Care Application

Join South East London Care. Please take your time to fill out the details below as accurately as possible.

Est. Completion: 10-15 mins ● REQUIRED FIELDS

Personal Details

Important

Please ensure that you complete the application form in full as we cannot accept CVs. Please complete with black ink and blockcapitals. This form will be kept in confidence. Please note that no applicant will be unfairly discriminated against. This includes discrimination on account of age, cultural, religious, political beliefs, disability, ethnicity, gender, race, relationship status, sexualorientation, and / or Trade Union membership or stewardship.

If you have any special requirements to support you to complete this form (e.g. the need for large print or additional time), please contact the Registered Manager.

Position Applied For: *

Location *

Work PreferenceFull TimePart TimeBank

Hours Requested: *

I understand this role may include: Shift work, Unsociable Hours, Lone working involved. (Please indicate your availability below) *

First Name *

Middle Name

Last Name *

Job Title *

Date of Birth *

Gender *

Sexual Orientation *

Religion *

Nationality *

Place of Birth *

Email Address *

Phone *

Address *

Do you drive in the UK? *

Provide National Insurance Number *

Do you have DBS? *

Are you related to any of our current care staff / members of staff / Service Users? *YesNo

Next of Kin Full Name *

Address of Next of Kin *

Country of Residence of Next of Kin *

Relationship with Next of Kin *

Phone number of Next of Kin *

Consent

Equality Act 2010 - Under the Equality Act 2010, the definition of disability is if you have a physical or mental impairment that has a “substantial” and “long-term adverse effect” on your ability to carry out normal day-to-day activities. Further information regarding the definition of disability can be found at: www.gov.uk/definition-of-disability-under-equality-act- 2010.

For the purposes of this application and interview stage only, is there anything you would like us to be aware of so that we can make reasonable adjustments during the process? *

Academic Qualifications

contact us if you have no educational background

1. Institute/Location of Study *

1. Qualification Obtained *

1. From (Start Date) *

1. To (End Date) *

2. Institute/Location of Study *

2. Qualification Obtained *

2. From (Start Date) *

2. To (End Date) *

3. Institute/Location of Study

3. Qualification Obtained

3. From (Start Date)

3. To (End Date)

Employment History

Work Experience

Important

Please record below the details of your full employment history beginning with your current or most recent first. Any gaps must be explained. Use a separate attached sheet if required; please sign the sheet(s)

1. Company Name *

1. Position / Job Title *

1. Duties *

1. Job Start Date *

1. Job End Date *

Reason For Leaving Job 1 *

2. Company Name *

2. Position / Job Title *

2. Duties *

2. Job Start Date *

2. Job End Date *

Reason For Leaving Job 2 *

3. Company Name

3. Position / Job Title

3. Duties

3. Job Start Date

3. Job End Date

Reason For Leaving Job 3

Professional Reference

Reference 1 Full Name *

Reference 1 Company Name *

Reference 1 Job Title *

Reference 1 Address *

Reference 1 Country of Residence *

Reference 1 Phone Number *

Reference 1 Email Address *

Capacity in which known *

Reference 2 Full Name *

Reference 2 Company Name *

Reference 2 Job Title *

Reference 2 Address *

Reference 2 Country of Residence *

Reference 2 Phone Number *

Reference 2 Email Address *

Capacity in which known *

Declarations

Safeguarding / Ex-Offenders Declaration: Please note this section will only be seen by those involved in the recruitment process and will be treated with the strictest confidence.

Are you currently bound over or do you have any current UNSPENT convictions that have been issued by a Court or Court-Martial in the United Kingdom or in any other country? *

Are there any restrictions on your right to work in the UK that may prevent your employment opportunity with Conscience Care? *

If your application is successful, you will be required to provide evidence that you have the right to work in the UK. Do you have a British birth certificate? Evidence to be provided and a copy taken: *

Do you have a DBS Certificate? *

Are you on the DBS Update Service? *

Medical Questionnaire

CONFIDENTIAL The purpose of the questionnaire is to see whether you have any health problems that could affect your ability to undertake the duties of the post you have been offered or place you at any risk in the workplace. Our aim is to promote and maintain the health of all staff at work. Kindly complete this section.

