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Nick
2022-03-25T15:43:14+00:00
Apply Now
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Date of Application
Personal Details
Name
*
Title
Dr.
Miss
Mr.
Mrs.
Ms.
Prof.
Rev.
Prefix
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Home Telephone Number
Mobile Telephone Number
*
NI Number
Email
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Do you hold a full licence to drive
*
Yes
No
Do you have any driving endorsements?
*
Yes
No
Driving ednorsements
*
Do you own a car?
*
Yes
No
Do you require a Work Permit to be employed in the UK?
*
Yes
No
The role requires a significant level of manual handling. Do you have any medical conditions that may affect your ability to carry out manual handling duties on a day to day basis?
*
Yes
No
Driving ednorsements
*
How did you hear about this vacancy?
Availability
What days/hours are you available to work?
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Interview arrangements
Do you require any special facilities for interview?
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Yes
No
Special facilities
*
Please note that all candidates are treated equally regardless of their age, sex, sexual orientation, marital status, race, ethnic origin, religious belief or disability.
References (for external candidates only)
Give names and addresses (and telephone numbers, if possible) of two referees. The first should be your present or most recent employer (or head teacher, if a school leaver).
Recent Employer
Recent Employer Phone
Recent Employer Email
May we approach them prior to interview?
Yes
No
Personal Reference
Personal Reference Phone
Personal Reference Email
May we approach them prior to interview?
Yes
No
Referees will only be contacted if you have been requested to attend for an interview. References are confidential
Career History
Career History
Name and address of recent and previous employers
From
To
Appointments held, brief descriptions and current salary
Reason for Leaving
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Education and Training
Educational Qualifications
Education and Training
Secondary School/ College/ University attended
Full or Part-time
From
To
Course(s) taken or currently studying
Examination results (incl. grades)
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Other relevant training courses attended:
Professional Qualifications
Professional Qualifications
Professional Qualifications
Professional Body
Details of UK Registration
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Languages
Do you speak any other languages? If yes, please indicate what with fluency level:
Language
Fluency Level
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General Information
Job Applying For
Explain why you are interested in this position, how you feel you would benefit our service users and give any additional information in support of your application including relevant skills and personal qualities.
Interests and hobbies
If offered the position will you continue to work in any other capacity?
What notice period do you have to give?
Rehabilitation of Offenders Act 1974
Under the Act, most sentences awarded by a Court for Criminal offences may be regarded as spent and disregarded, for most purposes, after a specified period of time and need not then be disclosed. However this post is exempt from the Rehabilitation of Offenders Act 1974 and you must therefore declare any and all convictions/cautions/reprimands/warnings you may have had. As you will be working with vulnerable individuals, prior to commencing in post you will be required to undergo a Criminal Records Bureau Police check.
Have you at any time been convicted of a criminal offence or received a Police caution and or reprimand or warning?
*
Yes
No
Criminal Convicitions
Data Protection Act 1998
We undertake to treat personal details on this application form from which you can be identified, with complete confidentiality. By submitting this application form you are consenting for your details to be used in our recruitment process in accordance with the Data Protection Act 1998.
Consent
To the best of my knowledge the above facts are a true statement. I accept that providing deliberately false information could result in my dismissal.
Should an offer of employment be made we reserve the right to require you to undergo a medical. (Should we require further information and wish to contact your doctor with a view to obtaining a medical report, the law requires us to inform you of our intention and obtain your permission prior to contacting your doctor).
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