Application Form (PCR Childcare)

Dear Candidate,

This application form contains essential information on how to register with PCR. Please read this carefully and complete all necessary information. It is also important that you gather all the supporting documentation required as this is needed at later stages in the recruitment process.

When you have completed the application form and ensured that you have all the required documentation, please return the form to us and we can assess your suitability for the position.

To guarantee that we can register and clear you as quickly as possible, please use the following checklist to ensure that you have all the documents that we require from you:
- Completed Application Form
- Necessary documents to confirm your identity
- Passport / ID Card
- Birth / Marriage Certificate
- Utility Bills / Bank Statement
- Details of 3 referees - current and last employers including e-mail addresses
- Evidence of Right to Work in the UK
- Original / Certified Registration certificates, professional qualifications, membership of professional bodies
- NMC Original Statement of Entry
- NMC Annual Statement of Entry
- Police check from original country of origin - if you have been in the UK less than six months
- Your last appraisal from your employer
- Original IELTS Certificate - if applicable
We will verify all original documents as outlined above and will scan any original documents that you bring at interview stage.

We look forward to meeting you. If you have any questions, please do not hesitate to contact the team.

Kind regards,

PCR Recruitment Team

info@pcr.uk.com

01926 410054

6 The Hughes

22 - 26 Swan Street

Warwick

CV34 4BJ

Personal Information:
Name*

ForenamesSurname
Date of Birth*

MonthDayYear
Date
Nationality*
Marital Status*
National Insurance Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Telephone*

Area CodePhone Number
Home Telephone

Area CodePhone Number
Email Address*
example@example.com
Next of Kin*
Relationship*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone No*

Area CodePhone Number

Miscellaneous Details
Do you hold a current driving licence?*

YesNo
Do you have your own transport?*

YesNo
Are you eligible to work in the UK?*

YesNo
Expiry Date (if applicable)

MonthDayYear
Date

Important Information

We now need to ask you several questions regarding your DBS and how you heard about Professional Care Recruitment Childcare.
Do you hold a current Enhanced DBS Certificate to work with children?*

YesNo
Are you registered with the Update Service?*

YesNo
Do you give PCR authorisation to check your DBS on the Update Service?*

YesNo
Please sign here to confirm that you give PCR authorisation to check your DBS:*

Clear
How did you hear about Professional Care Recruitment Childcare? Did anyone refer you? (Please give details below as this will be needed if someone wants to claim a referral fee):*

Employment History
We now need details of your 10 years' work history. Use the spaces below to fill out the details of each employment. Please start with your most recent employer first.

Please include:
- Employer Name
- Employer Address
- Job Title
- Start Date
- End Date (if applicable)
- Reason for leaving (if applicable)
- Salary
Employment 1*
Please aim to type horizontally not vertically.
Employment 2
Please aim to type horizontally not vertically.
Employment 3
Please aim to type horizontally not vertically.
Employment 4
Please aim to type horizontally not vertically.
Employment 5
Please aim to type horizontally not vertically.
Gaps in Employment

If there are any gaps in your employment, please explain why below. Please start with your most recent gap in employment.

Plese include:
- Dates of gap in employment
- Reason for gap in employment
Gap 1
Please aim to type horizontally not vertically.
Gap 2
Please aim to type horizontally not vertically.

References
We require three professional references. PCR will cross check and do our due diligence on your references to ensure that they are professional employers and not colleagues or non-professional contacts. Work addresses and emails are essential. Should these not be supplied, we cannot take your application any further.

Please use the spaces below to give details of your references.

YOU MUST INCLUDE:
- Referee Name
- Referee Position
- Company Name
- Company Address
- Work email address of referee
- Referee telephone number
Reference 1*
Reference 2*
Reference 3
Consent for reference requests

We require your consent for reference requests, please sign and date below:
Agency Worker Sign*

Clear
Date*

MonthDayYear
Date

Declaration
Any appointment will be made on the basis that the information given on this form is true and correct. Failure to disclose information or giving incorrect information may result in an offer being withdrawn, or in potential disciplinary proceedings at a later date.

"I certify that I have read and understood the above statement and that the information I have given is true"
Agency Worker Sign*

Clear
PRINT*
Date*

MonthDayYear
Date

APPLICATION COMPLETE

You have now completed the application form. We will be in touch soon regarding the outcome of your application with the contact details you have provided.

If you have any questions, please contact us using the contact details below:

Email: info@pcr.uk.com

Telephone: 01924 410054
Should be Empty:

Personal Information:

Miscellaneous Details

Qualifications and Experience

Important Information

Employment History

References

Declaration