Job Application Form

Post Applied For:
Ref:
How did you hear of this vacancy? (Include date):
Were you recommended by a member of staff and if so - who?
Title:
First Name:
Surname:
Maiden Name:
Marital Status:
Please include any other name by which you have been known since the age of 18:
Present Address:
Home Telephone:
Mobile Telephone:
Business Telephone:
Email (mandatory):
Date of Birth:
Age:
N.I. Number (if known):
Tick box if you do not want to be contacted at work:
Do you hold a current driving licence?
Previous addresses within the last 3 years:
Details of Friends or Relatives Employed by CastleCare Group:
Current / Last Employer:
Nature of Employment (to include your position held):
Date of commencement:
Current or Last Salary:
Notice Required from Current Employer:
FULL EMPLOYMENT HISTORY:
(Please list details of all employment, including the names and addresses of employers, dates employed, positions held, full or part-time working and reasons for leaving, commencing with your current or last position. All time since leaving full time education should be accounted for, and any time not spent in employment or education (listed previously) should be listed, including times spent in unemployment, voluntary work, raising a family or part-time work). Due to the nature of our business, the Company reserves the right to contact any previous employer for a reference.
EMPLOYER:
From (Month & Year):
To (Month & Year):
Position Held:
EMPLOYER:
From (Month & Year):
To (Month & Year):
Position Held:
EMPLOYER:
From (Month & Year):
To (Month & Year):
Position Held:
EMPLOYER:
From (Month & Year):
To (Month & Year):
Position Held:
OTHER EXPERIENCE:
From (Month & Year):
To (Month & Year):
OTHER EXPERIENCE:
From (Month & Year):
To (Month & Year):
EDUCATION, TRAINING AND QUALIFICATIONS:
(Schools, Colleges and Universities attended should be listed, with dates, awards and qualifications obtained and levels and grades achieved, commencing with most recent. Please give details of examinations failed).
SCHOOL:
From (Month & Year):
To (Month & Year):
Subject / Course Studied:
Examination Results:
SCHOOL:
From (Month & Year):
To (Month & Year):
Subject / Course Studied:
Examination Results:
SCHOOL:
From (Month & Year):
To (Month & Year):
Subject / Course Studied:
Examination Results:
SUPPORTING STATEMENT:
(Please give reasons for your application, any career hopes that relate to the application and any qualities you have to offer to the post – please continue on a separate sheet if necessary)
MONITORING INFORMATION:
CastleCare Group has adopted an equal opportunities policy and is keen to ensure that it is working properly. As part of this policy, all job applicants are asked to complete this section. Please note that this section is primarily about colour and race origin and not naturalization or citizenship.
I would describe my ethnic origins:
Do you consider yourself to be disabled?
Are you registered disabled?
Are you a permanent UK resident?
If not, do you have a valid work permit?
Were you born in the UK?
If no, please state your Country of origin and how long have you resided in the UK for:
CRIMINAL OFFENCES:
Rehabilitation of Offenders Act 1974. Because of the nature of the work for which you are applying, this post is exempt from the provision of the above ACT. Applicants are therefore not entitled to withhold information about convictions/cautions, which for other purposes would be regarded as ‘spent’, and in the event of employment, any failure to disclose information about convictions/cautions will result in dismissal. If you have been convicted of a criminal offence, please give details including all relevant dates in the space below. (Information given will be treated in the strictest confidence). If you have not been convicted/cautioned of a criminal offence, please indicate by stating ‘None’ in the box provided:
Please note that this post is subject to the requirement for a Disclosure Application from the Criminal Records Bureau.
REFERENCES:
(To include job title, address and postcode of current employer, previous employer and one character reference, who you must have known for a minimum of 12 months. The capacity in which referees are writing should be stated, e.g. former employer, colleague etc.). NB. The referee listed under ‘current employer’ must be the principal person within your organisation. Please Note: We are unable to accept references from members of your immediate family.
CURRENT EMPLOYER:
Address:
Postcode:
Tel No:
Capacity:
Length of time known:
PREVIOUS EMPLOYER:
Address:
Postcode:
Tel No:
Capacity:
Length of time known:
CHARACTER REFERENCE:
Address:
Postcode:
Tel No:
Capacity:
Length of time known:
SIGNATURE:
In signing this application, candidates need to acknowledge that they are aware that:
(a) Direct or indirect canvassing regarding their appointment will render them liable to disqualification.
(b) The above information is correct
(c) Any false information or deliberate omissions will disqualify them from employment or may render them liable for dismissal or criminal prosecution.
(d) The information they provide is subject to the Data Protection Act 1998. The Company will process data principally for personnel, administrative and payroll purposes.
Electronic Signature (please state name):
Date: