BBCH Job Application Form
Thank you for you interest in BBCH. Whether you applying to an open position or just wish to express an interest in a possible future job opening, please complete every item on the form in as much detail as possible, or insert NA (not applicable) if appropriate.
What position would you like to apply for? *
Your answer
Personal information
Title *
Forenames *
Your answer
Surname *
Your answer
Address *
Your answer
Town *
Your answer
County *
Your answer
Postcode *
Your answer
Telephone *
Your answer
Mobile *
Your answer
Email *
Your answer
How would you like to be contacted? *
National Insurance Number *
Your answer
Permission to work in the UK
Do you the right to work in the UK? *
It is a criminal offence to employ persons whose immigration status prevents them from working in the United Kingdom. BBCH will require proof of this right before an offer of employment can be confirmed (eg passport and/or any other appropriate document required to confirm your right to work in the UK as required by the Asylum and Immigration Act 1996.
Required
Do you require a work permit to work in the UK? *
Required
Employment history
Name of your current or last employer *
Your answer
Address of your current or last employer *
Your answer
Job Title *
Your answer
Date job started *
MM
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DD
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YYYY
Date job ended if no longer current *
MM
/
DD
/
YYYY
Current or final salary *
Please enter hourly, weekly or monthly salary.
Your answer
When would you be available for work? *
Your answer
Reason for leaving *
Your answer
Previous Employment *
Please list your previous employers including: name and address of the employer, job title, main responsibilities, dates attended and reason for leaving
Your answer
Education and Training *
Please provide details of relevant qualifications obtained including: name of school, college, university or course, dates attended, subjects studied, qualifications gained and grades and year obtained
Your answer
Health history
Sickness absence *
Please give the number of days and the reasons for each absence in the last two years. Please type "none" if appropriate.
Your answer
Are you in good health? *
Required
Are you currently undergoing treatment from a Doctor or Hospital? *
Required
Are there any disabilities which may affect your application *
Required
Please outline details if you are not in good health, currently undergoing treatment or have any disabilities we need to know about: *
Your answer
References
A minimum of two references is required, preferably your two most recent employers including your current employer, if you are in employment. References will not be taken up without your prior agreement.
Name of referee 1 *
Your answer
Job title referee 1 *
Your answer
Organisation or company referee 1 works/worked for *
Your answer
Address and postcode referee 1 *
This may be either work or home address
Your answer
Contact details referee 1 *
Please supply telephone and email
Your answer
How long have you known referee 1 and in what capacity? *
Your answer
Are you happy for us to contact referee 1 before an interview? *
Required
Name of referee 2 *
Your answer
Job title referee 2 *
Your answer
Organisation or company referee 2 works/worked for *
Your answer
Address and postcode referee 2 *
Your answer
Contact details referee 2 *
Please supply telephone and email
Your answer
How long have you known referee 2 and in what capacity? *
Your answer
Are you happy for us to contact referee 2 before an interview? *
Required
Other information
Membership of professional organisations *
Please any institute or organisation you may be a member of, the date you joined and the membership awarded
Your answer
Other experience *
Please tell us about any other work experience you may have undertaken such as voluntary work including the organisation and the dates you worked there
Your answer
Why do you think you are suitable for the post you are applying for? *
Your answer
Outside interests and activities *
Your answer
Rehabilitation of Offenders Act 1974 *
This employment is exempted from the above and employees are not therefore entitled to withhold information about “spent” convictions. In the event you have ever been convicted of any offence by a court of law, please give details of the offences or write: “no convictions”.
Your answer
Signature section
I declare that the information given in this application form is true and correct. I understand that any false or misleading information may disqualify my application or may render my Contract of Employment, if I am appointed, liable to dismissal without notice.
Declaration
If I accept employment with Bernhard Baron Cottage Homes, I consent to my personal information being held by the organisation for the administration of my Contract of Employment.
Signature *
Please type your full name including forename(s) and surname
Your answer
Date *
MM
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DD
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YYYY
Submit
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