Future Home Care Application for Employment

Transcription

1 Future Home Care Application for Employment We strongly recommend that you read all the enclosed documents before completing your application. Please note that all applications must be returned by 5pm on the closing date. CV s will not be accepted. You will be required to complete all sections of this form for short-listing purposes. Post applied for: Reference: Location: Contract Type (Please tick) Full Time Part Time Nights Only Bank Personal Details: Title: Surname: Forenames: Preferred Name: Date of Birth: Address: Postcode: Home Telephone Number: Work Telephone Number: Mobile Number: Address: May we call you at work: Yes No National Insurance Number: Current Notice Period: 1

2 Education/ Training/ Qualifications: Please complete in date order. It is not necessary to list every qualification that you have gained e.g. 6 GCSE s is sufficient. If appointed, you will be required to produce evidence of your relevant qualifications. Name of School/ College/ University Date from Date to Qualifications and Grades obtained Other Training Undertaken: Please list any other relevant training courses undertaken, including employment based training. Subject/ Course Date from Date to 2

3 Present/Most Recent Employment Name and address of employer: Telephone number: Address: Job title: Salary: Hours Worked per week: Dates employed from (): to Reason for leaving : Summary of main duties and responsibilities: Have you been subject to any disciplinary proceedings or sanctions Yes No If Yes please explain: 3

4 Previous Employment (including any voluntary work) Employer (Contact name and tel. no.) From To Job title and responsibilities Reason for leaving 4

5 Experience, Skills and Abilities - Supporting Statement When completing this section, it is helpful if you quote examples of work and experiences that relate to the job description and person specification. Explain why you believe you are a good applicant for the post. Remember to include skills, experiences and interests outside of paid work such as voluntary/ community work, things you enjoy doing and any previous life experiences that you feel may be relevant. The supporting statement is a very important part of the application. Please write your statement below: 5

6 References Employment at Future Home Care is subject to two written references. Please provide the names and addresses of two people that are able to act as referees, one of whom must be your present or most recent employer. (Please note that referees must not be relatives or friends). Present/most recent employer: 1.Title Name: Company name: Position held: Address: 2.Title Name: Company name: Position held: Address: Post code: Telephone: address: Post code: Telephone: address: Do you agree to these referees being contacted before interview: Yes No In certain circumstances referees may be sought from previous employers not listed above. 6

7 Additional Information (Please tick boxes as appropriate) Are you a relative or close associate (e.g. partner, friend, business partner) of a Future Home Care Employee? Yes No If Yes, please provide name and relationship: Do you have a current/ valid UK drivers licence held for more than two years? Yes No RIGHT TO WORK Are you entitled to work in the United Kingdom? Yes No Are you able to produce documented evidence that shows your right to work in the United Kingdom? Yes No Do you have any restrictions on the number of hours you can work per week in the United Kingdom? Yes No If yes, please state how many hours you are able to work: Please note that in accordance with the Immigration and Asylum Act we will require all new employees to produce documented evidence of their right to work in the UK. CONVICTIONS/ DISQUALIFICATIONS Future Home Care is committed to making appointments on merit and will focus on a person s abilities, skills, experience and qualifications. When considering an applicant with a criminal record, Future Home Care will consider the relevance of the conviction(s) to the job for which the person is applying. A criminal record will not necessarily be a bar to obtaining employment. Due to the nature of our work, this post is exempt from the Rehabilitation of Offenders Act. You are therefore required to give details of all convictions and cautions, including spent convictions. Any information that you may give will be strictly confidential. Do you have any convictions, including spent convictions? Yes No If yes please give details and dates: 7

8 Do you have any cautions? Yes No If Yes please give details and dates: Do you have any disqualifications from driving? Yes No If Yes please give details and dates? A Criminal Records Bureau (CRB) check will be completed for every successful applicant for posts that are considered to be exempt under the rehabilitation of Offenders Act 1974 (Exceptions) Order The information obtained will be kept strictly confidential in accordance with Future Home Care policies and procedures and with the code of practice issued by the CRB. DISABILITY Future Home Care is committed as an employer towards the recruitment and employment of applicants with a disability. If you require any assistance at interview, or to meet some of the job requirements, you can either provide details below or alternatively you can discuss this with the HR team if you are successful in being shortlisted for an interview. Please specify particular needs (if you wish): 8

9 ADDITIONAL EMPLOYMENT Do you intend to undertake other work in addition to this post? Yes No If yes, please state weekly hours of additional work: DECLARATION I declare that the particulars I have given are true, complete and correct. I accept that any false statement or material omissions may affect my application and/or employment including summary/contractual dismissal with Future Home Care Check this box to confirm: Signature: Date: Please return to jobs@futurehomecare.co.uk Address: Future Home Care Ltd Birmingham (central office) Cecil Street Newtown B19 3SU Office use only Shortlisted Yes No Reason for decision: Interview Yes No Reason for decision: Offer Yes No Reason for decision: 9

10 Monitoring of Recruitment- Equal Opportunities Future Home Care is committed to providing equality of opportunity in its employment procedures and will consider all applicants based on their suitability for the post, irrespective of gender, age, responsibility for dependents, race, religion, ethnic origins, sexuality or disability. Please complete this section of the form, which is entirely voluntary and will be used to monitor the effectiveness of our Equality and Diversity Policy. Please note that this form is not used as part of the recruitment and selection process. Post applied for: Reference: 1. I define my gender as: Male Female Prefer not to say 2. What is your ethnic background: White British Irish European Other white background (please specify): Mixed Mixed Caribbean Mixed Black African Mixed Asian Other mixed background (please specify): Black or Black British Black British Black Caribbean Black African Other black background (please specify): Asian Indian Pakistani Bangladeshi Other asian background (please specify): Chinese of other ethnic group Chinese Other (please specify) 3. Do you have a disability? Yes No Prefer not to say 4. What is your sexual/gender identity? Lesbian or Gay Bisexual Heterosexual Prefer not to say Transgender 5. What is your religion or belief? Christian Buddhist Hindu Muslim Jewish Sikh None Prefer not to say Other religion/belief (please specify): 6. What is your age range? Under Over Where did you hear about this vacancy? FHC website Job Centre Newspaper/press Other (please specify below) 10

11 Thank you for completing this form and responding to our recent advertisement. Data Protection Act 1998 I consent to Future Home Care holding and processing the data contained in the monitoring and application form for the purposes stated. Check this box to confirm: Signature: Date: 11