• CARE APPLICATION FORM

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  • PERSONAL AND CONTACT INFORMATION’S

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  • Format: (000) 0000-0000.

  • LANGUAGES

  • Proficiency in English? Please tick where appropriate:*

  • NATIONALITY AND RIGHT TO WORK

  • Are you a British Citizen?*
  • If not do you have right to work?*
  • Do you hold a current Driving License?*
  • Do you own or have regular use of a car?*

  • NEXT OF KIN (NOK) EMERGENCY CONTACT DETAILS

  • Format: (000) 0000-0000.

  • EDUCATION (SECONDARY AND ABOVE)

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  • Would you like to add another Educational Record?

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  • EMPLOYMENT HISTORY:(Show last employment first.)

    We need your full employment record. For any period of unemployment please put dates and addresses of the Department of Employment where you registered. Please explain any gaps in your work history.

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  • GAPS IN YOUR EMPLOYMENT

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  • TRAINING ACHIEVED

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  • REFERENCES

  • Please provide the names of at least two people, one of whom MUST be your present or last employer, who may be asked for a reference. All applications for references will be made in the strictest confidence after first having obtained your permission.

  • Reference 1:

  • Select Reference Type:
  • Format: (000) 0000-0000.

  • Reference 2:

  • Select Reference Type:*
  • Format: (000) 0000-0000.

  • DISABILITY has a policy of interviewing applicants who have a disability and who meet the essential short-listing criteria. To ensure that this happens, please complete the following:

    a) The Equality Act 2010 defines disability as' a physical or mental impairment which has a substantial and long-term adverse effect on the ability to carry out normal day-to-day activities.

    Do you consider yourself to have or have had a disability?

  • Please click on the box that applies to you.*

  • b) If the answer to the above is yes, are there any reasonable adjustments that need to be made, should you progressbeyond this stage?

  • Please click on the box that applies to you.*

  • REHABILITATION OF OFFENDERS ACT (1974) DECLARATION

    Because of the nature of the work for which you are applying, the provisions of Section 4(2) of the Rehabilitation of Offenders Act (1974) do not apply by virtue of the Rehabilitation of Offenders Act(1974) (exceptions) Order 1975. Applicants are therefore required to give information about convictions, which for other purposes are ‘spent’ under the provisions of the Act. Any information given will be completely confidential and will be considered only in relation for positions to which the Order applies.

  • Have you at any time been convicted of an offence?*

  • DECLARATION

  • I confirm that I have read and understood this document.
    I understand that the completion of this form does not guarantee employment.
    I certify that all the information given on this form is true and accept that any miss statement or suppression of material may mean the cancellation of any appointment, and the termination of any employment.
    I understand that any offer of employment made is subject to the receipt of satisfactory references and an Enhanced Criminal Records Bureau Check (DBS):
    I understand that Woodberry Care is an Equal opportunities employer and that an offending record is not necessarily a bar to employment.

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  • We need following documents to process your application:

  • Further employment processing. We will contact your referees and apply for DBS if required. If you are a successful candidate, you will be booked in for a training course which will be either in person or internet based. You will need to go for shadow training. We DO NOT pay for any training or shadowing attended to as this is a requirement which you will need to meet.

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