Application for Employment

Application for Employment

Personal Details

Name
Name
First
Last
Address
Address
Town / City
County
Postcode

Repeater

Previous address If less than 5 years at current address
Previous address If less than 5 years at current address
City
State/Province
Zip/Postal
Country
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Are you a Driver
With your own Transport
Any Endorsements

Uploads

Maximum file size: 16.78MB

Two valid form of ID is required from this list

  • Passport
  • Driving License
  • Birth Certificate
  • Marriage Certificate
  • Work visa
  • Photo ID

Maximum file size: 16.78MB

Maximum file size: 16.78MB

Two forms of proof of address from this list dated within last 3 months

  • Utility Bill
  • Bank Statement
  • Mortgage statement
  • Mobile phone bill

Maximum file size: 16.78MB

Maximum file size: 16.78MB

Are you a United Kingdom (UK) National

Maximum file size: 16.78MB

Are you related to any of our current members of staff or Service Users?

Equality Act2010 – Under the Equality Act 2010, the definition of disability is if you have a physical or mental impairment that has a “substantial” and “long-term adverse effect” on your ability to carry out normal day-to-day activities.  Further information regarding the definition of disability can be found at www.gov.uk/definition-of-disability-under-equality-act-2010

For the purposes of this application and interview stage only, is there anything you would like us to be aware of so that we can make reasonable adjustments during the process?

Location
Work Preference

Availability for work, please complete day & times available. Complete for weeks 1 & 2

Please indicate when you would be available to work on a rolling two week basis below.
Week 1 Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Availability for work week 2

Please indicate when you would be available to work on a rolling two week basis below.
Week 2 Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Secondary Education

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Further Education

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*(all qualifications will be subject to a satisfactory check)

Training Courses

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Attended or completing (evidence of attending courses is required)

Professional Memberships / Registrations

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Employment History

Please record below the details of your full employment history beginning with your current or most recent first. Any gaps must be explained later in the form.

Use the + Add an Employer button below to add more employers.

Employer

Employer Address
Employer Address
Town / City
County
Postcode
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Please provide explanation below of any gaps or breaks in employment.

References

We will approach your former employer(s) for a professional reference in line with CQC Regulatory requirements. We require references covering at least your last five years of employment (if applicable).

We will also contact the person(s) stated below for personal references. Those listed below must have known you for at least 5 years. All will be contacted, therefore please inform the referees of the fact that you have used their name. If you are unable to provide the required references, please discuss the matter with us.

Please us the + Add button below to add as many referees as you need.

TWO REFERENCES ARE REQUIRED

Personal Reference

Address
Address
Town / City
County
Postcode
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Please note this section will only be seen by those involved in the recruitment process and will be treated with the strictest confidence.

The Rehabilitation of Offenders Act 1974 aims to promote equality of opportunity and is committed to treating all applicants fairly regardless of ethnicity, disability, age, gender or gender re-assignment, religion, belief, sexual orientation, pregnancy or maternity and marriage or civil partnership. Passionate About Care Limited under takes not to discriminate unfairly against applicants on the basis of a criminal conviction or other information declared.

Answering ‘yes’ to the question below will not necessarily prevent your employment. This will depend on the relevance of the information you provide in respect of the nature of the position and the particular circumstances.

Are you currently bound over or do you have any current UNSPENT convictions that have been issued by a Court or Court-Martial in the United Kingdom or in any other country?
Do you have any current UNSPENT police cautions, reprimands or final warnings in the United Kingdom or in any other country?

DBS Declaration

DBS – Application for first DBS is funded by the candidate at £60.

If existing DBS certificate is registered on the DBS Update Service, do you give permission for Passionate About Care Ltd to access your certificate
I am not on the DBS update service and therefore would like the cost deducted :
I would like the £60 to be taken from my salary over two months
OR I would like the £60 to be taken from my 1st month’s salary

Uniform

Uniform – a deposit will be taken of £10 for necessary uniforms at the start of your employment, and this will be returned to you at the end of your employment as long as the uniform is returned in good condition (wear and tear is expected, however not purposely damaged items). Company logo fleeces are available at an additional cost of £20 each.

Health

1) Do you have or have you ever had any significant health problem, impairment / disability (physical or mental) or learning difficulties that may affect your ability to undertake the tasks set out in the job description of the post offered?
2) Do you have or have you ever had any illness impairment or disability that may have been caused or made worse by your work?
3) Have you ever left or been denied employment in an organisation on the grounds of ill health or been medically retired on the grounds of ill health?
4) Are you having, or waiting for any medical treatment or investigations at present?
5) Will you need any special aides or adjustments or assistance to enable you to undertake the tasks set out in the job description of the post offered?
6) Do you have any allergies? – please give details below
This form will be completed later, it will be printed out so that signatures can be added.

This agreement is between Passionate About Care Limited, the employer and the employee.

Opt out of the European working time directive (EWTD).

  1. The employee understands that they are entitled to have their average weekly working time limited to 48 hours per week.
  2. The employee agrees that the 48 hour limits shall not apply in their case.
  3. This agreement applies until it is terminated by the employee in accordance with clause 4 Or
  4. This agreement applies until the date below or until terminated by the employee and accordance with clause 4.
  5. If the employee wishes to terminate this agreement, they must give three months notice to Passionate About Care Ltd.
    This agreement is being made in accordance with regulation five of the working time regulations 1998

Privacy Statement

We will only collect data for specified, explicit and legitimate use in relation to the recruitment process. By signing this application form, you consent to holding the information contained within this application form. If successfully shortlisted, data will also include short listing scoring and interview records. We would like to keep this data until the vacancy is filled. We cannot estimate the exact time period, but we will consider this over when a candidate accepts our job offer for the position for which we are considering you. When this process is complete we will either delete your data or inform you that we would like to keep it on our database for future roles.
We have privacy policy fees that you can request for further information. Please be assured that your data will be securely stored by the office manager and only used for the purposes of recruiting for this vacant post.
You have a right for your data to be forgotten, to rectify or access data, to restrict processing, to withdraw consent and to be kept informed about the processing of your data. If you’d like to discuss this further or withdraw your consent at anytime, please contact the office manager to discuss.

Declaration

The information in this application form is true and complete. I agree that any deliberate permission, falsification or misrepresentation in the application form will be the grounds for rejecting this application or subsequent dismissal if employed. Where applicable, I consent that I can seek clarification regarding professional registration details.