Job Application Form
Please Fill Out the Form Below to Submit Your Job Application!
Thank you for your interest in joining Real Care Agency. Please complete the form below and a member of our recruitment team will be in touch.
Personal Details
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applied Position
Earliest Possible Start Date
-
Month
-
Day
Year
Date
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CERTIFICATES GAINED AT SCHOOL
Please give details of any certificates obtained such as SCOTVEC, SQA. You need not include any obtained if you left school over fifteen years ago, unless you think they are relevant to your application.
Awarding Body e.g. SQA
Course/Subject/Module Titles
Level/Grade
Date Awarded
Certificate 1
Certificate 2
Certificate 3
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Higher Education
Please provide details of any courses for which a certificate, e.g. SVQ, HNC, HND degree or diploma was awarded.
University/College
Course Title e.g. HNC Computing
Subjects Studied
Date Awarded
University/College
Course Title e.g. HNC Computing
Subjects Studied
Date Awarded
University/College
Course Title e.g. HNC Computing
Subjects Studied
Date Awarded
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Training
Please provide details of any training courses attended which may be relevant to this application e.g. moving and handlingtraining or first aid training.
Course Provider
Description of course including main subjects covered
Date Awarded
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Employment History
CURRENT OR MOST RECENT EMPLOYMENT
Job Title and Name & Address of Employer
*
From
*
To
*
Basic Salary
*
Please give details of your duties/responsibilities.
*
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PREVIOUS EMPLOYMENT
List in chronological order with most recent previous employer first. Be prepared to discuss your full employment history at interview.
Job Title and Name & Address of Employer
From
To
Basic Salary
Please give brief details of your duties/responsibilities.
Reason for Leaving
Job Title and Name & Address of Employer
From
To
Basic Salary
Please give brief details of your duties/responsibilities.
Reason for Leaving
INFORMATION RELEVANT TO APPLICATION
Please tell us how your work and life experiences are relevant to your application.
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Availability
Potential date available for employment
Hours Available for Work. Please list the hours you would be available for work.
Morning
Afternoon
Evenings
Overnight/Sleep in
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Please note any relevant comments regarding availability in the box below.
REFEREES
Please provide details of two referees. If you are currently in employment, at least one must represent your current employer
Name
Relationship
Occupation
Address & Telephone Number
Referee 1
Referee 2
RELATED PARTY DISCLOSURE
Please state below if you are related to or connected with any Real Care employees or Service Users. Please state the name of the person and the nature of the relationship.
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DECLARATION
Important, please read the notes below before signing the declaration.
I confirm that all information provided in this form is true and accurate to the best of my knowledge. I understand that if I am employed and it is later discovered that any part of this information or any documents submitted during the recruitment process are false or that I have withheld relevant details, I may be dismissed without notice.
Name
First Name
Last Name
Signature
Date
Please verify that you are human
*
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