JOB APPLICATION FORM

Guidance for Applicants

The application form plays a vital role in the selection process, both in deciding whether or not you will be shortlisted for an interview and as a basis for the interview itself. It is therefore important to correctly and honestly complete every page of this application form mentioning all your experience, knowledge, skills and abilities, which are relevant to the job.

Completing the form:

  • Complete your five year address history, providing dates without leaving gaps so that your application is processed quicker
  • You can post the application form using the address provided or you can bring it in person to the office

When submitting your application please bring the following with you:

  • Proof of identity – Passport/Birth Certificate or National Identity Card
  • National Insurance card/letter
  • P45/P60
  • Two proof of address – Utility Bill, bank statement (All dated within the last three months)

Position interested:

Support Worker daysSupport Worker NightsSupport Worker WeekendsSupport Worker Any

Personal details:

Are you permitted to work in the United Kingdom?

Title:

Do you have a full Driving Licence that allows you to drive in the UK?

Do you have access to a car that you can use for work?

Have you ever been banned from driving, or do you have any current endorsements on your licence?

References:

Please provide us with two references, one of whom should be your present or most recent employer

Reference 1

May we contact this reference prior to interview?

Reference 2

May we contact this reference prior to interview?

Education / Qualifications / Training

Please give information about qualifications gained relating to the role you are applying for:*

Five year address history if less than five years at current address:

Address 1

Address 2

Rehabilitation of Offenders Act 1974

The Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 and the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Order 1986 provides that people in employment which is concerned with the provision of care or who carry out their duties wholly or partly on the premises where such provision takes place are obliged to disclose any convictions which would otherwise be spent. The Care Home Regulations provide that people in employment which is concerned with the provision of care or who carry out their duties wholly or partly on the premises where such provision takes place are obliged to disclose any criminal convictions, conditional discharges, bindovers or cautions that they have been subject to at any time in the past.

Have you ever been convicted of a criminal offence or received a Police Conditional discharge, bind-over, caution, warning or reprimand?

Have you ever been issued with a Penalty Notice for Disorder?

Making a false statement or any attempt to conceal information regarding this declaration will lead to the rejection of your application for employment with this company. Any details provided will be treated in the strictest confidence and will not automatically exclude anyone from being considered for any vacancy.

Declaration

I have completed an Application for a Criminal Disclosure and can further state that to the best of my knowledge and belief, there will not be any positive disclosure made that will preclude me from working with vulnerable adults or children.