MMOV CARE (Valour) - Employment Application Form

Employment Application Form:

MMOV CARE - (Social & Health Care)
MMOV CARE (Social and Health Care Organisation)

Square Root Business Centre, 102-116 Windmill Road, Croydon, Surrey CR0 2XQ

T: 0800 073 1325
W: www.mmov-care.org

Office hours: 0800 073 1325 9am to 5pm
Out of Office hours: 07958 770 779

Registered by CQC on: 1 October 2025

The provider ID for Mighty Men of Valour is 1-7348218715

Mighty Men of Valour - Company Registered in England No: 05515628

CHARITY REGISTRATION NO: 1128154
- Winner: The Civic Mayor of Croydon Awards - May 2025: Certificate of Recognition - 20 Years Service by Organisations: Businesses, Voluntary and Community Groups
- Nominated: Croydon Business Resilience Awards 2021
- Nominated: BAME Apprenticeship Awards 2020
- Winner: All ages Family Safety Challenge 2018
- Winner: Croydon Mayor's Civic Awards - Civil Life Award 2013
MMOV & Valour Youth Safeguarding Statement

We will seek to keep children and young people safe by:
- recruiting and selecting staff and volunteers safely, ensuring all necessary checks are made
- using our safeguarding children and adults protection procedures to share concerns and relevant information with agencies who need to know, and involving children, young people, adults, parents, families and carers appropriately
- using our procedures to manage any allegations against staff and volunteers appropriately
- providing effective management for staff and volunteers through supervision, support, training and quality assurance measures so that all staff and volunteers know about and follow our policies, procedures and behaviour codes confidently and competently
- making sure that children, young people, adults and their families know where to go for help if they have a concern
- using our procedures to manage any allegations against staff and volunteers appropriately
- ensuring that we have effective complaints and whistleblowing measures in place
- ensuring that we provide a safe physical environment for our children, young people, staff and volunteers, by applying health and safety measures in accordance with the law and regulatory guidance
- building a safeguarding culture where staff and volunteers, children, young people, adults and their families, treat each other with respect and are comfortable about sharing concerns.
We believe that:
- children, young people and adults should never experience abuse of any kind
- we have a responsibility to promote the welfare of all children, young people, and adults to keep them safe and to practise in a way that protects them.
We recognise that:
- the welfare of children and adults are paramount in all the work we do and in all the decisions we take
- all children and adults, regardless of age, disability, gender reassignment, race, religion or belief, sex, or sexual orientation have an equal right to protection from all types of harm or abuse
- some children and adults are additionally vulnerable because of the impact of previous experiences, their level of dependency, communication needs or other issues
- working in partnership with children, young people, adults and their parents, carers and other agencies is essential in promoting young people’s welfare.
Our procedures cover:
- recruiting the right people to volunteer or work with children and adults
- managing concerns about or allegations made against staff or volunteers
- codes of conduct for all staff and volunteers
- making sure all our activities and events are run safely
- whistleblowing and complaints.
Personal Information:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty - UK

PostcodeCountry
Mobile Phone Number *
e.g. 07958 770 770
Phone Number

Area CodePhone Number
Email Address
example@example.com
Date of Birth

DayMonthYear
National Insurance Number*
NI Number
Gender*

MaleFemalePreferred not to sayOther
Marital Status*

SingleMarriedPreferred not to sayOther
How did you hear about the Employment Opportunity*

Word of MouthFriend/FamilyIndeedRadioJob CentreAgencyOther
Do you have a Clean Full UK Driving License?*

YesNo
Do you have a car for public/business use?*

YesNo
Position Applying For:
Position Applying For*
Date You Can Start

DayMonthYear
Have you applied for this position before?

YesNo
Are you in Sponsored employment?*

YesNo
Are you limited to work 20 hours because of visa status?*

YesNo
Advertised rate of pay?
When are you available to work?

