Brain Injury Care Provider

Job application form part 2

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Personal details

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

Education and Training

Employment Details

Current employment

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 1

Previous Employment 2

Previous Employment 3

Previous Employment 4

Previous Employment 5

Relevant Experience

Reference Details

Please provide referee details for current or most recent employer and at least one other. Where applicable, please ensure at least one of your references relates to a role where you have cared for children/vulnerable adults.

Reference 1 – Current/Most Recent Employer

Reference 2

Reference 3

Disclosure and Barring Service (DBS) Checks

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.

Rehabilitation of Offenders

The nature of the post for 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 recruitment of ex-offenders and that a criminal record will not automatically bar anyone from employment with the organisation.

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

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

Interview and training

Availability to work

*Please note night work does not include sleep-ins, you will be required to be actively working.

Declaration

I declare that the information given on this application form 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.

Enter Name

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

Call us today!

For a free, no-obligation discussion about our UK complex care in the home for brain injury, spinal cord injury, long-term ventilation, cerebral palsy, multiple sclerosis, muscular dystrophy and other neurological conditions, please click here or call 024 7610 2333.