Our application process

Position & Availability
Position*
Please choose which position you are applying for
- Community Carer
- Other
Availability*
- Full-time
- Part-time

Personal Details
Title*
- Ms
- Miss
- Mrs
- Mr
Name*
First Last
Previous name
If different from above
Address line 1*
Address line 2
Town/City*
Postcode*
Home Telephone
Mobile Telephone*
Email address*
National Insurance number*
Nationality*
Work Permit
Do you need a work permit to work in the UK?*
If you are not a British passport holder or a European Citizen, or you do not have the permanent right to remain in the UK, you will require a work permit.
Work permit expiry
If you already have a work permit, when does it expire?
DD slash MM slash YYYY
Driving Licence
Do you have a car at your disposal?*
- Yes
- No
Do you possess a current UK/EU driving licence?*
- Yes
- No
Do you have valid motor vehicle insurance?*
- Yes
- No

Education
Original documents as proof of qualifications will be required at interview
Education/training history*
Please specify how many school/college/university details you wish to give
School/College/University 1
Name of school, college or university*
Start date*
DD slash MM slash YYYY
Finish date*
DD slash MM slash YYYY
Examinations*
Please give details of all exams taken and results achieved.
School/College/University 2
Name of school, college or university*
Start date*
DD slash MM slash YYYY
Finish date*
DD slash MM slash YYYY
Examinations*
Please give details of all exams taken and results achieved.
School/College/University 3
Name of school, college or university*
Start date*
DD slash MM slash YYYY
Finish date*
DD slash MM slash YYYY
Examinations*
Please give details of all exams taken and results achieved.
School/College/University 4
Name of school, college or university*
Start date*
DD slash MM slash YYYY
Finish date*
DD slash MM slash YYYY
Examinations*
Please give details of all exams taken and results achieved.
School/College/University 5
Name of school, college or university*
Start date*
DD slash MM slash YYYY
Finish date*
DD slash MM slash YYYY
Examinations*
Please give details of all exams taken and results achieved.

Training & Non-vocational Experience
Do you have any relevant non-vocational experience/skills?*
For example: family duties, voluntary work, leisure activities.
Non-vocational experience/skills*
Please give details
Professional Qualifications
Please list any professional qualifications currently held, how they were obtained and grades.
Other education/training
Please list any other relevant educational or training courses. Include the course, duration, organising body and dates.

Employment History
Previous employers*
Please specify how many previous employers' details you wish to give
Previous Employer 1
Previous employer name*
Position held*
Date commenced*
DD slash MM slash YYYY
Date ended
DD slash MM slash YYYY
Salary/hourly rate*
Reason for leaving
Description of duties*
Previous Employer 2
Previous employer name*
Position held*
Date commenced*
DD slash MM slash YYYY
Date ended
DD slash MM slash YYYY
Salary/hourly rate*
Reason for leaving
Description of duties*
Previous Employer 3
Previous employer name*
Position held*
Date commenced*
DD slash MM slash YYYY
Date ended
DD slash MM slash YYYY
Salary/hourly rate*
Reason for leaving
Description of duties*
Previous Employer 4
Previous employer name*
Position held*
Date commenced*
DD slash MM slash YYYY
Date ended
DD slash MM slash YYYY
Salary/hourly rate*
Reason for leaving
Description of duties*
Previous Employer 5
Previous employer name*
Position held*
Date commenced*
DD slash MM slash YYYY
Date ended
DD slash MM slash YYYY
Salary/hourly rate*
Reason for leaving
Description of duties*
Other Employment
Any other employment or gaps
Please provide details of any other employment, reason for gaps in employment, etc.

Relevant Experience & Other Supporting Information
The information you provide in this section will be used in assessing your application. Please use this space to explain why you are interested in this post and what you can bring to it. Give details of your knowledge, skills, experience, personal qualities and other relevant information which will support your application. If applying for a carer position, you should relate your experience (paid or unpaid) to the job description and person specification provided.
Experience & Supporting Information*

Rehabilitation of Offenders Act
Disclosures of convictions may not necessarily be a bar to successful application. If your application is in respect of a position which involves the supervision of, or otherwise connected with, those occupations which are exempt from the Rehabilitation of Offenders Act 1974 (amended), you are required to declare any convictions for criminal offences. For other jobs, only those convictions which are deemed ‘unspent’ need to be disclosed. Please see guidance notes for further details.
Convictions*
Do you have any current or past convictions?
- Yes
- No
Conviction details*
Please give details

References
Acceptable references need to be from previous employment, doctor, church, school or other such professional organisations.
Referee 1
Referee Title*
Referee Name*
Referee Job Title
Referee Organisation*
Referee Address*
Referee Postcode*
Referee Telephone
Referee Email
Referee Fax
Permission to obtain reference*
Please state if we may obtain a reference before interview
- Yes
- No
Referee 2
Referee Title*
Referee Name*
Referee Job Title
Referee Organisation*
Referee Address*
Referee Postcode*
Referee Telephone
Referee Email
Referee Fax
Permission to obtain reference*
Please state if we may obtain a reference before interview
- Yes
- No

Declaration
The information provided by you on this form as an applicant will be treated in the strictest confidence and be stored either on paper records or a computer system in accordance with the General Data Protection Regulation 2016 ("GDPR") and will be processed solely in connection with recruitment.

I declare that the information given in this application is true to the best of my knowledge. I understand that if I have knowingly provided false or withheld material information, this will be sufficient grounds for terminating my employment.

I understand that any job offer is subject to satisfactory references and a probationary period.

The post will be subject to a Disclosure & Barring Service (DBS). Should I be offered such a post, I understand that a DBS check will be sought before the appointment is confirmed.
I agree*
If you understand and agree with the above declaration, please tick the box
- Yes
Phone
This field is for validation purposes and should be left unchanged.

Position & Availability