Application Form

Please complete the application form below to apply for your chosen position. We endeavour to contact all applicants whether successful or not. Please allow up to 3 weeks for your application to processed before contacting us.

Position Details

Position Applied for:

Location:

Available Start Date

Personal Details

First Name:

Surname

Address

Email Address

Telephone

Working Arrangement

Do you have any days/times that you would be unable to work?

Education

Qualifications

Employment History

Please complete with your last 10 years (if applicable) employment history

Employment 1

Employment 2

Employment 3

Employment 4

Hobbies/Interests

References

Additional Information

Please give any additional information you consider important yo support your application including any training and development you have taken as well as any experience with the disabled or elderly. Please use a separate sheet if necessary.

Data Protection Statement

The information that you provide on this form and within your CV will be used to process your application for employment, We process this information in line with our job applicant privacy policy. If you succeed in your application for employment, the information will be used in the administration of your employment with us. Further details on the processing of your data at this stage will be provided to you on offer of employment.

By signing this application form we will be assuming that you agree to the processing of your personal data (As descried above), in accordance with our registration with the Information Commissioner’s office. If you would like further information please read our applicant privacy policy.

Declaration

I declare to the best of my knowledge and belief, all particulars I have given in all parts of this application form, including my CV, are complete and true.

I understand that any false declaration or misleading statement or a significant omission may disqualify me from employment and render me liable to dismissal. If I am not successful in my application, I understand that my application will be retained for 6 months.

Please complete your name and todays date below to acknowledge your understanding of, and agreement with, the Data Protection Statement and Declaration above.

Name

Date