Application - Part 2

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MAXIMUS EMAIL HIDDEN* This field is required.
example@example.com
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Before starting this form, please ensure you have the following information to hand:

National Insurance number

Details of your education history (including end dates)

Two appropriate reference contacts including their contact information and email address. This should include a contact from your most recent employment (where available).

A full and complete employment history including start & end dates (covering from education to the present day).

The information we obtain in this form is required to meet regulatory standards, and we appreciate you taking the time to complete this form.

Pop the kettle on, get comfortable and allow yourself at least 30 minutes to complete.
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THE DATA PROTECTION SPIEL

Using your personal information
Personal information supplied to us will be used in a number of ways, for example:

To identify you and your application from others under review

To make contact with you about the recruitment process

To make recruitment decisions

We may share your information with, and obtain information about you, from previous employers and referees.

We will not disclose your information to any third parties except where we are obligated to do so in order to fulfill statutory or regulatory requirements (i.e. CQC, Local Authority Safeguarding) or as part of a criminal investigation.
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Name:* This field is required.
Mr.
Mr.
Mrs.
Miss.
Ms.
Mx.
Other
Title
First Name
Last Name
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Contact number * This field is required.
6
Email* This field is required.
example@example.com
Confirm Email
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National insurance number2 letters, 6 numbers, 1 letter
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Address:* This field is required.
Street Address
Street Address Line 2
City
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Contracted hours you are seeking* This field is required.
Full time (35 to 40)
Part time (16 to 35)
Zero Hours
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Which field are you interested in? * This field is required.Please only apply for a role that you have seen advertised
Support worker (days)
Support worker (Nights)
Transition Team
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Are you a driver with a full UK drivers license?* This field is required.We accept drivers and non drivers
Yes
No
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Availability to work * This field is required.Please tick your availability - please be aware that contracted hours are expected to work alternate weekends.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
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Night
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Can you confirm that you are 18 or over? * This field is required.You must be 18 on the start date of employment with us
Yes
No
No - but I am turning 18 within 2 months
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Do you require visa sponsorship in order to work in the UK?* This field is required.
Yes - Please provide details
No (I do not require sponsorship)
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Unfortunately we are not a sponsor therefore are unable to recruit individuals who require sponsorship.
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Are there any restrictions to your right to work in the UK? * This field is required.
Yes
No
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Please give detailsTo "are there any restrictions to your right to work in the UK?"
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Ok
Ok
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Education
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What was the name of your secondary school?* This field is required.
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What year did you leave secondary education?* This field is required.
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Did you attend further education?* This field is required.e.g. sixth form, college, university
YESNO
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Where did you attend further education?* This field is required.
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What year did you leave further education?* This field is required.
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How many years did you attend this further education?* This field is required.
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Please list the highest level of qualification that you achievedIf you want to list more education, feel free! We love to know lots about our applicants
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Care Background
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Do you have experience working in a care setting?* This field is required.
YESNO
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Have you worked in a care setting for more than one year?* This field is required.
YESNO
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Do you feel comfortable working with individuals who may present with behaviours that can challenge?* This field is required.For example, this could be where a service user displays physical behaviours towards others.
Yes
No
Not sure (please try to answer yes/no)
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Do you have experience working with individuals who may present with behaviours that can challenge?* This field is required.
YESNO
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How many years of experience do you have working with individuals who may present with behaviours that can challenge?* This field is required.
0-1 years
1-2 years
2-5 years
5 years +
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After training, would you feel comfortable providing personal care?e.g. this may include supporting with personal hygiene and toileting.
YESNO
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Job Skills & Training
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Have you ever had employment?* This field is required.
YESNO
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Who is your most recent employer?* This field is required.
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What position did you hold here?* This field is required.
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What did your role entail?* This field is required.
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When did you start at this job?* This field is required.If you're not sure, put rough dates
Date
Day
Month
Year
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Are you still in employment there?* This field is required.
YESNO
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When did you leave this job?* This field is required.If you're not sure, put rough dates
Date
Day
Month
Year
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What was your reason for leaving this employment?* This field is required.
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Were you employed before this?* This field is required.
YESNO
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Who is your second most recent employer?* This field is required.
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What position did you hold here?* This field is required.
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When did you start at this job?* This field is required.If you're not sure, put rough dates
Date
Day
Month
Year
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When did you leave this job?* This field is required.If you're not sure, put rough dates
Date
Day
Month
Year
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Have you had additional employment?* This field is required.
YESNO
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Additional employment history...* This field is required.We have your 1st and 2nd most recent employer... please list remaining employment with the most recent at the top working backwards. If you do not know exact dates, please list to the nearest month or year.
Company
Start date
End date
Position held
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Company
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Position held
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Company
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Company
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Company
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Position held
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Company
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Start date
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Position held
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Company
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Company
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Start date
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End date
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Position held
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Do you have any additional employment history?* This field is required.
YESNO
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Please list your additional employment history...* This field is required.
Company
Start date
End date
Position held
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Company
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Company
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Company
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Please list any gaps in employment you have had since leaving education (including the reason for the gaps)In order to meet CQC requirements, we must obtain a full and complete employment history covering the time you left education to the present day. We understand that most people have had breaks in employment for one reason or another, so we just need that reason from you.
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References