Do you have any illness/impairment/disability (physical or psychological) which may affect your work? *

Have you ever had any illness/impairment/disability which may have been caused or made worse by your work? *

Do you think you may need any adjustments or assistance to help you do the job? *

Are you undergoing, or waiting for treatment (including medication) or investigations at present? *

If your answer is "Yes" for any of the above medical questions, please provide further details of the condition, treatment and dates:

Have you had COVID 19 Vaccination? *

Do you have reason to believe you may have been exposed to hepatitis C infection? *

If yes, please provide further details:

How did you hear about Aweda Holistic Care? If "other," please specify. *FacebookJob Board - IndeedJob Board - Total JobsGoogleReferralWebsiteOther

Documents / Certificates Upload

Upload your Curriculum vitae (CV) *

Drag and Drop (or) Choose Files

Upload your eVisa *

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Upload your DBS Certificate *

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Provide your passport if no DBS yet

Upload your Sharecode *

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Upload your Passport *

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Upload your 3 months Bank Statement *

Drag and Drop (or) Choose Files

Upload Passport Picture (Please make sure image is clear enough) *

Drag and Drop (or) Choose Files

Upload Driver's License *

Drag and Drop (or) Choose Files

Upload all your educational certificates and other credentials *

Drag and Drop (or) Choose Files

Upload all your care courses certificates *

Drag and Drop (or) Choose Files

Requirement: You will take additional courses as and when necessary

Upload your P60 Form

Drag and Drop (or) Choose Files

skip if not available

Upload your P45 Form

Drag and Drop (or) Choose Files

Skip if not available

Recommendation

I understand that if any recommendations from my current/previous employer(s) are necessary as a result of this assessment:

I give consent for their recommendations without me having seen a copy of the recommendation(s) first. *YesNo

Privacy Statement *

We will only collect data for specified, explicit and legitimate use in relation to the recruitment process. By signing this applicationform, you consent to us holding the information contained within this application form. If successfully shortlisted, data will alsoinclude shortlisting scoring and interview records. We would like to keep this data until the vacancy is filled. (We cannot estimatethe exact time period, but we will consider this period over when a candidate accepts our job offer for the position for which we areconsidering you). When that period is over, we will either delete your data or inform you that we would like to keep it in ourdatabase for future roles.

We have privacy policies that you can request for further information. Please be assured that your data will be securely stored by theRegistered Manager and only used for the purposes of recruiting for this vacant post.

You have a right for your data to be forgotten, to rectify or access data, to restrict processing, to withdraw consent and to be keptinformed about the processing of your data. If you would like to discuss this further or withdraw your consent at any time, please contact the Registered Manager to discuss.

Declaration

The information in this application form is true and complete. I agree that any deliberate omission, falsification or misrepresentation in the application form will be grounds for rejecting this application or subsequent dismissal if employed. Where applicable, I consent that can seek clarification regarding professional registration details.

I declare that the answers to the above questions are true and complete to the best of my knowledge and belief. *YesNo

Type your full name to indicate signature *

Date of Submission *

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Official Portal

This is the verified South East London Care application.

Care Application

Personal Details

Academic Qualifications

contact us if you have no educational background

Employment History

Work Experience

Professional Reference

Declarations

Safeguarding / Ex-Offenders Declaration: Please note this section will only be seen by those involved in the recruitment process and will be treated with the strictest confidence.

Medical Questionnaire

Documents / Certificates Upload

Recommendation

I understand that if any recommendations from my current/previous employer(s) are necessary as a result of this assessment:

Declaration

Secure Encryption

GDPR Compliant

Official Portal

Useful Links

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