Overview
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Resume Data
PERSONAL DETAILS
First Name: *
Last Name: *
Email Address: *
Telephone Number:
Upload your CV:
Address Information
Street Address: *
City: *
County: *
Country: *
Postcode: *
PERSONAL DETAILS - CONTINUED
NI Number: *
Valid Driving Licence: *
PREVIOUS EMPLOYMENT OR INVOLVEMENT WITH US
Have you worked for any company within Choice Care in any capacity before?
If you answered YES to the previous question, please specify where, providing the company name, home name/department and/or area of the organisation:
Do you know or are you related to anyone employed within Choice Care?
If you answered YES to the previous question, please specify who:
RIGHT TO WORK
Please select your Right to Work Status: *
What is your country of residence? *
If you are already in the UK on a Visa, please select the appropriate type: *
If you selected 'Other' please provide further details below: *
*Please provide any Visa restrictions: *
If you are an EU citizen do you have Settled or Pre-Settled status? *
Date you entered the UK: *
As a UK National, do you have the following:
In date British/Irish Passport or Passport Card
Out of date British/Irish Passport or Passport Card
Birth Certificate
None of the above
EDUCATION AND QUALIFICATIONS
Schools and Colleges
Please provide details of the qualifications you have obtained in this section
Examinations passed and/or qualification(s) achieved: *
Care Qualifications
Do you hold an NVQ, QCF or equivalent qualification in Health and Social Care? *
If you answered YES to the previous question, please provide the qualification level: *
If you answered NO to holding an NVQ, QCF or equivalent qualification in Health and Social Care, are you willing to work towards obtaining such a qualification?
Comments/Additional Information Regarding Care Qualifications:
Details of ‘Work Related’ Qualifications and/or Courses Attended
Please provide course titles with date(s) certified or attended:
EMPLOYMENT (YOUR CURRENT OR MOST RECENT EMPLOYMENT)
Company: *
Job title: *
Employment from (MM/YY): *
Employment to (MM/YY): *
Building name and/or street address: *
Town: *
Country: *
Postcode: *
County:
Please provide a brief description of your role and responsibilities: *
Please provide your reason(s) for seeking new employment: *
FULL EMPLOYMENT HISTORY (FROM THE DAY YOU LEFT SCHOOL)
IMPORTANT NOTE: We require a full and complete list of every organisation you have worked for since you left school (from the age of 16), with an account of every gap or break in your employment history. Asking for this is a regulatory requirement and we appreciate your co-operation. If you have been employed outside of the UK, please also include this employment history.
Choice Care and their associates are fully committed to the principle of equal opportunities in employment whether by; sex, marital status, dependents, ethnic origin, disability or age.
You are asked to complete this section along with your application for employment for the purposes of enabling us to monitor the effectiveness of our Equal Opportunities Policy and Practices.
The information that you provide here will NOT be used as part of the selection process and is for monitoring purposes only. Thank You.
With which gender identity do you most identify? *
What is your age range? *
What is your relationship status? *
What is your ethnicity? (Please choose the most appropriate option to indicate your cultural background) *
If you selected Other, please specify:
Do you consider yourself to have a disability as defined in the Equality Act 2010? *
If you have a medical condition, the Equality Act 2010 requires employers to make reasonable adjustments to the job content or working environment. To achieve this, we need to know whether you are covered. The definition of disability is: “A physical or mental impairment which has a substantial and long-term effect on a person’s ability to carry out normal day-to-day activities in a non-work environment.”
IMPORTANT! PLEASE READ CAREFULLY:
Because of 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 Act 1974 ‘Exemptions’ Order 1975. Applicants are therefore not entitled to withhold information about convictions or police cautions which for other purposes are ‘spent’ under the provisions of the Act and in the event of employment; any failure to disclose such convictions could result in dismissal or disciplinary action. Any information given will be completely confidential (according to the Data Protection Act 1998) and will only be considered in relation to an application for positions to which the Order applies.
Have you ever been convicted of a criminal offence(s)? *
If you answered YES to the above, please provide details of any conviction(s) including date(s) below to verify the information you have provided. This section MUST be completed: *
Have you ever been convicted of a driving offence(s)? *
If you answered YES to the above, please provide details of any conviction(s) including date(s) below to verify the information you have provided. This section MUST be completed: *
Have you ever received a caution(s)? *
If you have answered YES to the above, please provide details of any caution(s) including date(s) below to verify the information you have provided. This section MUST be completed: *
Have you ever received a reprimand(s)? *
If the answer is ‘Yes’ to the above then please provide details of any reprimand(s) including date(s) below to verify the information you have provided. This section MUST be completed: *
Successful candidates are required to apply for an enhanced disclosure from the Disclosure and Barring Service (DBS).
Further information about the disclosure service can be found at www.gov.uk/dbs or by contacting the DBS information line on 0870 30 30 811.
POLICY DISCLAIMER/STATEMENT
If I am employed by Choice Care prior to the return of my disclosure, I accept the following:
That my probationary period has been estimated on the basis that my DBS certificate will contain no additional information to that shown above.
In the event that other information is provided (including any that may not be disclosed to the applicant), I understand that my employment may be terminated. I understand that this will be classed as gross misconduct and that, subject to the company’s disciplinary procedure, it will render me liable to summary dismissal. There is a possibility that no notice period will be given or paid.
Please tick here to confirm that all the information you have provided in this application form is accurate, to the best of your knowledge, and that you understand the statements provided herein *
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