Job Application -

Job Application form

Job Application Form

Position Applied For

Location

Work Preferences

Full Time

Part Time

Bank

I understand this role may include shift work, unsociable hours, lone working.

Personal Details

First Name

Last Name

Maiden Name

Previous Names

Gender

Marital Status

Place Of Birth:

Nationality:

NI Number

Phone Number

Mobile Number

Are you a Driver:

Own Transport:

How Long Have you had a license?

Are you a United Kingdom (UK) National?

If you answered "No" on the above question, please detail your current immigration status and the relevant VISA currently held (including VISA number)

Indefinite Leave to Remain :

Limited Leave To Remain (Please state visa expiry and visa type)

Visa Number:

Address

Address Line 1

Address Line 2

City

State

Postal Code

Country

Are you related to any of our current members of staff or service users?

Equality Act 2010: 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?

Details:

Education *(All qualifications will be subject to a satisfactory check).

Institution

Date From:

Date To:

Qualifications:

Training Courses attended or completing (evidence of attending courses is required)

Subject:

Location:

Date:

Details:

Professional Memberships / Registrations)

Name of Organizaton

Registration Number:

Renewal Date:

Details:

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.
Use separate attached sheet if required.
Please sign the sheet(s).

Current / Most recent employer

Job Title:

Employer Name:

Reason for leaving:

Start Date:

End Date:

Salary:

Duties:

Address

Address Line 1

Address Line 2

City

State

Postal code

Country

Previous Employment

Job Title:

Employer Name:

Reason for leaving:

Start Date:

End Date:

Salary:

Duties:

Address

Address Line 1

Address Line 2

City

State

Postal code

Country

Job Title:

Employer Name:

Reason for leaving:

Start Date:

End Date:

Salary:

Duties:

Address

Address Line 1

Address Line 2

City

State

Postal code

Country

Explanation of Gaps: Use this section to detail any gaps in employment and why

References:

Please provide names, addresses and telephone numbers for referees below whom we may approach for a reference. You must provide references from your two most recent employers. In line with CQC requirements, we require references covering your last five years’ employment. If you have not had more than one employer in the last five years, we require a further reference. Please provide two-character references if you are unable to obtain two professional references, e.g. in the case of an applicant who has been raising children for ten 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.

Contact Name:

Company Name:

Telephone:

Email:

Position

Contact Name:

Company Name:

Telephone:

Email:

Position

Contact Name:

Company Name:

Telephone:

Email:

Position

Safeguarding / Ex-Offenders Declaration: 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 or belief, sexual orientation, pregnancy or maternity and marriage or civil partnership. The Organization undertakes 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 Spent / 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?

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 us holding the information contained within this application form. If successfully shortlisted, data will also include shortlisting 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 period over when a candidate accepts our job offer for the position for which we are considering you. When that period is over, we will either delete your data or inform you that we would like to keep it in our database for future roles.

We have privacy policies that you can request for further information. Please be assured that your data will be securely stored by the Registered 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 would like to discuss this further or withdraw your consent at any time, please contact the Registered Manager to discuss.

Declaration

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

Full Names:

Signature:

Date

Supporting Statement

Please add here your reasons for applying. You should refer to the job description and person specification to guide you. It would also be of value to describe strengths and talents that set you apart from others as well as including skills gained from work, home and other activities.