JOB APPLICATION FORM

About our Recruitment Process
If you have a disability, which makes it difficult to complete this document or to participate in any part of our recruitment process, please contact us and we will be happy to discuss reasonable adjustments which can be made to assist you.
Position applied for:
Job vacancy number:
Establishment:

1: About you
Title:
Forename(s)
Surname
Home Telephone
Please enter a valid phone number.
Work Telephone
Please enter a valid phone number.
Mobile
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you hold a current driving licence?

YesNo
Do you have the right to work in the UK?

YesNo
Are you over 18?

YesNo
If teacher, give DfES reference number:
If nurse, give NMC reference number:
National Insurance Number:
At interview you will be asked to produce documentary evidence (for example P45, P60, NI Card, EU Passport and Home Office Passport endorsement stamp.

3: Who have you worked for in the past?
Use the table below to tell us about your work experience starting with the most recent, prior to your current employer. Remember include any voluntary work experience you have. Please also explain any gaps in your employment history.

5: Why do you think you are suited to this job?
Use as much of the space as you wish to explain how well you match the qualities needed to do this job. You can find these qualities on the job description.

6: References

Please give the name of your current and most immediate employer who is not related to you.If you only have one work referee, your second referee may be a character referee who is not related to you. If you have no previous work experience, you may use your Head Teacher or Tutor’s names, and your second referee should be a character referee who is not related to you.

If neither of the above is your present employer please give reasons:
Please confirm whether references (including telephone references) may be taken up without further approval?

YesNo

7: Declaration
Signature of this document indicates that you have read the job description and any other information issued relating to the vacancy and can confirm that, if your application is successful, you would be able, after any reasonable adjustments required under Equality Act, to perform all tasks required for the proper performance of the role you are applying for. In addition it indicates that all the information given by you is accurate. Incomplete or misleading information may, on discovery, result in summary dismissal.
Signature:

Clear
Date:

DayMonthYear
Date
Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975

Due to the nature of the work we use the Criminal Records Bureau’s Disclosure Service to make checks at an enhanced or standard level (depending on the job applied for) on all persons offered employment with the home/hospital.

General Data Protection Regulations

Personal information will be collected and processed by the Company in the course of the recruitment process in accordance with the terms of the Company’s Privacy Notice (a copy of which can be found on the Company’s website)

8. Previous Addresses

Please provide previous addresses to cover the last 5 years if applicable stating MM/YY of moving into each address with no gaps. If you have lived at your current address for over 5 years please can you provide the date you moved in below (MM/YY)This information is required.
Dates (from)*

DayMonthYear
Date
Dates (to)*

MonthDayYear
Date