Week Days - Monday to Friday (AM)Week Days - Monday to Friday (PM)Week Day - Evenings (3pm onwards)Saturday (AM)Saturday (PM)Sunday (AM)Sunday (PM)
Please state other specific days or times you are available?
Working Time Regulation confirmation:

(check your right to work legally and safely)
What is Working Time Regulation Confirmation:

A Working Time Regulation confirmation is the part of an application or recruitment process where the applicant formally confirms how many hours they are willing and legally able to work under the Working Time Regulations 1998 (WTR).

The Working Time Regulations set legal limits on:
- Maximum weekly working hours (normally 48 hours per week)
- Rest breaks between shifts
- Night work limits
- Paid annual leave
In many job applications—especially in health & social care—applicants are asked to confirm their working time choice, which becomes “evidence” that:

1. They understand their rights under the Working Time Regulations, and

2. They either agree to stay within the limits

OR

3. choose to opt out of the 48-hour weekly limit.

This confirmation protects both the employer and the applicant legally.
Do you understand your rights under the Working Time Regulations?*

Yes
Do you agree to stay within the limits*

YesOR choose to opt out of the 48-hour weekly limit
Right to Work & Share Code Verification:

(check your right to work legally and safely)
Right to Work & Share Code Verification:

At MMOV Care, we are committed to safer recruitment and ensuring that every member of our team has the legal right to work in the United Kingdom.

As part of the onboarding process, all staff must complete a Right to Work check.

For many applicants, this includes providing a Share Code through the UK Government’s online immigration status service.
Are you eligible to work in the UK?*

YesNo
Do you have a Share Code (is a secure, 9-character code generated on the UK Government Website)’?*

YesNo
If yes, please provide secure, 9-character code
GAPS in your employment :

(check your right to work legally and safely)
Are there any GAPS in your employment that we should be aware of?*

YesNo
If YES, can you please state any GAPS in your employment that we should be aware of below?
DBS and Update Service:

(check your right to work legally and safely)
Do you have a Clean and Current DBS?*

YesNo
What is your DBS Number (all numbers - no letters):*
DBS certificate has a 12-digit certificate number
What is the date of Issue of you DBS Certificate:*

DayMonthYear
Date
Please attach DBS to this form*

Upload a File
Copy of DBS Cancelof
Is your DBS register on the update system?*

YesNo
Do you give MMOV and Valour Youth permission to check your DBS on the Update system?*

YesNo
What is your update Service subscription ID?*
The ID begins with “C” followed by 10 numbers (e.g. C0123456789)
What is the expiry date on your DBS update Service subscription ID?*

DayMonthYear
Date
Do you give MMOV and Valour Youth permission to do a list 99 check to be done on you every year?*

YesNo
Health Declaration:

This form is required to ensure staff are medically fit for work involving children and adults with disabilities, in line with safer recruitment, health & safety, and regulatory requirements. All information is confidential and processed under GDPR.
Do you consider yourself disabled?*

YesNo
Are you fit to work?*

YesNo
Workplace Adjustments (Equality Act 2010). Do you require reasonable adjustments?*

YesNoIf Yes, Details (equipment, hours, duties, etc.): please indicate this prior to interview.
If yes, what is your disability and can you provide details (equipment, hours, duties, etc.): please indicate this prior to interview.
Equipment, hours, duties, etc.
Do you have any special needs or requirements that would affect your employment we should be aware of?*

YesNo
Are you currently taking any medication for your health?*

YesNo
Are you required to take medication during working hours?*

YesNo
Do you have any medical conditions that may affect your ability to carry out your role safely?*

No
Do you take medication that may impact alertness, concentration, or physical ability?*

YesNo
Are you currently taking any medication that has any side affects like drowsiness etc?*

YesNo
Have you ever had a history of using illegal drugs or alcohol abuse?*

YesNo
Do you have any allergies?*

YesNo
Any recent infectious illnesses?*

YesNo
Any recent communicable disease exposure?*

YesNo
Do you have any mental health conditions?*

YesNo
Do you have any allergies?*

YesNo
Do you have any other health conditions that we should be aware of?
Joints, back, knee, heart, breathing problems?
GP / Medical Practitioner Details:

All information is confidential and processed under GDPR.
Full Name - GP / Medical Practitioner Details*

First NameLast Name
Address - GP / Medical Practitioner Details*

Street Address

Street Address Line 2

CityCounty - UK

Postcode
Equal Opportunities

All information is confidential and processed under GDPR.
Equal Opportunities

White BritishWhite IrishWhite OtherCaribbeanUK CaribbeanCaribbean OtherAfricanUK AfricanAfrican OtherBlack Other
UK IndianIndianIndian OtherPakistaniBangladeshiChineseAsian OtherOther background
Emergency Contact Information:

All information is confidential and processed under GDPR.
Full Name - Emergency Contact Information*

First NameLast Name
Mobile Phone Number *
e.g. 07958 770 770
Work Phone Number

Area CodePhone Number
E-mail
Education:

Secondary, College, University, Professional - Education & Training
Secondary School
Name of Secondary School Attended
Number of Years Attended
List qualifications
List any qualifications achieved
College (if none, state N/A)*
Name of College Attended
Number of Years Attended
Area of Study
List qualifications
List any qualifications/skills achieved
Graduate School (if none, state N/A)*
Name of Graduate/University Attended
Number of Years Attended
Area of Study/Degree
List qualifications
List any qualifications/skills achieved
Trade School/ Professional/ Other (if none, state N/A)*
Name of Trade/Technical/Professional/Other School Attended
Number of Years Attended
Area of Study
List qualifications
List any qualifications/skills achieved
Skills/Qualifications:

Qualifications, Skills and Experience
Do you have following MANDATORY QUALIFICATIONS?*

Care CertificateSafeguarding Level 2Emergency First Aid Practical CourseOliver McGowen CourseMedication TrainingOther
Please attach Evidence of MANDATORY QUALIFICATION to this form*

Upload a File
Care Certificate Cancelof
Please attach Evidence of MANDATORY QUALIFICATION to this form

Upload a File
Safeguarding Level 2 Cancelof
Please attach Evidence of MANDATORY QUALIFICATION to this form

Upload a File
Emergency First Aid Practical Course Cancelof
Please attach Evidence of MANDATORY QUALIFICATION to this form

Upload a File
Oliver McGowen Course Cancelof
Please attach Evidence of MANDATORY QUALIFICATION to this form

Upload a File
Medication Training Cancelof
Skills
List any relevant skills
Qualifications
List any relevant certifications or qualifications
Additional Skills/Qualifications:
Have you worked with Children With Disabilities before?*

YesNo
Have you MENTORED children before?*

YesNo
Why do you want to be a Mentor or Support Worker?
Have you worked with children with Challenging Behaviour before?*

YesNo
Give examples of how you have supported Children with Challenging Behaviour?
State THREE KEY or MOST IMPORTANT prorities when working with Children or Vulnerable Adults?*
What do you think is the MOST important aspect of working with Children or Adults?
Current Employment:

Experience
Current Employer
Name of Current Employer or NONE if not Employed
Position
Salary/rate of pay
Reason for Leaving?
Start Date

DayMonthYear
End Date

DayMonthYear
Date
Can We Contact Them?*

YesNo
Previous Employment:

Experience
Previous Employer
Name of Previous Employer
Position
Salary/rate of pay
Reason for Leaving?
Start Date

DayMonthYear
End Date

DayMonthYear
Previous Employer
Name of Previous Employer
Position
Salary/rate of pay
Reason for Leaving?
Start Date

DayMonthYear
End Date

DayMonthYear
Rehabilitation of Offenders’ information:

Information will be kept confidential and only used for safeguarding decisions.
This disclosure is required because this role involves working with vulnerable people and is exempt under the Rehabilitation of Offenders Act 1974..

This is an opportunity to formally declared your criminal record information in line with the Rehabilitation of Offenders Act (ROA) 1974 and safer recruitment requirements.

Why this Matters especially for MMOV Care, is beacuse MMOV Care works with:
- Children (including those with disabilities)
- Adults with learning disabilities, autism, physical needs, and complex needs
- Regulated activities (personal care, transport, community activities)
These roles are exempt from the Rehabilitation of Offenders Act, meaning applicants must declare all spent and unspent convictions, except protected offences.

