held in the course of employment or practice
• consultancies, directorships or advisory positions in the field of health or social care or in a business with which the RCN might do business
• a position of authority in a charity or voluntary organisation in the field of health and social care
• any public appointments
• membership/Fellowship of other professional bodies and/or specialist societies
• membership of or affiliation to a political party
• any association with other organisations (including other Trade Unions) or individuals which may have an interest or influence in the College’s work.

If any of these represent a conflict under Section 2 of the eligibility criteria in the appointment procedure you will not be permitted to apply for this role.

Part six: Diversity and monitoring information