Infinity Job Application Form

Job Application

Please complete the form below to apply for a position with Infinity Dental and Beauty Spa Ltd.
You’ll find the Infinity family comes from many different backgrounds, and we work in an amazing variety of roles.

Yet, we are all united by the same passion to delight and are hungry to learn and share new skills.

Every day, we strive to bring our core values to life: respect, trust, integrity, humility, courtesy, helpfulness and sincerity. All these values combine to make Infinity a unique culture to work in.

We are diverse, warm and caring but also demanding, dynamic and innovative.

It takes a very special kind of person to work at Infinity.

Someone with an eye for detail and the skills to perform.

Someone with an attitude to deliver the best service and a passion to delight.

Are you Infinity?
Full Name*

First NameLast Name
Known As*
How do you want us to call you? (i.e. Pronouns, Nickname)
Current Address*

Home Number

Address Line 2

CityCounty

Post CodeCountry
Email Address*
example@example.com
Phone Number*

Phone Number
Date of Birth*

DayMonthYear
Date
Driver’s License Number
Leave blank if you don’t have a driver’s license
Passport Number*
Proof of Identity
NI Number
National Insurance Number
Marital Status*
This is needed for tax returns
Emergency Contact

If you are under 18 at the start of your career with Infinity, the Company will maintain contact with your parent or guardian.
Name of Contact

First NameLast Name
Relationship with Contact:
Phone Number

Country CodeArea CodePhone Number
Email Address of Contact:
example@example.com
Do you live at the same address as the above contact:
Employment Status

How would you like to work at Infinity?
What position are you applying for?*
How long do you intend to work at Infinity?*
(<3 mos, 3 mos., 6 mos., 1+ yr, 3+ yrs., 5+ yrs., 10+ yrs.)
When you are working with us, would you like to be:
Intended Weekly Working Hours*

Full-time (min 30 hours/week)Part-Time (min. 16 hours/week)Contractual (project-based)Less than 16 hours/week
Support Needs & Requirements

To become a responsible employer, we will need to know if you have a condition so we can make necessary arrangements for your successful employment
Do you have a learning difficulty or a disability*
What disability?*

Visual ImpairmentHard of hearingMental health difficultyDisability that affects mobilitySocial and Emotional difficultiesProfound Complex DisabilitiesDyslexiaDyspraxiaDyscalculiaAutism Spectrum DisorderAsperger's syndromeEyesight problemsWalking problemsAnosmiaMuscle degenerationChronic illnessesMedical conditions (i.e.Asthma, diabetes)Temporary disability after illness (please state)Speech, Language, Communication Needs,Addiction (i.e. narcotics, alcohol)Other
Extra Support
Do you feel you may need extra support for your career?
Please complete the relevant boxes:

English is not my first languageHealth issuesSmall childrenSingle parentJust reentering the workforce after a long gapNeeds help with visaNeeds help with work permitNeeds help with accommodationNeeds help with transportation (i.e.flights)Needs help with relocationOther Assistance Needed
Current circumstance: Are you:

in Local Authority?An ex-offenderRecovering from a drug or alcohol dependency?A young person in receipt of income support?A parent under the age of 18?Been excluded or suspended from school in the last 6 years?Estranged from parents/legal guardian?In early stages of caring for an unborn or a recently born child?Someone who has had your statutory education interrupted? (i.e. gap year)An offender serving sentence in the community?Under Police/Probation service supervision?Committed as TT Marshall?Looking after a farm, horses or animals?Other
If you click Other Assistance Needed, please state here:
Medical History and Hepatitis B Immunisations

Health and Safety requirement for working at a dental and medical setting to have immunisations
Have you had any blood-borne diseases such as Hepatitis, HIV or under the care of clinic or hospital?
State any medical conditions and allergies?*
Have you had Hepatitis B immunisations?

YesNo
Date of Last Booster

DayMonthYear
Date
Education

Please state your education relevant to the position you are applying for?
Highest Educational Attainment:
Criminal Convictions

Infinity Dental & Beauty Spa recognises it has a duty of care to staff and patients and reserves the right not to accept a person where there is evidence that they could be a threat or danger to themselves or others. Declaring a conviction will not necessarily prevent you from being offered a place at Infinity but, failure to disclose something serious which we may later become aware of could result in disciplinary action or your application being cancelled. You must disclose all unspent convictions of any offence. You do not have to tell us about any convictions that are spent (as defined by the Rehabilitation of Offenders Act 1974), or about any cautions, reprimands or final warnings. For further advice whether convictions are unspent, please contact the NACRO helpline on 020 7480 7200 or visit their website at www.nacro.org.uk
Do you have any current (unspent) criminal convictions?*

YesNo
Do you have any relevant criminal convictions? (Relevant means any offences against a person, whether of violent or sexual in nature and convictions involving supplying or possession of controlled drugs or substances?

YesNo
Do you have criminal charges awaiting trial?

YesNo
Please explain.*
Applying work in Healthcare is required by law to declare any previous convictions and legal court cases in the last 11 years. Failure to declare this might affect your application.
Referees

You must provide at least 2 character references. 1 is from your previous work and the other can be your friend or family that has known you for at least 3 years
Name

First NameLast Name
Email
example@example.com
Referee 1: Relationship to referee
Name

First NameLast Name
Email
example@example.com
Referee 2: Relationship to referee
TERMS & CONDITIONS: Completion of this Application Declaration form confirms your agreement to the Infinity's Recruitment & Admissions Policy. Full Terms and Conditions are available on Induction and in the Staff Handbook.

GDPR18. (Data Protection). We collect and use personal information about applicants to fulfill our employment recruitment and admissions policy or practising privileges agreement with you and for the public task to deliver professional medical and dental services. We may send you information regarding your application. If your application has been unsuccessful, please take this as a commitment that we delete all your previous applications and data from our system. If you do not wish to be contacted, please opt-out below:
I DO NOT WISH TO BE CONTACTED BY THE COMPANY VIA:

PostPhoneEmail
Applicant Declaration

I have received Advice and Guidance relating to the suitability of the position that I am applying on to.
I give Infinity Dental & Beauty Spa permission to process and store my details for 6 months to manage my application and I declare that all the information I have given here is true and accurate to the best of my knowledge. I agree that they will destroy all of my data from their system if my application is unsuccessful.
Signature

Clear
Name

First NameLast Name
Date*

DayMonthYear
Date
Projected Start date

MonthDayYear
Date
Proof of Identification (Passport, Driver’s Licence, DBS Certificate)*

Cancelof
Should be Empty:

Job Application

Emergency Contact

Employment Status

Support Needs & Requirements

Extra Support

Medical History and Hepatitis B Immunisations

Education

Criminal Convictions

Referees

Applicant Declaration