Having this information confirmed in the application form helps ensure:
- Safer recruitment compliance
- Transparency before DBS checks
- Compliance with CQC and Legal requirements
- Risk assessment can be completed if needed
Information will be kept confidential and only used for safeguarding decisions.
Do you have any spent or unspent convictions, cautions, warnings, or reprimands?*

YesNo
List any convictions or state “none.” *
Failure to declare may lead to withdrawal of offer or dismissal
“We have obtained the applicant’s offence history declaration correctly and legally.”*

Yes
Safeguarding Questions:
Have you been on a Safeguarding Course within the last 12 months?*

YesNo
Has any child in your household ever been placed at the 'at risk' register?*

YesNo
Has anyone made any Safeguarding allegations against you in relation to misconduct whilst working with Children or Adults*

YesNo
Do you have evidence of satisfactory conduct in previous employment?*

YesNo
How will you provide evidence of satisfactory conduct in previous employment?
e.g. References from HR from previous care or school paid employment in UK
If no, please state the reason you are unable to obtain evidence of satisfactory conduct in previous employment e.g. references from HR from previous care or school paid employment in UK?*
Worked oversea, not prevision UK experience
Health & Safety, etc:

Health & Safety, Equal Opportunities, Data Protection
What do you know about Health and Safety?*
Health and Safety
Explain what you think Equal Opportunities means to you?*
Equal Opportunities
What is your understanding of Data Protection?*
Data Protection
Motivation:

Strengths and Weakness
What are your strengths?*
Do you have any strengths that will support the charity in this role?
What are your weakness?*
Do you have any weakness that you may need to improve in this role?
What motivates you?*
Do you have any weakness that you may need to improve in this role?
Report Writing & Risk Assessments:

Daily Report Writing, Action Plans/Strategies & Risk Assessments
Have you written daily reports in your last/previous roles?*

YesNo
Have you written Action Plans/Strategies for young people or adults?*

YesNo
Have you written Action Plans/Life goal or Goal Setting Strategies for young people or adults?*

YesNo
Have you written risk assessment or safeguarding incident or assessment for a young person/adults*

YesNo
Why do you want to join our staff team?

Why do you want to support our Service User?
What do you know about the work that we do?
Why do you want to join our staff team?
Have you looked at our website?*

YesNo
If employed do you give MMOV permission to take photographs/videos for ID and marketing purposes: Yes / No*

YesNo
References:

Please provide at least one PROFESSIONAL reference from previous School or Care employer
Reference 1
Reference from previous School or Care employer
Relationship
Years Acquainted
Phone
Email
Reference 2
Name of Reference
Relationship
Years Acquainted
Phone
Email
Reference 3
Name of Reference
Relationship
Years Acquainted
Phone
Email
Photo of candidate :

Passport photo of candidate
Photo*

Upload a File
Passport photo Cancelof
Cover Letter & Resume (Optional):
Cover Letter

Upload a File

Cancelof
Resume

Upload a File

Cancelof
Do you consent to MMOV/WOV/Valour Youth holding and using your personal data for internal use .*

YesNo
Send Application:
Declaration

I certify that, to the best of my knowledge the information I have given on this form is true and accurate. I understand that if the information I have supplied is false or misleading in any way it will automatically disqualify.

By clicking the submit button below, I cerity that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compenstation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.

I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.
Signed *

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Date*

DayMonthYear
Date
Ver.3 - updated: 28.11.2025
Should be Empty:

Employment Application Form:

Personal Information:

Position Applying For:

Working Time Regulation confirmation:

Right to Work & Share Code Verification:

GAPS in your employment :

DBS and Update Service:

Health Declaration:

GP / Medical Practitioner Details:

Equal Opportunities

Emergency Contact Information:

Education:

Skills/Qualifications:

Additional Skills/Qualifications:

Current Employment:

Previous Employment:

Rehabilitation of Offenders’ information:

Safeguarding Questions:

Health & Safety, etc:

Motivation:

Report Writing & Risk Assessments:

Why do you want to join our staff team?

References:

Photo of candidate :

Cover Letter & Resume (Optional):

Send Application: