Glen Caring Application 01

  • Application for Employment

    Private & Confidential. Once you complete and submit this form, it will be sent to the HR Manager at Glen Caring Services.

  • Job Title: add job title here

    Job Reference No: 01

  • General Details

  • Job Type*
  • Rows
  • Current Driving License?*
  • Full Access to a Car?*
  • Are there any restrictions on you taking up employment in the UK?*
  • Are there any restrictions on you taking employment with vulnerable adults?*

  • EDUCATION

  • EMPLOYMENT

    (please start with most recent employment )
  • Start Date*
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  • End Date*
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  • Start Date*
     - -
  • End Date*
     - -
  • Start Date*
     - -
  • End Date*
     - -
  • Start Date
     - -
  • End Date
     - -
  • Start Date
     - -
  • End Date
     - -

  • LEISURE

  • GENERAL COMMENTS

  • Criminal Records Check 

  • Because of the nature of the work for which you are applying, this post is exempt from the provision of Section 5(2) of Rehabilitation of Offenders (Northern Ireland) Order 1978, by virtue of The Rehabilitation of Offenders (Exceptions) Order (Northern Ireland) 1979, this means that all spent convictions must be disclosed and will be taken into account in deciding whether to make an appointment. Having a criminal record will not necessarily bar an applicant from working for us.

    Due to the job in which you are applying for you are required to submit an Enhanced Barred List check which will be carried out by Access NI. All information received will be kept strictly confidential.

  • Do you consent to us obtaining all necessary information in connection with this application for employment?*
  • Have you ever been convicted of a criminal offence?*

  • References

    Please provide names and addresses of 2 referees, both of which must be a current and 2nd most recent employer (if possible), and who are not related to you, who we can approach for a confidential assessment of your suitability for this job.

  • Because this position involves providing care to vulnerable adults your employment with us is depending on the following:-

    • An Enhanced with Barred List check Disclosure being returned and accepted by the company.
    • Proof of identity including – Birth Certificate, Passport or driving licence, NI number and a utility bill that has been dated within the past 3 months.
    • Two satisfactory written references.
    • An accepted explanation for any gaps in your employment.
    • Two passport pictures of yourself
    • Evidence of physical or mental suitability for your work

     

    Declaration by Applicant

    I confirm that all of the information I have provided is correct.

    I understand that any false information or deliberate omissions disqualify me from employment or may render me liable to dismissal.

  • Date*
     - -

  • DECLARATION OF HEALTH – CONFIDENTIAL

  • Rows
  • 3. Would you be interested in availing of an Aids, HIV and Hepatitis vaccination?

  • I declare that, to the best of my knowledge and belief, the answers I have given are true.

     

  • Date
     - -
  • Image field 119

  • Monitoring Information Confidential Form

  • Glen Caring Services is an Equal Opportunities Employer & works in accordance with Fair Employment & Treatment (N.I) Order 1998; we are required to ask you to complete this monitoring form

    The information provided in this document will be treated in the strictest of confidence & protected from misuse. It will be used only for the purpose of monitoring our equal opportunity employment policy

  • 1. Please indicate your religion or the religion to which you would be perceived to belong by marking the appropriate category below:*
  • 2. Please indicate your gender by ticking or x marking the appropriate category below:*
  • 3. Please describe your ethnic origin by marking the appropriate category below:*
  • 4. The Disability Discrimination Act 1995 defines a person as having a disability if he or she has a physical or mental impairment which has a substantial and long term adverse effect on his or her ability to carry out normal day-to-day activities. Do you consider yourself to have such a disability?*

  •  Glen Caring

    14 Mountjoy Road, Omagh, Co.Tyrone BT797AD
    t. 028 82252666 

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