Job application form
Thank you for your interest in our company, we are a family run business which is growing at a rapid rate! Due to winning a new social services contract we have unlimited vacancies for care support workers and full training will be provided.
We also provide a FREE DBS check, FREE uniform, FREE training, FREE perkbox subscription competitive rates of pay and millage payments. Complete your application form today for an immediate interview!
Email address
E Care - Because We Care!
Name & Address
Title
Required
First Name
Your answer
Surname
Your answer
Maiden Name
Your answer
Address
Your answer
Email
Your answer
Phone number - Landline
Your answer
Phone number - Mobile
Your answer
Which position(s) are you interested in?
Required
Your Nationality
Your answer
National Insurance Number
Your answer
Do you have a full driving licence?
Do you have access to a vehicle?
Requirements under the rehabilitation of offenders act 1974
Because of the nature of work for which you are applying, this post is exempt from the provisions of section 4(2) of the rehabilitation of offenders act 1974, by virtue of the rehabilitation of offenders act 1974 (Exceptions) orders 1975, applicants are therefore not entitles to withhold information about convictions or police cautions which for other purposes are "Spent" under the provisions of the act and, in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action. Any information given will be completely confidential and will be considered only in relation to an application for positions to which the order applies. All offers of employment will be subject to the receipts of a satisfactory DBS disclosure and two references.
Do you have any convictions or Police cautions
If YES to above please give details below
Your answer
I understand that should i knowingly make a false statement regarding my deceleration of criminal records, or should i willfully conceal any material fact, i will if engaged, be liable to have my contract or services terminates
Required
Education History
Please details below your education history for your secondary school / higher education only
Name of school / college / university
Your answer
Attended from:
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YYYY
Attended until:
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YYYY
Name of school / college / university
Your answer
Attended from:
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YYYY
Attended to:
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DD
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YYYY
Employment History
Please give details of your current and previous employment history
Current employment
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Employed from
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DD
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YYYY
Employed until
MM
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YYYY
Contact name and phone number
Your answer
How much notice is required
Your answer
Previous employer
Your answer
Employed from
MM
/
DD
/
YYYY
Employed until
MM
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DD
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YYYY
Contact name and phone number
Your answer
References:
Please give contact details for 2 references, one of these must be your most recent employer, We will not contact any referees unless employment is offered or permission is given!
Reference 1
Is this an employment or personal refreree
Name of referee:
Your answer
Address:
Your answer
Email address
Your answer
Telephone number
Your answer
Reference 2
Is this an employment or personal referee
Name of referee
Your answer
Address
Your answer
Email address
Your answer
Telephone number
Your answer
Please enter any other relevant information you wish to add below:
Your answer
DECLARATION
I understand and acknowledge that should i knowingly make a false statement or should i willfully conceal any material fact, i will if engaged, be liable to have my contract or service terminated
DATA PROTECTION
I understand that any personal information stored may be accessed from time to time by authorised inspectors from the care quality commission (CQC) i give my permission for these individuals to have access to my records
Thanks for your application, once submitted someone will contact you within 2 business days.
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