Support Worker Application Form

Personal Details
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mobile Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
If you have lived at your current address for less than 5 years, please provide your previous addresses, including the month and year you moved into and left each address:
Do you have regular access to a suitable vehicle that you would be willing to use to transport clients as part of your duties?
Please describe 3 qualities you have that would make you an excellent Support Worker and give an example demonstrating each quality:

Education and Qualifications
Please provide details of your education, including the school, college or university attended, dates, subjects or courses studied and qualifications or grades obtained:
Please list any relevant professional, technical or vocational qualifications including the awarding organisation and date obtained:
Please list any care related training or certificat3es you currently hold, including completion or expiry dates where applicable:
Please explain why you are applying for this Support Worker position and describe the experience and skills you would bring to the role:
How did you hear about this vacancy?

What is your current employment status?
Current Employers Name:
Current Employers Full Address:
Current position/job title:
Dates of current employment:
Please briefly describe your current duties and responsibilities:
Why are you considering leaving your current position?
What notice period are you required to give:
Please provide your complete previous employment history. For each position, include the employer's name and address, your job title, employment dates, principal duties and reason for leaving:
Please explain any gaps in your employment or education history, including the relevant dates. If there are no gaps, enter 'None':

Availability and Additional Information
What is the earliest date you would be available to start work?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please describe your availability, including the days and times you can work and whether you are available for evenings, weekends and bank holidays:
Please provide the dates of any pre-booked holiday or other commitments that may affect your availability:
Please tell us briefly about your hobbies, interests or community activities:
Do you require any reasonable adjustments to participate in our recruitment process?
If you answered YES, please tell us what adjustments would help you participate in the recruitment process:

References
Please provide details of two employer referees, including your current or most recent employer where possible. Referees should not be relatives. Please ensure that each personn is aware that you have provided their contact details to Consummate Care Ltd.
Employer Referee 1
Full Name
Job Title
Organisation
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Business address
Your professional relationship to this referee
May we contact this referee before interview?
Employer Referee 2
Name

First NameLast Name
Job Title
Organisation
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Business Address
Your professional relationship to this referee
May we contact this referee before interview?
Additional personal or academic referee
Name

First NameLast Name
Job title or relationship to you
Organisation, if applicable
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address
May we contact this referee before interview?
I confirm that the referees listed above are aware that I have provided their details to Consummate Care Ltd for recruitment purposes.

Declarations
This position involves working with people who may be vulnerable. If you receive a conditional offer of employment, you will be required to complete the appropriate enhanced DBS checking process. Where legally applicable, the check may include the relevant barred-list information. Having a criminal record will not necessarily prevent employment; any information disclosed will be considered fairly and in relation to the requirements of the role.
DBS Declaration
I understand that any offer of employment may be conditional upon completion of the appropriate enhanced DBS checking process and a satisfactory assessment of the information received.
Information Declaration
I declare that the information provided in this application is true, accurate and complete to the best of my knowledge. I understand that deliberately providing false or misleading information, or withholding material information, may result in my application being withdrawn or my employment being terminated.
References
I authorise Consummate Care to contact the referees I have identified, subject to the contact permissions selected in this application.
Recruitment Privacy Notice
Consummate Care Ltd is the data controller responsible for the personal information collected during recruitment.

Consummate Care Ltd
22 Barnwell Court
Kettering
NN14 1FG

Email: enquiries@consummatecare.co.uk
Telephone: 01536 484142
Website: consummatecare.co.uk

Information we collect

We may collect information including your name, contact details, address history, right-to-work and sponsorship responses, driving eligibility, education and qualifications, employment history, availability, references, application answers, reasonable-adjustment requirements and recruitment correspondence.

If your application progresses, we may also collect right-to-work evidence, driving documentation, references and information required for the appropriate DBS checking process.

Why we use your information

We use applicant information to:

- assess eligibility and suitability for employment;
- manage applications, interviews and recruitment decisions;
- communicate with applicants and referees;
- make reasonable adjustments to the recruitment process;
- verify information and complete pre-employment checks; and
- comply with our legal and regulatory responsibilities.

Our lawful bases generally include taking steps at your request before entering into an employment contract, complying with legal obligations and our legitimate interests in operating a fair and effective recruitment process.

Where we process special-category information, such as information concerning reasonable adjustments, or criminal-offence information connected with an eligible DBS check, we will only do so where permitted by data-protection law and subject to appropriate safeguards.

Automated eligibility decisions

The initial application contains two essential eligibility questions. An application will be automatically prevented from progressing where the applicant confirms that they:

- do not hold a full, valid UK driving licence and are not able to transport clients as required by the role; or
- require employer-sponsored immigration permission, which Consummate Care is currently unable to provide.

These requirements are necessary because transporting clients is an essential duty of the position and Consummate Care cannot currently offer visa sponsorship.

If you believe that you selected an answer incorrectly, or you would like the decision reviewed by a person, contact enquiries@consummatecare.co.uk. We will review the information and correct the application where appropriate.

Who we share information with

Applicant information may be accessed by authorised Consummate Care staff involved in recruitment and employment administration. Where necessary, information may also be shared with referees, DBS and right-to-work checking services, professional advisers, regulators, legal authorities and contracted technology providers that process information on our behalf, including our online-form provider.

We do not sell applicant information.

How long we retain information

Applications from unsuccessful or automatically rejected applicants will normally be retained for six months from the date of submission for unsuccesful applicants and will then be securely deleted, unless we are required to retain information for longer for a legal reason.

For successful applicants, relevant recruitment information will be transferred to the employee record and retained in accordance with Consummate Care’s employee-record retention requirements.

We do not retain unsuccessful applications for unrelated future vacancies unless we separately explain this and obtain the applicant’s agreement.

Your rights

Depending on the circumstances, you may have the right to request access to your personal information, ask for inaccurate information to be corrected, request deletion or restriction, object to certain processing and challenge an automated decision.

To exercise your rights or raise a data-protection concern, contact enquiries@consummatecare.co.uk.

You may also complain to the Information Commissioner’s Office. Further information is available at ico.org.uk.
Privacy Notice
I confirm that I have read and understood Consummate Care’s Recruitment Privacy Notice, including how my personal information will be used, stored and retained.
Electronic Signature - please type your full name to confirm the declarations above:
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate

Eligibility Outcome
Thank you for your interest in the Support Worker position. Based on the answers provided, you do not currently meet one or more of the essential eligibility requirements for this role.

All Support Workers must hold a full, valid UK driving licence and be willing and able to transport clients. Applicants must also have the right to work in the UK without requiring employer-sponsored immigration permission, as Consummate Care is currently unable to provide visa sponsorship.

Please select Submit below to record your eligibility response. You will receive confirmation by email. If you believe that you selected an answer incorrectly, please contact enquiries@consummatecare.co.uk.

Final Submission
Should be Empty:

Support Worker Application Form

Personal Details

Education and Qualifications

Availability and Additional Information

References

Employer Referee 1

Employer Referee 2

Additional personal or academic referee

Declarations

DBS Declaration

Information Declaration

References

Recruitment Privacy Notice

Privacy Notice

Eligibility Outcome

Final Submission