Apply for vacancies

Personal Details:

Address:

Postcode:

Contact Phone Number:

email:

THE JOB YOU ARE APPLYING FOR

Position you are applying for:
Care Support Worker (Days) Care Support Worker (Flexible) Care Support Worker (Nights) Activity Worker Carer Driver Clerk Receptionist Cook Domestic Assistant Housekeeper Team Leader

Location you are applying for:
Burnt Tree Croft Cotleigh Deerlands Grange Crescent Housteads Knowle Hill Midhurst Road Springwood Valley Wood Central Support

How did you here about the vacancy:

Employers name & full address:

Post title & brief outline of duties:

Start Date (MM/YYYY):

End Date (MM/YYYY):

EMPLOYMENT - Details of present or last employment

Please provide details of all previous employment . Please give the most recent employer first and account for any gaps in your employment history. You may continue on a separate sheet or overleaf, if necessary.

PREVIOUS EMPLOYMENT 1

Employers name & full address:

Post title & brief outline of duties:

Start Date (MM/YYYY):

End Date (MM/YYYY):

PREVIOUS EMPLOYMENT 2

Employers name & full address:

Post title & brief outline of duties:

Start Date (MM/YYYY):

End Date (MM/YYYY):

EDUCATION/QUALIFICATIONS/TRAINING

Please list details of your education and any qualifications obtained e.g. GCSE, A levels, NVQ, Degree etc

Secondary School / College / University / Organisation

Subjects and Grades

Please list any other training courses undertaken/or skills you possess that you feel are relevant to your application

GENERAL

Do you possess a full current Driving Licence?: Yes No

Have you previously worked for Sheffcare Limited? Yes No

If you have answered YES, please state which Sheffcare home or work site you worked in:

REFERENCES

Please give the names and addresses of two people to whom we may write for references, one of which should be your current or last employer, if applicable. The other reference can be from a previous employer whom we can contact or a character reference from a referee who is not a relative or personal friend. Character references may be sought from a teacher, doctor or other professional person.

REFERENCE 1

Reference type: Employer Character School College

Name:

Position Held:

Company:

Address:

Postcode:

Phone Number:

email:

Can your reference be contacted now? Yes No

REFERENCE 2

Name:

Position Held:

Company:

Address:

Postcode:

Phone Number:

email:

Can your reference be contacted now? Yes No

You may use a company employee as a referee but any attempt to influence decisions in your favour will disqualify you.

PERSONAL STATEMENT

In a maximum of 150-200 words please provide on this page a statement in support of your application including your reasons for applying the post and your suitability for that you are applying for. It is important that you relate your personal statement to the the job description. As well you may wish to refer to any relevant employment experience and to give details of other experience, such as voluntary or holiday work, IT skills, leisure activities, interests, community groups or societies as appropriate. You may continue on a separate sheet, if necessary.

Personal Statement:

DECLARATION Please read the following statement and sign

I confirm that the information I have given on this application form is correct and complete, and that misleading statements may be sufficient for cancelling any agreements made. I understand that I will be required to complete a confidential declaration in respect of my state of health. Because of the sensitive nature of the duties the postholder will be expected to undertake, I also understand that I will be required to complete a confidential declaration that will include details of any relevant criminal convictions, cautions, reprimands and final warnings and any other information that may have a bearing on my suitability to the post. I understand too that an Enhanced DBS Certificate will be sought in the event of a successful application.

Please accept this tick as my signature

Date (DD/MM/YY):

DECLARATION OF CRIMINAL RECORD

As stated on the application form, because of the sensitive nature of the duties the postholder will be expected to undertake, you are required to disclose details of certain criminal records. Only relevant convictions and other information will be taken into account so disclosure need not necessarily be a bar to obtaining this position.

If you have declared a criminal record and we believe this to have a bearing on the requirements of the post, we will discuss this matter with you. If we do not raise the record with you it is because we have taken the view that it should not be taken into account in deciding your suitability for the post. If you require further information or have any concerns about filling in this declaration, please contact our Central Support switchboard on 0114 221 3222 and they will put you in touch with a representative of the Human Resources Department.

Q1. Do you have any convictions, cautions, reprimands or final warnings which would not be filtered in line with current guidance?

Please note that the post you have applied for is excepted from the Rehabilitation of Offenders Act 1974, which means that certain convictions, cautions, reprimands and final warnings on your criminal record need to be disclosed. Applicants are therefore not entitled to withhold information about certain convictions which for other purposes are 'spent' under the provisions of the Act, and in the event of employment, any failure to disclose such convictions, cautions, reprimands and final warnings could result in dismissal or disciplinary action by the Company.

Yes No

If yes, please give details of offences, penalties and dates:

Q2. Are you aware of any police enquiries undertaken following allegations made against you which may have a bearing on your suitability for this post?

Yes No

If yes, please give details of offences, penalties and dates:

PLEASE NOW SIGN AND DATE THE DECLARATION BELOW:

I declare I have read and understood this form. I declare that the information I have given is true and complete to the best of my knowledge and belief. I understand that any false statement or omission in the information I have given above may disqualify me for employment or could result in dismissal or disciplinary action by the Company

Please accept this tick as my signature

Date (DD/MM/YY):

All information you provide will be kept confidential. The Data Protection Act requires that personal information is obtained and processed fairly and lawfully; is only disclosed in appropriate circumstances; is accurate, relevant and not held longer than necessary, and is kept securely.