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 Service
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*

PrefixFirst NameLast Name

The Role - Position Applied for

The Role - Area Applied for

Adult ServicesChildren's ServicesSupport Services (HR, Finance, Administration etc)

The Role - What Type Is It

Full TimePart TimeBank

Date of Birth

DayMonthYear

Phone Number

Area CodePhone Number

Mobile Number

E-mail Address*

example@example.com

Address*

Street Address

Street Address Line 2

CityCounty

Post Code

Do you have a Drivers Licence*

If yes, do you own your own vehicle?

This post involves regulated activity with children and/or vulnerable adults and is therefore exempt from the Rehabilitation of Offenders Act 1974 (as amended). Appointment is subject to a satisfactory Enhanced Disclosure and Barring Service (DBS) check, including checks against the DBS Children’s Barred List and Adults’ Barred List (which replaced the former Protection of Vulnerable Adults (POVA) and List 99 registers).

Applicants must declare all unspent convictions and any spent convictions or cautions that are not protected under current DBS filtering rules. It is a criminal offence to apply for this post if you are barred from working with children and/or vulnerable adults.

Failure to disclose relevant information may result in withdrawal of an offer or dismissal.

Safeguarding - Have you ever been included on the Disclosure and Barring Service (DBS) Children's Barred List or Adults' Barred List (which replaced the former Protection of Vulnerable Adults and Children’s registers)?*

YesNo

If yes, please give details:

Do you have a criminal record?*

YesNo

If yes, please give details:

If you are successful in your application, would you require visa sponsorship to work in the UK?*

YesNo

If you have answered no to the above, this may mean we cannot progress your application.

Please note that we do not offer Visa Sponsorship, so please do not proceed with this application if you require it.

Do you have the legal right to live and work in the UK, or are there any restrictions on your residence that might affect your ability to take up employment?*

YesNo

If yes, please provide details of your right to work and any conditions or restrictions on your employment (e.g., limited hours, type of work).

Please supply details of any Visa currently held

Working Time Directive - If offered this position, do you intend to work in any other paid employment or self-employment in addition to this role?*

YesNo

If yes, please give details

Equality Act 2010

The Equality Act 2010 protects disabled people from discrimination. It defines disability as a physical or mental impairment that has a substantial and long-term adverse effect on a person’s 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 to support you during the interview process and in the workplace.

Do you consider yourself to have a disability, long-term health condition or impairment?

YesNoI do not wish to discuss

If you have answered yes, you may select more than one option below. This information is used only for equality monitoring and support purposes.

Physical Impairment (e.g. mobility, coordination, dexterity)Sensory Impairment (e.g. vision, hearing(Mental Health condition (e.g. anxiety, depression, bipolar disorder)Long-term health conditions (e.g. epilepsy, diabetes, chronic fatigue)Learning Disability/DifficultyNeurodivergent condition (e.g. Autism, ADHD, Dyslexia)Prefer not to sayOther, please specifyOther

If you have selected any of the above, please provide any additional details you feel are necessary and indicate any reasonable adjustments that would enable you to carry out the role.

References

Please provide the names and contact details of two referees. One referee must be from your current or most recent employer, and the second should be from your previous employer. At least one referee must be work-related and may be contacted prior to the interview stage.

Please note: references from relatives or friends will not be accepted.

Reference One

Name:*

First NameLast Name

Organisation*

Company

Position*

Address*

Street Address

Street Address Line 2

CityCounty

Post CodeCountry

Phone Number

Area CodePhone 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.

YesNo

Reference Two

Name:*

First NameLast Name

Organisation*

Company

Position*

Address*

Street Address

Street Address Line 2

CityCounty

Post Code

Phone Number

Area CodePhone 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.

YesNo

Previous Employment

Please list your three most recent job roles, starting with your most recent first. Ensure any gaps in employment are explained in the employment gap section below and that the information matches your up-to-date CV.

Type of Business*

Address*

Street Address

Street Address Line 2

CityCounty

Post Code

Job Title*

Salary*

Hourly RateMonthly SalaryAnnual Salary

£*

Duties and Responsibilities*

Start Date*

DayMonthYear

End Date

DayMonthYear

Reason for Leaving*

Type of Business*

Address*

Street Address

Street Address Line 2

CityCounty

Post Code

Job Title*

Salary*

Hourly RateMonthly SalaryAnnual Salary

£*

Duties and Responsibilities*

Start Date*

DayMonthYear

End Date

DayMonthYear

Reason for Leaving*

Type of Business*

Address*

Street Address

Street Address Line 2

CityCounty

Post Code

Job Title*

Salary*

Hourly RateMonthly SalaryAnnual Salary

£*

Duties and Responsibilities*

Start Date*

DayMonthYear

End Date

DayMonthYear

Reason for Leaving*

Details of Employment Gaps

Education

Please list the most recent first and add the dates attended

School/College/University

Start Date

DayMonthYear

End Date

DayMonthYear

Subject

Qualification Gained

Date Gained

DayMonthYear

School/College/University

Start Date

DayMonthYear

End Date

DayMonthYear

Subject

Qualification Gained

Date Gained

DayMonthYear

School/College/University

Start Date

DayMonthYear

End Date

DayMonthYear

Subject

Qualification Gained

Date Gained

DayMonthYear

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.

YesNo

Signature

Date*

Date

Please be aware that incomplete applications may not be considered.