Ashmere Application Form
Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
National insurance number
Preferred Pronouns:
She/Her
He/Him
They/Them
Other
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position applying for:
*
Please Select
HR Advisor
Are you currently employed?
*
Yes
No
Current employer information (if applicable)
Description of main duties/responsibilities (in your current role):
Employment History:
*
Why do you want to work for Ashmere Derbyshire:
*
Details of two references: please note one reference must be your present or most recent employer, the second being a non family member who has known you for 2 or more years (all job offers are subject to two satisfactory references):
Referee 2:
Disclosure of criminal and barring service checks Ashmere Derbyshire Ltd by law to operate a checking procedure for employees who have access to elderly and vulnerable people. Please confirm whether you have been the subject of any concerns in your works specifically involved elderly and vulnerable adults or in your personal life or if you are subject to or have been involved in any disciplinary actions in relation to safeguarding, including those which are time expired.
*
Yes
No
If yes please provide more details below:
In the event of a successful application, an offer of employment may be made to you which is conditional upon receipt of satisfactory Disclosure and Barring service checks (DBS Checks). Please note a conviction will not necessarily be a bar to obtaining employment: I consent to a DBS check(s) being made to the disclosure and Barring Service.
*
Yes
No
Immigration, asylum and nationality act 2006: By checking the box below you hereby confirm you are legally entitled to work in the United Kingdom and that you promptly provide evidence of such entitlement when requested.
*
Yes
No
Declaration: ‘I declare that to the best of my knowledge and belief the information given on all parts of this form are correct. I understand that should my application be successful and it is discovered subsequently that information be falsified that disciplinary action may be taken which may include dismissal of any position. I understand and all correct information has been given and is accurate and true
*
Yes
No
Submit
Should be Empty: