Application For Employment

Before you start ...

Please note that for this role, you will need to:-

Complete a new DBS, which Jubilee House will pay for, unless you are already on the DBS Update System
Provide two satisfactory references that meet our criteria
Have the correct ‘Right to Work’ status
Gain medical clearance to work in this role, this will be carried out on your behalf

To complete this application, we will require details about your education/qualifications, two references and two forms of ID (if you do not have this to hand right now, we can do that later)

If you are happy with all of the above, please complete the application below.

We look forward to receiving your application and getting to know you!

Thank you

The HR Team

Name *

Prefix First Name Last Name

The Role - Position Applied for

Support Worker Senior Support Worker Waking Night Support Worker Administrator

The Role - Area Applied for

Adult Services Children Services Support Services (HR, Finance, Administration etc)

The Role - What Type Is It

Full Time Part Time Bank

Date of Birth

Day Month Year

Phone Number

Area Code Phone Number

Mobile Number

E-mail Address *

example@example.com

Address *

Street Address

Street Address Line 2

City County

Post Code

Do you have a Drivers Licence *

If yes, do you own your own vehicle?

As this post is classed as having substantial access to children and vulnerable adults, appointment will be subject to the receipt of a satisfactory enhanced disclosure by The Disclosure and Barring Service. Please give details above of any criminal conviction, cautions, or bind over orders. The post applied for is exempt from the provisions of Rehabilitation of Offenders Act 1974 (Exemptions Amendment) order 1986 and therefore you are required to disclose any criminal background.

Safe Guarding - Have you ever been placed on The Protection of Vulnerable Adults/Children Register? *

Yes No

If yes, please give details?

Do you have a criminal record? *

Yes No

If yes, please give details?

Permission to work in the UK - are there any restrictions to your residence in the UK that might affect your right to take up employment? *

Yes No

This may mean that we cannot progress your application.

Please call 01707 390 107 to discuss further.

If you are successful in your application would you require permission to work in the UK? *

Yes No

Please supply details of any Visa currently held

Does your Visa have a condition restricting employment or occupation in the UK?

Yes No

This may mean that we cannot progress your application.

Please call 01707 390 107 to discuss further.

Working Time Directive - If offered this position, do you intend to work in another capacity? *

Yes No

If yes, please give details

Equality Act 2010

The Disability Discrimination Act protects disabled people. The Equality Act defines disability as a physical or mental impairment with long-term, substantial effects on the ability to carry out normal day to day activities. This includes people with long term health conditions. If you tell us that you have a disability, we can make reasonable adjustments for your interview and your workplace.

Do you consider yourself to have a disability?

Yes No I do not wish to discuss

Please state the type of impairment which applies to you. People may experience more than one type of impairment, in which case, you may indicate more than one. If none of the categories apply, please mark other

Physical Impairment Sensory Impairment Mental Health Long Standing Illness Learning Disability/Difficulty Other

If you answered yes to the above, please describe your impairment /disabilities and any reasonable adjustments which you feel should be made to the job itself which would enable you to carry out this job.

References

Please supply the names and addresses of two referees. One must be from your last/current employer or from your school or college. Please include at least one work related referee whom we may contact prior to selection for interview.

References from relatives and friends will not be accepted.

Reference One

Name: *

First Name Last Name

Organisation *

Company

Position *

Address *

Street Address

Street Address Line 2

City County

Post Code Country

Phone Number

Area Code Phone Number

Mobile Number

E-mail Address *

Years Known *

I authorise the organisation to obtain this reference before an interview is offered to support my application and accept and release the organisation and referees from any liability caused by giving and receiving information.

*

Yes No

Reference Two

Name: *

First Name Last Name

Organisation *

Company

Position *

Address *

Street Address

Street Address Line 2

City County

Post Code

Phone Number

Area Code Phone Number

Mobile Number

E-mail Address *

Years Known *

I authorise the organisation to obtain this reference before an interview is offered to support my application and accept and release the organisation and referees from any liability caused by giving and receiving information.

*

Yes No

Previous Employment

Please give details of emplyoment with most recent first, ensuring any gaps are explained in the Employment Gap Section below

Type of Business *

Address *

Street Address

Street Address Line 2

City County

Post Code

Job Title *

Salary *

Hourly Rate Monthly Salary Annual Salary

£ *

Duties and Responsibilities *

Start Date *

Day Month Year

End Date

Day Month Year

Reason for Leaving *

Type of Business *

Address *

Street Address

Street Address Line 2

City County

Post Code

Job Title *

Salary *

Hourly Rate Monthly Salary Annual Salary

£ *

Duties and Responsibilities *

Start Date *

Day Month Year

End Date

Day Month Year

Reason for Leaving *

Type of Business *

Address *

Street Address

Street Address Line 2

City County

Post Code

Job Title *

Salary *

Hourly Rate Monthly Salary Annual Salary

£ *

Duties and Responsibilities *

Start Date *

Day Month Year

End Date

Day Month Year

Reason for Leaving *

Details of Employment Gaps

Education

Please list the most recent first and add the dates attended

School/College/University

Start Date

Day Month Year

End Date

Day Month Year

Subject

Qualification Gained

Date Gained

Day Month Year

School/College/University

Start Date

Day Month Year

End Date

Day Month Year

Subject

Qualification Gained

Date Gained

Day Month Year

School/College/University

Start Date

Day Month Year

End Date

Day Month Year

Subject

Qualification Gained

Date Gained

Day Month Year

Please let us know what your reasons are for applying for this post and what you think you would bring to the role? *

Please use this section for any further information that you think may be relevant to your application : *

Please upload two types of ID

Browse Files

Optional

Please state if you have a partner, blood relative or close friend working at Jubilee House Care Trust (failure to do so may invalidate your application) : *

How did you hear about this job? If it is via our "Refer a Friend Scheme", please state clearly who you have been referred by : *

DECLARATION

I declare that the information in my application is true and I acknowledge that, if appointed, any false information or deliberate ommissions later discovered may lead to the termination of the appointment.

*

Yes No

Signature

Clear

Signature

Date *

Date

Please be aware that incomplete applications may not be considered.