Employment Application Form

Employment Application:
Thank you for your interest in joining the Mulholland Care Ltd team!

We're currently hiring for both full-time and part-time Carer positions with a variety of shifts available. Please note that the role requires working alternate weekends.

Our competitive pay rates are as follows:

Initial Training, Shadowing and travel time: £12.71 per hour

Upon Successful Competency Check (usually around two weeks after starting)

Weekdays: £13.00 per hour.

Weekends: £13.70 per hour

Mileage: 35p per mile

As part of our recruitment process, we require at least two professional references, with one being from your most recent employer. If you anticipate any difficulty in providing this, please discuss it with us during your interview.

Should you require any assistance in completing this application form, our management team is happy to help. Please call us at 01237 420498 to arrange a convenient time to come in.

Successful applicants are required to undergo a DBS disclosure.
Personal Information:
Title
Full Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Mobile Number

Area CodePhone Number
E-mail
Birth Date

DayMonthYear
Do you have a current driving licence?
Position Applying For
Date You Can Start

MonthDayYear
Have You Applied Here Before?
How many hours would you like to work a week roughly?
Our staff work various hours between 7am and 9.30pm and are expected to work alternate weekends. Are there any days/times you aren't available to work?
Please complete a full employment history, including an explanation for any gaps in employment. Alternatively you can upload a CV below.
Please upload your CV if possible.

Browse Files

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Please tell us about any health conditions or physical limitations that might affect your ability to perform the essential duties of a caring role, such as lifting, bending, kneeling, or standing for extended periods. This information will help us assess your suitability for the role and make any necessary reasonable adjustments to support you.
Please indicate if you have any pre-booked annual leave that you would like us to honour should you be successful in this application. If so, please provide the dates and duration of this leave.
Declaration
Do you have any convictions, cautions reprimands or final warnings that are not “protected” as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)?
The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are 'protected' and are not subject to disclosure to employers, and cannot be taken into account. If yes, give details
Guidance and criteria on the filtering of these cautions and convictions can be found on the Disclosure and Barring Service Website.(Declaration subject to the Rehabilitation of Offenders Act 1974)
If offered this position, will you continue to work in any other capacity? If yes please give details below.
If you are successful in your application, would you require permission to work in the UK?
References:

Please note we will require a reference from your most recent employer and will seek to obtain references for all care positions you have had
Reference 1
Name of Reference
Phone
Email
In what capacity do they know you?
Organisation
Occupation
Reference 2
Name of Reference
Phone
Email
In what capacity do they know you?
Organisation
Occupation
Reference 3
Name of Reference
Phone
Email
In what capacity do they know you?
Organisation
Occupation
Supporting Information
In this section please give your reasons for applying for this post and additional information which demonstrates how you match the person specification. This can include relevant skills, knowledge, experience, voluntary activities, training etc.”
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
By clicking the submit button below, I certify that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compenstation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.
Should be Empty:

Employment Application:

Personal Information:

Declaration

References: