SNE CARE JOB APPLICATION FORM INTERNATIONAL

Application Form

By completing this form you are confirming that you have a minimum of at least 6 months care experience of working in a health care setting and you are able to evidence it. Please note we ONLY accept candidates who hold a valid licence and have driving experience and should be able to drive to work once they are offered employment.
Name of applicant*

First NameMiddle NameSurname
Title*

MrMsMrsMissOther
Job position applied for?*

Care workerSenior carerCare co-ordinatorManagerAdministratorOther

PLEASE CONFIRM YOU HAVE THE REQUIRED DOCUMENTATION FOR YOU TO CONTINUE COMPLETING THE FORM.

	YES
VALID PASSPORT
DRIVER'S LICENCE
POLICE CLEARANCE/ DBS
TB TEST
IELTS TEST / ECTIS
COVID VACCINATION
CARE TRAINING
BIRTH CERTIFICATE
PROOF OF ADDRESS

PLEASE UPLOAD YOUR CV ( if you do not upload your CV your application will not be considered)*

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Address*

Street Address

Street Address Line 2

CityCounty / Country

Post Code / Country if post code is not applicable
Email*
example@example.com
Telephone number
Mobile Number*
National insurance Number (if applicable)
DRIVING LICENCE

Do you have a full driver's licence

	YES	NO
DRIVER'S LICENCE
EXPIRED

How many years driving experience do you have?*
Please give details about any endorsements on your licence.
Are there any restrictions on you taking up Employment in the UK?*

YesNo
If you have answered "YES" please explain.
EDUCATION ( please list names of schools, college and universities you have attended)*
Please list qualifications and certificates you have achieved to date.*
ATTACH CERTIFICATES BELOW
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Employment History (please complete in full)
(1) Name of current / latest employer*

First NameLast Name
Company or organisation name*
Address*

Street Address

Street Address Line 2

CityCounty / country

Post Code / Country if post code is not applicable
Email address*
example@example.com
Contact number*
Dates of employment (from)*

MonthDayYear
Date
Dates of employment (to)*

MonthDayYear
Date
Are you still employed at this current job?*

YesNo
Job title*
Give details of duties you completed in this role*
Rate of pay*
Reason for leaving*
Did you give notice?*

YesNo
If you answered "NO" please explain.
Please confirm if this has been your only employment since you reached the working age (If you have answered "NO"please complete your employment history below stating all your other previous jobs:*

YesNoOther
(2)Name of previous employer / other employer if you a second job*

First NameLast Name
Company or organisation name*
Address*

Street Address

Street Address Line 2

CityCounty / country

Post Code / Country if postcode is not applicable
Email address*
example@example.com
Contact number*
Dates of employment (from)*

MonthDayYear
Date
Dates of employment (to)*

MonthDayYear
Date
Job title*
Give details of duties you completed in this role?*
Rate of pay*
Reasons for leaving*
Did you give notice?*

YesNo
If you answered "NO" please explain
(3) Name of previous employer*

First NameLast Name
Company or organisation name*
Address

Street Address

Street Address Line 2

CityCounty / Country

Post Code / Country if post code is not applicable
Email address*
example@example.com
Contact number*
Dates of employment (from)

MonthDayYear
Date
Dates of employment (to)

MonthDayYear
Date
Job title*
Give details of duties you completed in this role?*
Rate of pay*
Reason for leaving*
Did you give notice*

YesNo
If you answered "NO" please explain
(4) Name of previous employer

First NameLast Name
Company or organisation name
Address

Street Address

Street Address Line 2

CityCounty / Country

Post Code / Country if post code is not applicable
Email address
example@example.com
Contact number
Date

MonthDayYear
Date
Dates of employment (from)

MonthDayYear
Date
Dates of employment (to)

MonthDayYear
Date
Job title
Give details of duties you completed in this role?
Rate of pay
Reason for leaving
Did you give notice?

YesNo
If you answered "NO" please explain
Please confirm if you have any employment gaps?*

YesNo
If you have answered NO please please explain below any gaps in employment with reasons and dates from and up to when you you where in and out of employment.*
Are you a current member of any professional bodies (Yes/No)
Are you going to continue any employment when you join us?

YesNo
If you answered "YES" please give details.
Please gives details of your preferred hobbies and interests
REFERENCES ( provide 2 reference details below, they must be previous employers or tutors if you have not been in employment or are at college or university) Please note for professional references we accept reference emails with a company name only )

The First Reference must be a last employer and UK based, if this cannot be sourced and it is an overseas reference, they must have a professional email address and confirm they are an employer with a letter head document sent to confirm reference.
Title

MrMrsMissMs
Name*

First NameLast Name
Name of organisation or company *
Address*

Street Address

Street Address Line 2

CityCounty / Country

Post Code / Country if post code is not applicable
Email address*
Contact Number *
Position held*
May we approach the above prior to interview?*

YesNo
Title

MrMrsMissMs
Name*

First NameLast Name
Name of organisation or company *
Address*

Street Address

Street Address Line 2

CityCounty / Country

Post Code / Country if post code is not applicable
Email address*
Contact Number *
Position held*
May we approach the above prior to interview?*

YesNo
GENERAL COMMENTS -Please detail here your reasons for this application, your main achievements to date and the strengths you would bring to this post. Specifically, please detail how your knowledge, skills and experiences meet the requirements of this role.*
CRIMINAL RECORD -Please note any criminal convictions except those 'spent' under the Rehabilitation of Offenders Act 1974. If none please state. In certain circumstances employment is dependent upon obtaining a satisfactory Disclosure & Barring Certificate from the Disclosure & Barring Service / Disclosure Scotland. ( if you have no convictions please record (NO) below.*
Declaration
1. I confirm that the information provided in this application is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered.*

YesNo
2 Should we require further information and wish to contact your doctor with a view to obtaining a medical report, the law requires us to inform you of our intention and obtain your permission prior to contacting your doctor. I agree that the organisation reserves the right to require me to undergo a medical examination. In addition, I agree that this information will be retained in my personnel file during employment and for up to six years there after and understand that information will be processed in accordance with the Data Protection Act.*

YesNo
I agree that should I be successful in this application, I will, if required, apply to the Disclosure & Barring Service/Disclosure Scotland for a Disclosure & Barring Certificate. I understand that should I fail to do so, or should the disclosure not be to the satisfaction of the company any offer of employment may be withdrawn or my employment terminated.*

YesNo
Signature*

Clear
EQUAL OPPORTUNITY MONITORING

We are an equal opportunity employer. The aim of our policy is to ensure that no job applicant or employee receives less favourable treatment because of age,disability, gender reassignment, marriage and civil partnership, pregnancy or maternity, race, religion or belief, sex or sexual orientation. Our recruitment selection criteria and procedures(including the areas or media sources which are used in the recruitment process) are frequently reviewed to ensure that individuals are selected,promoted and treated on the basis of their relevant merits and abilities and that no applicant or employee is disadvantaged by provisions, criteria or practices which cannot be shown to be justified. To ensure that this policy is fully and fairly implemented and monitored, and for no other reason, would you please provide the following information:
I would describe my Gender a group as:(Please select )*

FemaleMalePrefer not to say
Sexual orientation:*

Gay Man/HomosexualBisexualHeterosexual/ straightGay Woman/LesbianPrefer not to say
Religion or belief:*

No religionAtheistChristianMuslimSikhBuddhistJewishPrefer not to sayOther
ETHNIC ORIGIN
Asian or Asian British

BangladeshiIndianPakistaniPrefer not to sayOther
Black

AfricanCarribeanBritishWelshScottishIrishPrefer not to sayOther
White

BritishEnglishIrishScottishWelshPrefer not to sayOther
Mixed

Black and white CaribbeanBlack and White AfricanAsian and WhitePrefer not to sayOther
Chinese or Other ethnic group

ChinesePrefer not to sayOther
Do you consider yourself to have a disability under the Equality Act 2010?In the Act, a person has a disability (1) if they have a physical or mental impairment and (2) if the impairment has a substantial and long-term adverse effect on their ability to perform normal day-to-day activities.*

