Domicilairy Care Job Aplication
Personal Details
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
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Pre Employment Checks
Do you have the right to work in the UK?You will be asked to provide proof that you have the right to work in the UK. This will mean that you will need to produce either a document or a combination of documents to confirm you are eligible. For example, a passport, a visa or immigration documents if you are a non national.
Yes
No
Have you ever been convicted of a criminal offence?(declaration subject to the Rehabilitation of Offenders Act 1974)
Yes
No
If you answered yes to the above question please provide details below.
Do you hold a UK driving license?
Yes
No
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About You
Why you have applied for this position and how do your personal values make you particularly suited for the role? - Please provide examples where possible of things you have done to demonstrate this in previous employment.
What skills do you have relevant to this role? - please provide examples.
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Education and Training History
Please list your relevant qualifications below including grade, subject and year achieved.
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Employment History
Please provide your full employment history and explain any gaps in employment.
Please provide details of any further education/training you have undertaken or are currently undertaking that you feel is relevant to this role.
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Availability
Would you like full time or part time employment?
Full Time
Part Time
What is your notice period if applicable?
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References
Please provide the name, telephone number and email address for two professional referees below.
Reference One
Reference Two
Are you happy for us to contact your references prior to your interview?
Yes
No
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Supporting Evidence
File Upload
Browse Files
Drag and drop files here
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Equality, Diversity and Inclusion
If you are disabled, please tell us about any adjustments that we may need to make to support you through the interview process.
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Declaration
I can confirm that to the best of my knowledge that the information I have provided above is correct. I accept that providing deliberately false information could result in my dismissal.
Signature
Submit
Submit
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