Application Form

Joy Healthcare Solutions Ltd uses your personal data for a number of different reasons. Personal data is any information that identifies you or, in some cases, information that is about you such as an opinion. It includes your name, email address, postal address, job role, photographs, and more sensitive types of information such as medical and health records, information about your religious beliefs, origin and race, your sexual orientation and your political views.

We comply with the law in place in the UK around data protection when we use your personal data, which is known as GDPR (short for the General Data Protection Regulation). It allows us to use your personal data for several reasons without checking with you that it's ok for us to do so. For example, where we can show that we have legitimate reasons to use your personal data or where we need to use your personal data to provide you with the services you have requested from us, or to meet a legal obligation placed on us. However, in some situations, we need you to confirm that you are happy for us to use your personal data.

Why we need your consent

We need your consent for us to carry out the following activities with your personal data:

Processing your application to join Joy Healthcare Solutions Ltd
Payroll processing
Information sharing with our regulators and monitoring officers

What happens next?

If you are unsure about why we are processing your personal data for the reasons set out above, or what we are doing with it, please ask the Joy Healthcare Solutions Ltd Administration team, who would be happy to provide more information. Please do not sign this form until you are happy that you understand its content.

If you give Joy Healthcare Solutions Ltd consent to use your personal data in the ways explained above, you can ask us to stop using your personal data in this way at any time by speaking to Data Protection on 07910060008 or by emailing us at info@joyhealthcareltd.co.uk.

Consent Declaration

I confirm that I have read and understood this explanation of the processing of data relating to me by Joy Healthcare Solutions Ltd and that I consent to the processing of such data.

Signature

Full Name

First NameLast Name

Date

Position applied for

Where did you hear about this vacancy

Your Name

First NameLast Name

Your Title

Date of Birth

Date

Address

Street Address

Street Address Line 2

City

Postal / Zip Code

Email address

example@example.com

National Insurance (NI)

Phone Number

Do you hold a current full driving licence?

YesNo

Do you have any current endorsements on your licence?

YesNo

If Yes, please give more details

Do you require a work permit to work in this country?

YesNo

List your qualifications starting with the most recent. Use the following format:[e.g. Level 3 NVQ in Health and Social Care, Tresham College, 2021–2022]

List all healthcare-related qualifications and training not already mentioned above, including any current mandatory training for which you hold valid certificates.

List your employment history, starting with your current position. Use the following format: [Organisation, Job Title, Period of Employment, Reason for Leaving]

Do you have any mental or physical disability or illness (current or recurring) which is relevant to the post for which you are applying?

YesNo

If Yes, please give details

What adjustments (if any) need to be made to the working environment to accommodate your disability?

Please give details of all absences from work in the last 12 months, except holidays

Please give details of any illness/accidents/injuries in the last 2 years

Are there any restrictions to your residence in the UK which might affect your right to take up employment in the UK?

If you are successful in the application, would you require a work permit prior to taking up employment?

If the answer is YES to either of the two questions above, please provide more detail.

Professional Reference 1

Provide the information in the following format: [Full Name, Organisation, Relationship to You, Email Address, Phone Number (optional)]

Professional Reference 2

Provide the information in the following format: [Full Name, Organisation, Relationship to You, Email Address, Phone Number (optional)]

Character Reference

Provide the information in the following format: [Full Name, Relationship to You, Email Address, Phone Number (optional)]

In this section please give your reasons for applying for this post and additional information which shows how you match the person specification for the job (you will have been sent this document with the application form). This can include relevant skills, knowledge, experience, voluntary activities and training etc. If relevant to the post for which you are applying you should include details about research experience, publications or poster presentation, clinical care (knowledge and skills) and clinical audit.

Describe any information relevant to your application. (max 150 words)

Disabilities

If selected for interview, do you require any special arrangements to be made on account of a disability?

YesNo

If “yes”, please give brief details of the effects of your disability on your day-to-day activities, and any other information that you feel would help us to accommodate your needs during your interview and fulfill our obligations under the Equality Act 2010:

Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975

Have you had any convictions that are not spent under Rehabilitation of Offenders Act?

YesNo

If Yes, please provide further details: [As this post is covered by the Rehabilitation of Offenders Act 1974(Exceptions) Order 1975, both spent and unspent convictions must be declared]

It is vital that Higham carers Ltd has these details on file in case of an emergency. If any of the details below change, please contact Higham carers Ltd

1st Next of Kin

Name:

Relationship:

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Tel Mobile

Tel Home

2nd Next of Kin

Name:

Relationship:

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Tel Mobile

Tel Home

Provide the addresses where you have lived for the past ten years, starting with your current address. Ensure there are no gaps in the dates, as this will prevent the submission from being processed.

1. I confirm that the information given above is complete and correct, and that I understand that any incomplete, untrue or misleading information given to the employer will entitle the employer to reject my application, withdraw any employment offer made, or, if I am employed, dismiss me without notice

2. I agree that the employer reserves the right to require me to undergo a medical examination to assess my suitability to work

I CERTIFY THAT I HAVE READ AND UNDERSTOOD THE ABOVE AND THAT THE INFORMATION I HAVE GIVEN IS TRUE AND CORRECT.

Signature

Date

Note: if you wish to withdraw your consent at any time after completing this Declaration Form, please contact Higham Carers LTD on 01933 356563 or 07446135835

Upload the documents listed below using our secure link provided: Copy of DBS (if available), Driving Licence, Passport, Proof of address (e.g. utility bill – must be no more than 3 months old), Residence permit/visa (if applicable), Share code (if applicable), P45 or P60, National Insurance number (e.g. NI card or official letter), Bank details (for payroll purposes), Proof of professional qualifications or training certificate

Application Form

Data Protection Consent

Why we need your consent

What happens next?

Consent Declaration

Personal Details

Training History/ Professional status

Healthcare related qualifications

Employment History

Additional Information

Capacity to work in the UK

References

Professional Reference 1

Professional Reference 2

Character Reference

Supporting Information

NEXT OF KIN DETAILS

1st Next of Kin

2nd Next of Kin

Information for DBS processing

NON OPTIONAL SECTION – Applicants Declaration – Read and understand before signing.

Uploads