Please list two references.

Your first should be your most recent employer

Ideally your second reference should be from additional employment, or someone you know in a professional capacity

If you have not had any employment, please list a tutor from your most recent education.

Please note, we don't accept references from family members, partners or household members
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Reference 1
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Name:* This field is required.
First Name
Last Name
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EmailFirst referee
example@example.com
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Contact numberFirst referee
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How do you know them? * This field is required.(i.e. manager, colleague, family friend etc.)
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Where do you know them from?* This field is required.(i.e. which employment you know them from.)
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Can we contact this referee before a job offer is made?* This field is required.First referee
YESNO
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Reference 2
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Name:* This field is required.Second referee
First Name
Last Name
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EmailSecond referee
example@example.com
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Contact numberSecond referee
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How do you know them? * This field is required.(i.e. manager, colleague, family friend etc.)
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Where do you know them from? * This field is required.(i.e. which employment you know them from.)
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Can we contact this referee before a job offer is made?* This field is required.
YESNO
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CQC requires that we seek to obtain references from all employment that is related to care. As you have stated you have previous experience in care, are you happy for us to contact the relevant care homes (etc) for a reference?* This field is required.
Yes
No
Yes, but only after I have received a 'conditional offer of employment'
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Almost there...
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Are there any restrictions to your PERMISSION TO WORK IN THE UK?* This field is required.Are there any restrictions to your residence in the UK that might affect your right to take up employment in the UK?
YESNO
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Please outline the restrictions to your residence in the UK that might affect your right to take up employment...* This field is required.
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DECLARATION* This field is required.Please read this carefully before agreeing and submitting your application. I confirm that the information given on this form is, to the best of my knowledge, true and complete. Any false statement will be sufficient cause for rejection or, if employed, dismissal. It is the Maximus support services policy to employ the best qualified personnel and provide equal opportunity for the advancement of employees including promotion and training and not to discriminate against any person because of race, colour, ethnic origin, national origin, sex, sexual orientation, religion or belief, pregnancy, trans-gender status, marital or civil partnership status, age or disability. I understand that the declarations will include details of any criminal convictions, cautions, reprimands and final warnings and any other information that may have a bearing on my suitability for the post. I understand that an enhanced disclosure will be sought in the event of a successful application. You should be assured that any information given is kept confidential. The Data Protection Act requires that personal information obtained and processed fairly and lawfully is only disclosed in appropriate circumstances, is accurate, relevant and not held longer than necessary and is kept securely. *
AgreeDisagree
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Unfortunately we need you to 'agree' to the declaration to be considered.
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Here's a place for you to write any further comments you wish to make.Please feel free to leave this section blank.
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