Contact Details Title * Contact Number * Email Address * Equal opportunity
We value the diversity of our workforce and welcome applications from all sectors of the community. To ensure that our recruitment procedures operate fairly, please assist us in this process by completing the questions below.
Please select your age range * 16 - 25 26 - 35 36 - 45 46 - 55 56 + Do you have a disability * If yes, do you require any adjustment(s) for an interview or to perform in advertised role? Please select your ethnicity * Arabian Asian Bangladeshi Black African Black British Black Caribbean Black Other Chinese Dual Heritage Indian Pakistani White British White European White Other Other Prefer not to say Please select your gender * Male Female Transgender Prefer Not To Say Position Position applied for * How did you hear about this position? * Driving Do you hold a full UK or European Economic Area (EEA) driving license? * If yes, has your driving license been endorsed? * Do you have a vehicle you can use for business purposes if required? * If yes, please explain Full Employment History
Please list below your complete and full employment history, explaining all employment gaps, starting with your most recent employer, working backwards to when you left full-time education (continue on a separate sheet if necessary).
Please also attach a full CV (if possible). Employer 1 Company Name Reference Details * Phone Email * Job Title and Main Duties * Position Salary Notice Period Reason for leaving Employer 2 Company Name Reference Details * Phone Email * Job Title and Main Duties * Position Salary Notice Period Reason for leaving Employer 3 Company Name Reference Details * Phone Email * Job Title and Main Duties * Position Salary Notice Period Reason for leaving Employer 4 Company Name Reference Details * Phone Email * Job Title and Main Duties * Position Salary Notice Period Reason for leaving Education Secondary School (Name and Address) * Qualifications Gained * Further Education Further education e.g. college / university * Qualifications gained * Qualifications and Training Please give details of any professional qualifications gained Are you taking any course of study at present? * Character References
Please provide details of two people who can be contacted for a reference if you have not provided a full 5 year work history.
The referee must be able to comment on your suitability and character for the post you have applied for (e.g. fellow work colleague or course tutor). Relatives and/or Partners should not act as referees. Referees will not e contacted without your consent. Reference 1 Contact Name Job Title Phone Email * Relationship to you * Numbers of years known * Reference 2 Contact Name Job Title Phone Email * Relationship to you * Numbers of years known * Additional Skills
Please use the space below to explain why you have applied for this vacancy. You should include details of your experience, skills and personal qualities that you can bring to this role.
You will need to refer to the enclosed job description and person specifications when completing this section. Additional Skills Eligibility to work in the UK: Do you have the right to work in the UK? * Please provide details of your visa and any restrictions in the space provided below (if applicable) * Other Employment
To Allow us to monitor your working hours and comply with current legislation, please complete the following section:
If you are successfully appointed to the post applied for, do you intend to continue with other employment? * Disclosure of criminal record information
Due to the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974, by virtue of the Rehabilitation of Offenders 1974 (Exceptions) Order 1975.
This means that convictions that are 'spent' under the terms of the Rehabilitation of Offenders Act 1974 must be disclosed and will be taken into account in deciding whether to make an appointment.
Any information will be completely confidential and will be considered only in relation to this application.
Please read the above carefully and then answer the following questions: Have you ever been convicted of a criminal offence? * Have you ever received any official cautions, reprimands or warnings? * To your knowledge, are you currently the subject of any criminal proceedings or any police investigation? * Data Protection
The Livingways Care Service Recruitment Privacy Statement is available
or a copy can be requested from the Human Resources Department. Please sign below to confirm you have accessed the Livingways care services Recruitment Privacy Statement and you have read, understood and agree to all the terms stated.
I declare that the information given in this application is to the best of my knowledge, complete and correct. I accept that should any statement made by me in connection with this application be found to be false, incomplete or misleading then the application shall be void and consequently, we may terminate any contract arising at any time.
Because of the sensitive nature of the duties the postholder will be expected to undertake, I understand that the declaration will include details of any criminal convictions, cautions, reprimands and final warnings that are not 'protected' as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013) ad any other information that may have a bearing on my suitability for the post. I also understand that the relevant level of DBS check will be sought in the event of a successful application.