Education, qualification and training

Employment History

Give details of your present or most recent employer, your reason for leaving and the amount of notice you required, if you are a school leaver, please include details of any work experience.

Previous employment

Knowledge, Skills & Experience

Please read the Job Description and the Person Specification before completing this section.

Criminal Records/Convictions

If you are shortlisted for interview, you will be asked to complete a Self-Declaration, which will ask you to disclose relevant convictions and cautions.

(Certain matters do not have to be declared and guidance about whether a conviction or caution should be disclosed can be found on the Ministry of Justice website. (View Website)

Please note that before any prospective employee can commence working with us, it is the policy of the organisation to obtain a satisfactory Disclosure and Barring Service (DBS) check on them (the level of which will depend on the role). For more information, (View Website)

Driving Details

If the role requires you to drive in the course of your duties as stipulated in the job description, please confirm:

Equality & Diversity

We are an equal opportunities and Disability Confident employer and we want to encourage people with disabilities to apply to work with us. All applicants who tick ‘yes’ to having disability - and who meet the essential criteria within the job description - will be invited to attend an interview. If you are invited to attend an interview, our Recruitment Team will be in touch with you to facilitate any reasonable adjustments.

We are an equal opportunities and Disability Confident Employer. Please contact HR if you would like further information.

Or see https://www.gov.uk/recruitment-disabled-people/encouraging-applications

References

Please give details of a minimum of two referees, the first of which must be your current or most recent employer. If you have held a previous role within the Health and Social Care Sector, you are required to provide referee details for this employment. We cannot accept references from family members, friends or neighbours. If you are only able to provide one employment reference, please ensure that any second reference is somebody of a professional background within the community, i.e. teacher, lecturer, doctor, accountants, police officer etc. Referees will be contacted if you are successful at interview. Employment is offered subject to successful completion of pre-employment checks which include receipt of two satisfactory references. We reserve the right to determine what constitutes a satisfactory reference.

Current/most recent employer

Second Referee (Previous Employer)

Further Information

Declaration

I confirm that I am of suitable physical and mental health to undertake the role that I have applied for.

I declare that the information contained on this application form is correct.

I understand that providing false or misleading information may lead to the offer of employment being withdrawn, or, if I have commenced employment, to my dismissal from the organisation.

I understand that the information provided by me on this application form will be processed by the organisation in line with the Privacy Notice for Job Applicants.

I understand that I will be required to show evidence of my identity, qualifications and eligibility work in the UK as part of the pre-employment process and prior to a job offer being confirmed.

I understand that the information provided by me on this application form will be processed by the organisation in line with the Privacy Notice for Job Applicants as detailed on the organisation’s website and which I have read and understood.

By completing this form you are declaring that all the information is correct and you understand and agree with above declaration.