Job Application
Please complete the form below to apply for the current Senior Support worker role with us.
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Current Address
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Email Address
example@example.com
Phone Number
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How did you hear about us
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Are there any disabilities which may affect your application?
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Are you registered disabled?
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What is your RDI number?
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Available Start Date
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Are you in good health
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Do you have a current driving license
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Other Employment
Please include details of other Employment here
Employer / Business Name
Address
Street Address
Street Address Line 2
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County
Postcode
Type of Business
Did this job entail working with vulnerable adults
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No
Reasons for leaving
Job title
Duties Responsibilities
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Right to Work in the UK
Do you have the right to work in the UK?
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If yes, please specify the basis of your right to work:(Please select one)
UK Citizen
EU/EEA/Swiss Citizen with settled or pre-settled status
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Tier 2/Skilled Worker Visa
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Any restrictions on your visa or work permit (e.g., limited working hours):
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Previous Employment
Please include details of your most recent employer here.
Employer / Business Name
Address
Street Address
Street Address Line 2
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County
Postcode
Type of Business
Did this job entail working with vulnerable adults
Yes
No
Reasons for leaving
Job title
Duties Responsibilities
All previous employment with gaps accounted for.
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About you
Please tell us why you have applied for this role.
Have you ever been convicted of a criminal offence? (Declaration subject to the Rehabilitation of Offenders Act)
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Have you recently had a DBS (Disclosing & Barring Service) check?
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What is your DBS number?
If you are offered this position will you continue to work in any other capacity?
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Personal referees
Not members of your family, one should be your present/previous employer)
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Email
example@example.com
Phone Number
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Area Code
Phone Number
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
County
Postcode
Occupation
Company Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
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