Job Application Form

Name(Required)

Date of birth(Required)

Email Address(Required)

Best contact number(Required)

Country Phone Number

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

NI Number

Do you have access to your own vehicle?(Required)

Do you have any penalties or convictions?(Required)

Please provide details:

Are you willing to travel for work/training?(Required)

Please state reasonable adjustments required

Are you sure?

If you are not willing to travel for work or training, we are unable to proceed with your application

Next of Kin Name(Required)

Next of Kin Relation(Required)

Next of Kin Phone Number(Required)

Country Phone Number

Next of Kin Phone Number(Required)

Next of Kin Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

GCSE C and above (including Maths and English)(Required)

Key Skills Maths or English(Required)

NVQ/BTEC Qualification(Required)

List of qualifications

Title of Qualification

Level Achieved

Date Completed

College Name

Degree(Required)

List of qualifications

Title of Qualification

Level Achieved

Date Completed

University Name

Are you currently employed?(Required)

Job title(Required)

Name of employer(Required)

Current salary

Start Date

Notice period(Required)

Employer address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Does this role require you to care for vulnerable adults or children?(Required)

Previous employment history

Please provide FULL details of your employment history; dates will be checked against your references and any other supporting documents. Where there are gaps in your employment, please complete this section below.

Previous employment

Job Title

Date From

Name of employer

Date to

Reasons for Leaving

Did this role require you to care for vulnerable adults or children?

Previous employment

Add more

Are there any gaps in your employment history(Required)

Employment Gap

Date From

Date To

Reason

Employment Gap

Add more

Please tell us about your experience of caring for vulnerable adults or children. If you do not have any experience, please type "None" in the box below.(Required)

Please tell us about any other relevant skills/experience you have.(Required)

Reference 1 - Current/Most Recent Employer

Company(Required)

Contact name(Required)

Contact email(Required)

Best contact number

Country Phone Number

Position in company(Required)

Please confirm that you permit for us to request a reference from the above listed employer/individual(Required)

I confirm to request a reference from the above listed employer/individual

Can we contact:

Before interview

After interview

Reference 2

Reference type:(Required)

Company(Required)

Position in company(Required)

Contact name(Required)

Contact email(Required)

Best contact number

Country Phone Number

Please confirm that you permit for us to request a reference from the above listed employer/individual(Required)

I confirm to request a reference from the above listed employer/individual

Can we contact:

Before interview

After interview

The nature of the role you are applying for requires that we undertake an enhanced DBS check, including Barred Lists.

This check will be carried out prior to any formal offer of employment being made to you.

Where a DBS check is returned marked, we will explore this with you before taking a decision on your suitability to undertake the role you have applied for. A marked DBS will not automatically bar you from employment with Almond Care.

Please confirm that you agree for this check to be undertaken(Required)

I confirm that I agree for this check to be undertaken

Are you already registered with the DBS update service?(Required)

Rehabilitation of Offenders

The nature of the post of which you are applying means that it is exempt from Section 4(2) of the Rehabilitation of Offenders Act 1974. You are not, therefore, entitled to withhold information about cautions or convictions, which for other purposes are 'spent' under the provisions of the Act, unless covered by the Disclosure and Barring Service filtering rules which specify under what circumstances certain cautions or convictions are classed as 'spent'.

Further information can be found at: https://www.gov.uk/government/publications/filtering-rules-for-criminal-record-check-certificates

Filtering rules do not apply to certain convictions, please refer to: https://www.gov.uk/government/publications/dbs-list-of-offences-that-will-never-be-filtered-from-a-criminal-record-check

If you are successful the information on the form will be considered and, if you have declared any previous criminal convictions, cautions or reprimands, these may be discussed with you prior to a decision being taken on your appointment. If you are appointed any failure to disclose cautions or convictions not expressly covered by the filtering rules may result in the offer of appointment being withdrawn or disciplinary action being taken and possibly the police and/or the Disclosure and Barring Service being notified.

Please be aware that Almond Care operates a policy on the requirement of ex-offenders and that a criminal record will not automatically bar anyone from employment within the organisation.

Have you ever been convicted of any offence in a Court of Law or received any bind-overs or cautions from the police?*(Required)

*Any caution or conviction covered by the Disclosure and Barring Service filtering rules need not be disclosed.

Have you ever been included on any Disclosure and Barring/Criminal Records Bureau list which disqualified you from working with children or vulnerable adults?(Required)

Are there any alleged offences outstanding against you?(Required)

Thank you for your honesty. You may be asked to provide more information regarding this disclosure if you have been successful at this interview stage

Do you require any reasonable adjustments in order to attend an interview?(Required)

Please provide details:

Please select ways you can attend the interview(Required)

In person

Over the telephone

Video conferencing (e.g. Zoom)

Please tell us any dates you are not able to attend

I declare that the information given on this application is true and correct. I understand that any false or misleading information, or omissions of information concerning criminal convictions etc may disqualify my application or if appointed, may render my Contract of Employment liable to termination. Should my application be successful, I give my consent for Almond Care to seek employment references from any of the previous employers listed in the 'Current and Previous Employment' sections of this form.

Signed(Required)

Enter Name

Date

Would you also like to be considered for other positions we have available?

You can withdraw your consent at any time by writing to: Almond Care, Eliot Park Innovation Centre, 4 Barling Way, Nuneaton, CV10 7RH.

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If you would like to see full details of our data practices please visit our Privacy Policy and if you have any questions please email info@almondcare.co.uk.