YesNoPrefer not say
If you have answered "YES" please give details.
Signature*

Clear
DBS INFORMATION
Attach copy of current DBS if you have (must be within 3years) or Police clearance certificate

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Have you been known by any other names?*

YesNo
If "YES" Please give details
Dates known by other name from

MonthDayYear
Date
Dates known by other name to

MonthDayYear
Date
Date of birth*

MonthDayYear
Date
Town of birth*
Country of birth*
Full Driver's Licence number
Expiry date
Do you hold a valid passport*

YesNo
Passport number
Expiry date
Nationality
Country of issue
Please give your 5 year address history
Current Address*

Street Address

Street Address Line 2

CityCounty / Country

Post Code / Country if post code is not applicable
Dates at the address above from*

MonthDayYear
Date
Dates at the above address to

MonthDayYear
Date
Please confirm if you are still living at this address (YES / NO)*
Previous Address2

Street Address

Street Address Line 2

CityCounty / Country

Post Code / Country if post code is not applicable
Dates at the above address from

MonthDayYear
Date
Dates at above address to

MonthDayYear
Date
Previous Address3

Street Address

Street Address Line 2

CityCounty / Country

Post Code/ Country if post code is not applicable
Dates at above address from

MonthDayYear
Date
Dates at the above address to

MonthDayYear
Date
Previous Address4

Street Address

Street Address Line 2

CityCounty / Country

Post Code / Country if post code is not applicable
Dates at above address from

MonthDayYear
Date
Dates at above address to

MonthDayYear
Date
Do you have any convictions

YesNo
If you answered "YES" please give details
INTERVIEW QUESTIONS
Why do you want this job?*
Explain about your character that makes you a good candidate for this job?*
Tell us about the most recent problem you had with a co-worker , if you have not create a scenario. How did / would you handle it?*
Priorities often change suddenly throughout the day. If you are asked to quickly do another task, how does that affect your mood? What if it's the third time before noon?*
How would you respond when you find another employee stealing or being abusive to client or colleague?*
Do you have care work experience?*

YesNo
If you have answered "YES" Can you give examples of 2 different health conditions that clients you have looked after before had and explain how you supported the person.
Can you explain how you would react to the following scenarios? You arrive at a client's home and you notice that the door is wide open and you can not see the client where they normally are whenever you visit, what would your plan of action be?
You visit a client and find them on the floor, they are losing a lot of blood but conscious, Explain what would you do and in what order would you do it?
In this job role you would be required to administer medication. If you visit a client and you cant find one or all of their medicines what steps would you take to ensure you do not leave the client's home without administering their medications?
Please explain your understanding of safeguarding vulnerable individuals and give examples of different types of abuse?
Do you have reasons that affect your flexibility to work? If "YES" please explain and times you are unable to work?
What are your career prospects?
Over the last 3 years how many jobs have you had? And why?
The job requires a lot of continuous development, when requested to do this will you be willing to do so?

YesNo
Do you drive?

YesNo
If you don’t drive are you able to use public transport to get to and from clients?

YesNo
What are the days that you can work? You will be required to work one weekend in one weekend out.

MondayTuesdayWednesdayThursdayFridaySaturdaySundayBank holidayOne weekend in one weekend outEvery weekendOther
If its a current or previous employee please provide the full name of the employee.
How did you hear about SNE?

IndeedCurrent Sne staff memberEx- Sne staff memberWord of mouthWebsiteFacebookOther
Are you related / or known to anyone who works for SNE care services?

YesNo
In what capacity?
Which of the following describes you?

Sense of humour / SociableNiceEffectiveCaringAttitude (Positive attitude)ResponsibleEfficient
I confirm that all the information i have provided is true.

YesNo
INDENTIFICATION DOCUMENTS ( please send photos or attached your identification documents below, at least 4 of any of the following that is birth certificate, passport ,driver's licence or provisional licence, council tax letter, utility bill gas or water or electric,bank statement front page with address only)If you are applying as TIER 2 skilled worker also attach the following documents: English IELTS, TB test, Police clearance, Covid-19 vaccination certificate.
PASSPORT*

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DRIVER'S LICENCE*

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BIRTH CERTIFICATE

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PROOF OF ADDRESS (UTILITY BILL / BANK STATEMENT)*

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DBS / POLICE CLEARANCE CERTIFICATE*

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IELTS / ECTIS certificate*

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BIOMETRIC ( BRP)

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TB TEST CERTIFICATE *

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COVID-19 VACCINATION CARD / CERTIFICATE*

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UNIVERSITY LETTER IF APPLICABLE

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Signature*

Clear
SNE (SUPPORTING & NURTURING individuals EQUALLY) Ground rules)

Be on time for work as per rota– be punctual.

Please be aware that you will be working unsociable hours from and between 6:45am and 9:30pm, you will be working weekends and bank holidays.

Always ask permission if you need to use anything that belongs to the service user e.g. their landline or toilet.

Before attending to any service user ensure you read support plan,risk assessments and moving and handling assessment and all necessary documents in the client's electronic profile on Birdie application.

Ensure that you wear the correct uniform colours to work. Black trouser and blue tunic or white / blue polo and black shoes.

Ensure hair is tied in a pony style or is short to avoid being pulled or getting into food.

Ensure nails are short and nail varnish removed- to avoid scratching and tearing.

Avoid unnecessary use of service user’s toilets but if you do need to, please ask for their permission.

Ensure shoe laces tied and wear full feet covering safe shoes to avoid injury from work equipment such as hoist. Always have your shoes on when in clients' houses.

Ensure mobile phones are on silent or vibrate when in SERVICE USER’s house. DO NOT USE YOUR PHONE IN A SERVICE USER’S HOUSE unless its work related. Do not be on social media , do not take any photos or videos for clients or do any voice recordings unless authorised by the Registered manager and if the client has consented.

Remember if the manager has emergency they want to address with you they will call on service user’s landline or call at least twice. You need to first consider the safety of the client before attending to the phone call.

Always communicate in English / language that the client understands when you are with the service users either in their home or during community activities with them.

Always communicate in English when in the presence of other staff members, not to do so is unprofessional and RUDE and will not be tolerated.

Do not attempt to do something you have not been supervised or trained to do or use equipment you have not been shown how to use.

When unsure always ask and FOLLOW INSTRUCTIONS AND ENSURE YOU HAVE UNDERSTOOD WHAT YOU HAVE BEEN ASKED TO DO.

If you are being driven it is your responsibility to know where you are going for you shifts unless it’s your first time in the area. You are responsible for ensuring you arrive to clients at specified times on your rota and if there are delays where you are running late you must therefore contact clients inadvance.

Ensure you mobile number is set on private whenever you call service users when you are running late. And there must be no contact between yourslef and the clients out side working times scheduled for you to see them.

You are required to respect and follow directives from your superiors.

Any unreported issues of abuse that you may encounter and do not report means you are accountable.

You are required to comply with daily / weekly COVID-19 testing requirements.

Ensure you understand your contract and company policies.

AS A CARE WORKER YOU ARE REQUIRED TO ADMINISTER MEDICATION WHICH IS A VERY CRITICAL TASK AND THEREFORE YOU MUST ENSURE YOU DO NOT LEAVE A CLIENT WITHOUT ADMINISTERING THEIR MEDICATION.

ALWAYS REMEMBER YOU ARE RESPONSIBLE FOR THE ACTIONS YOU TAKE AND THOSE YOU DO NOT TAKE (DUTY OF CARE).
I confirm that i will abide by the ground rules

YesNo
Due to the number of applications we may not always be able to respond to unsuccessful candidates. We will retain your information for 12 months should there be any opportunities in the future. If do you not want us to retain your information following an unsuccessful interview please email us at: enquiries@sne-care.co.uk
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Application Form

DRIVING LICENCE

ATTACH CERTIFICATES BELOW

Employment History (please complete in full)

REFERENCES ( provide 2 reference details below, they must be previous employers or tutors if you have not been in employment or are at college or university) Please note for professional references we accept reference emails with a company name only )

Declaration

EQUAL OPPORTUNITY MONITORING

ETHNIC ORIGIN

DBS INFORMATION

Please give your 5 year address history

INTERVIEW QUESTIONS