Fill in Application Form

1.About You

2. Who do you currently work for?

3. Who have you worked for in the past?

Start with the most recent prior to your current employment. Remember to include any voluntary work experience. We require a FULL employment history for all candidates. This should include all roles held since leaving full time education.

4. Bank Working

If you are applying for bank work, please indicate when you are available for work using the table below.
Indicate by inputting a 1 where applicable

5. What relevant Qualifications/Training do you have?

6. What attracts you to this job?

7. Referees

Please give the name of your current and most immediate previous employer
If you have only one employer referee, your second referee may be a professional character referee (education or self-employed). If you have no previous work experience, you may use your Head Teacher or Tutor’s name and your second referee should be a character referee. Your character referee must have known you for 5 years and cannot be a partner or relative.
None of the above should be related to you.

8. Declaration

Signature of this document indicates that you have read the job description and any other information issued relating to the vacancy and can comply with the fundamental requirements of this role. In addition, it indicates that all the information given by you is accurate. Incomplete or misleading information may, on discovery, result in summary dismissal.
I declare that I am making this job application in good faith and I understand that, if I am successful, I may not work for any other employer during the course of my employment, unless I have sought and gained express agreement (this will normally be granted unless there are exceptional or conflicting circumstances). I acknowledge that any breach by me of this declaration may result in my immediate dismissal and that I may be liable to pay Care Consult ID Limited's costs associated with and arising from this job application."

9. Where did you hear about this vacancy?

Please list the website, publication or other means:

11. Are you subject to any current suspensions or any ongoing investigations or restrictions to practice or have you been dismissed within current or previous employment? If yes, please provide information below.

12. Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 .

Due to the nature of Care Consult ID Limited Services for vulnerable adults, we use the Disclosure and Barring/Protecting Vulnerable Groups Services to make checks at a standard or enhanced level on all persons offered employment by Care Consult ID Limited services.

DATA PROTECTION ACT:
Information provided by you on this application form may be copied for use during the recruitment procedure. If you are a successful candidate, relevant information may be taken from this form and used as part of your personnel record. Disclosures will only be made for payroll and personnel administration procedures.

13. If you have been referred by an employee of Care Consult ID Limited, please provide their details below: