Join Us For general recruitment enquiries email:hr@chelstonpark.co.uk Join us Job Application Form Step 1 of 4 - Personal Details 25% Position Applied For* Name Mobile: Email* AddressPost Code Nurse's P. I.N NI Number Do you have the legal right to work in the UK?*SelectYesNoIs this with a VISA or dependant status?*SelectYesNoif Yes please give details?What makes you feel suited to a role in care?What are the main considerations in ensuring someone's dignity in care? SchoolNameFromTo Colleges / Further EducationNameFromTo Educational Qualifications Obtained / Examinations PassedVocational Qualifications ObtainedDo you wish to gain further formal qualifications in Health and Social Care?SelectYesNo Availability*DaysNightsBothNumber of Hours Looking For Per Week? Current Place of Work? Begin with present or last Employer or Line Manager and work backwards (must be lifetime checkable history or reason for unemployment)EmploymentPlease add 10 years historyEmployerPositionLeaving ReasonFrom / ToAmount of Years An enhanced DBS check for Adult and Children is required for this post and will be completed upon acceptance of an offer of employment at a cost to you of £50. This post is exempt from the provisions of section 4 (2) of the Rehabilitation of Offenders Act 1974. ‘The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are 'protected' and are not subject to disclosure to employers, and cannot be taken into account. Guidance and criteria on the filtering of these cautions and convictions can be found at the Disclosure and Barring Service website.’ Please detail below convictions, verbal or written cautions which we are entitled to be known to us. Failure to disclose convictions or cautions to which we are entitled to be known may lead to dismissal/ Any disclosures will be treated in the strictest confidence and will only be considered in relation to this application.Do you have any convictions or cautions?*NoYesConviction Details*Signed* Date* DD slash MM slash YYYY Please confirm the contact details of your last 2 employers or last 2 health care employers (current and previous if currently employed) If you do not have 2 prior employers, please give personal references, these must not be members of your family, e.g., partners, aunts or cousins. As required to establish a verifyable suitability for the role for which you have applied we reserve the right to contact all/any previous employers as listed on your application form. We will not contact your current employer without your permission Reference 1Reference 2Name* Name* Email* Email* Phone* Phone* Address*Address*Declaration I herby declare that all the information contained within this application form is true and accurate to the best of my knowledge and I understand that the provision of false or deliberately misleading information may result in the termination of my employment.Signed* Date* DD slash MM slash YYYY Where did you hear about the role?IndeedFacebookColleague refer a friendShop cardOther
