Application Form

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityCounty

Post Code

Do you have experience working with children in a professional capacity?*

Do you have a full UK Driving License?*

Are you legally entitled to work in the UK?*

High School Education *

College Education

University Education

Employment History (dating back 5 years, or to leaving education)

Do you have any other relevant skills or experience?

If the job you are applying for is regulated and, exempt from the provisions of the Rehabilitation of Offenders Act 1974 (ROA) you must not withhold information about convictions, which for other purposes are considered "spent" under the Act.

Any information given will be treated in the strictest of confidence and will only be considered in relation to applications for such posts. The Employer supports the rehabilitation of offenders and possession of a conviction will not necessarily mean unsuitability for employment in exempt posts. All cases will be examined on an individual basis and given full and fair consideration.

Have you been convicted of a criminal offence?

If yes, please include further details, including the offence and dates.

Please give the names and addresses and telephone number of two contactable referees. The first must be your present or most recent employer. In the absence of previous employment experience, a referee from your last place of full-time education will be a suitable alternative.

The second referee should be somebody who has known you for 3 years or more but should not be somebody from your current place of employment. By completing this section, you are consenting to personal information being disclosed by your referees to Bridgehaven Care Services Ltd.

First Reference

Second Reference

Bridgehaven Care Services Application Form

Equal Opportunities Form