Please enter your details below. Fields marked * must be completed.
Position Applied For: * Care & Support Assistant – Taunton Deane & SedgemoorCare & Support Assistant – Bath & KeynshamLive-in CarerWaking Nights CarerCare SupervisorCommunity CarerOther - please specify below
If selected "Other" please Specify: *
Title * MrMrsMissMs
Full Name: *
Address:*
Postcode: *
Telephone (Home): *
Telephone (Mobile): *
Email: *
Date of Birth:
Age:
National Insurance Number:
Do you possess a full driving license? YesNo
Do you have use of a motor vehicle? YesNo
Do you have any endorsements on your license? YesNo
If YES please give details:
Are there any restrictions in the use of your motor vehicle? (for example number of miles driven per year) YesNo
Are you involved in any activity that might limit your ability to work or your working hours e.g. Local Government? YesNo
Are you subject to any restrictions or covenants that might restrict your working activities? YesNo
Do you have any unspent conditional cautions or convictions under the Rehabilitation of Offenders Act 1974? YesNo
Do you have any adult cautions (simple or conditional) or spent convictions that are not protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020? YesNo
A copy of Way Ahead Care’s DBS Code of Practice is available on request.
Are you registered with the Disclosure & Barring Update Service? YesNo
If offered employment you will be required to complete a Pre-Employment Medical Questionnaire. Are you prepared to undergo a medical examination before employment? YesNo
Have you ever worked for Way Ahead Care before? YesNo
Have you ever applied for employment with Way Ahead Care before? YesNo
Do you require a Visa to work in the United Kingdom? —Please choose an option—YesNo
If Yes, what is your current immigration status? —Please choose an option—Certificate of SponsorshipStudent Visa (Max 20 hours per week Term Time)Graduate VisaApplication Registration CardDependant Visa
If Yes, what is the expiry date of your current visa?
Have you had your 1st Covid-19 Vaccination? YesNo
Have you had your 2nd Covid-19 Vaccination? YesNo
Have you had your Booster Vaccination? YesNo
Please indicate the periods of the day and which days of the week you are interested in working (All staff are asked to work every other weekend):
This is not a binding commitment but enables us to assess the amount of work we have for you.
Please give details of any hours you would not wish to work:
School or College:
Dates:
Qualifications Gained:
Further Formal Training:
Do you have a Unique Learners Number? YesNo
If yes, please give your Unique Learners Number:
Job Related Training Courses: (name of organisation and subject) You will be asked to provide original certificates for any qualifications declared as held in this application.
Please give details of membership of any technical or professional associations:
Please list any foreign languages spoken and the level of competence:
Are you currently employed? YesNo
Name of present employer:
Address:
Telephone Number:
Nature of Business:
Job title and brief description of your duties:
Reason for leaving:
Length of service
From: To:
How much notice are you required to give your current employer:
Please give details of all your past employment, excluding your present or last employer, starting the most recent first.
Please give reasons for any gaps in employment.
Name and Address of Employer:
Position Held/Main Duties:
Reason for Leaving:
Have you ever been the subject of a disciplinary hearing? YesNo
If Yes, give details including dates and outcome:
Have you ever been dismissed by an employer? YesNo
If Yes, give details including dates:
Please note any other employment you would continue with if you were successful with the position offered:
Please give a concise account of relevant experience in support of this application, including leisure interests:
Please detail here your reasons for this application and what do you feel you can bring to the post:
Interests:
Please provide any other information which you consider would assist us in considering your application:
Please give the names of two people (one of which should be your present or most recent employer) whom we may approach for a reference.
Can we approach your current employer before an offer of employment is made? YesNo
Name:
Position:
Email:
Telephone:
How did you find out about this job opportunity? —Please choose an option—FacebookFlyer through my doorGoogle SearchGum TreeIndeedNewspaper AdvertPersonal RecommendationRadio AdvertisementRecruitment WebsiteReedTotal JobsTwitterOther
The amendments to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020) provides that when applying for certain jobs and activities, certain convictions and cautions are considered ‘protected’. This means that they do not need to be disclosed to employers, and if they are disclosed, employers cannot take them into account.
Guidance about whether a conviction or caution should be disclosed can be found on the Ministry of Justice website.
I declare that the information given in this form and any accompanying documentation is true to the best of my knowledge and belief and give my permission for enquiries to be made to confirm qualifications, experience, dates of employment, right to work in the UK and for the release by other people or organisations of necessary information to verify the content. I understand that my application may be rejected and/or I may be dismissed following appointment if I have given any false or misleading information or have withheld any relevant details. I understand these details will be held in confidence by Way Ahead Care, for the purposes of assessing this application, ongoing personnel administration and payroll administration (where applicable) in compliance with the General Data Protection Regulations 2018.
If successful in my application I agree that the information I have provided can be shared with Industry Regulators, Commissioners of Contractual Services and Government departments collecting national statistics.
I agree *
I have read and understand Way Ahead Care's Privacy Statement and agree to my personal data being held and utilised by Way Ahead Care for the purposes stated.
