Application Form

About you
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Right to work in UK?
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Position Details

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Please select your peferences. Tick all that apply

Skills, Training & Experience

As part of our recruitment process, you must submit your full employment history from leaving school, including reasons for any gaps in employment. Are you able to submit this when requested? This can be as a CV or a typed list.
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References

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When would you be happy for us to contact this referee?
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When would you be happy for us to contact this referee?
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When would you be happy for us to contact this referee?

Health and Wellbeing

All of our services are provided in our service users home, are you aware of any physical or other health reasons that would limit you to be able to access and carry out tasks in the home environment?
Are you aware of any physical or other health reasons that would limit your ability of physically supporting our service users?
Do you confirm you are mentally and physically fit to do the key duties relative to the role you have applied for?

Safeguarding & DBS

Please note this section will only be seen by those involved in the recruitment process and will be treated with the strictest confidence. We aim to promote equality of opportunity andare committed to treating all applicants fairly and not to discriminate against applicants on the basis of a criminal conviction or other information declared. 

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

Your Signature