Apply Online 2018-11-21T13:30:25+00:00

Online Application Form For Care

Don’t worry, it’ll only take a few minutes!

Please complete to the best of your ability. If you cannot complete any of the required fields, please input (N/A).

6 months of care experience is required.

Personal Information

Training

Employment

References

Final Info

  • Personal Information
  • Training
  • Employment
  • References
  • Final Details

Details

Where did you hear about us?

Upload a CV/Cover Letter (Not Required)

Title

Full Name

Contact Number

Email

Can we send you relevant job opportunities we think would benefit you via email?

Do you hold a full UK Driver's License? (not essential)

Do you consider yourself to have a disability?

Are you registered with the SSSC?

SSSC Membership Number

Are you a member of the PVG scheme?

PVG Membership Number

What is your national insurance number?

Home Address

Postcode

Have you had any disciplinary action or grievance taken against you in a previous employment?

Do you have any live formal warnings/pending disciplinary action in another employment?

If you answered Yes to any of the two previous questions, please provide details.

Do you have a legal right to work in the UK?

Training

Please list any relevant qualifications relating to the position you are applying for, ie: SVQ's and HNC's.

Please check the courses below for which you have completed with certification in the LAST 3 Years. This is not required.

Moving & Handling

Adult Support & Protection

Emergency First Aid

Health & Safety

Food Hygiene

Infection Control

Dementia Awareness

Fire Safety

Medical Administration

Catheter/Stoma Care

Epilepsy Awareness

PEG Feeding

Challenging Behaviour

Palliative Care

Education History

Please list any relevant qualifications/certifications you have achieved ie: SVQ's/HNC's relating to care.

Date From

Date To

Provider

Qualification/Subject

Grade

Employment History

Please only include employment history dating back from the last 3 years. Please list your employment history in order starting with the most recent at the top. You must list at least 1 employer.

Employer 1 (Most Recent)

Start Date (Month/Year)

Leaving Date (Month/Year)

Employer Name

Employer's Address

Manager

Reason for Leaving

Duties

Employer 2

Start Date (Month/Year)

Leaving Date (Month/Year)

Employer

Employer's Address

Manager

Reason for Leaving

Duties

Employer 3

Start Date (Month/Year)

Leaving Date (Month/Year)

Employer

Employer's Address

Manager

Reason for Leaving

Duties

References

Minimum 2 references will be sought. Minimum of 1 must be your current or most recent employer. A character reference may be sought where applicable.

First Reference

Name of Referee

Position of Referee

Company Name

Address

Telephone

Email

Start Date

Finishing Date

May we approach prior to interview?

Second Reference

Name of Referee

Position of Referee

Company Name

Address

Telephone

Email

Starting Date

Finishing Date

May we approach prior to interview?

Third Reference

Name of Referee

Position of Referee

Company Name

Address

Telephone

Email

Starting Date

Finishing Date

May we approach prior to interview?

Supporting Statement

Please describe which of your personal qualities and experiences are relevant to your application.

Equal Opportunities Monitoring Form

Scottish Recruitment Solutions is committed to a policy that promotes equal opportunities regardless of religious belief, creed, political persuasion, colour, ethnic origin, gender, age, disability, sexual orientation or marital status throughout the organisation to the benefit of all staff, service users and volunteers. The data gathered will help us monitor the effectiveness of our equal opportunities policies and procedures. It will be held and processed separately to your application and in accordance with the GDPR Act. THIS INFORMATION WILL HAVE NO IMPACT ON THE FINAL RECRUITMENT DECISION

Age

Gender

Marital or Civil Partnership Status

Ethnic Group

Sexual Orientation

Religion or Belief

Medical Questionnaire

How many days of absence have you had from work in the last three years?

How many periods of absence have you had from work in the last three years?

Are you currently taking or have been prescribed medication?

If Yes, please provide details (Excluding Contraceptives)

Are you currently receiving treatment for any physical or mental condition?

If YES, please provide details

Do you suffer from any injury, illness, medical condition or allergy that might affect your ability to perform your duties?

If YES, please provide details

Rehabilitation of Offenders Act 1974

The provisions relating to the non-disclosure of criminal convictions do not apply to certain occupations. The position for which you are applying may be included in the excepted type of employment under the Rehabilitation of Offenders Act (Exceptions) 1974 order 1975.

Have you ever been convicted of any criminal offence(s) currently and/or do you have any criminal charge(s) pending?

If Yes, please provide details.

General Data Protection Regulations

Scottish Recruitment Solutions (SRS Group Ltd) will use the information you provide in this application pack for the purpose of processing your application and monitoring the recruitment process. Should your application be successful, we may be required to share some of the information you provide with statutory bodies including the Care inspectorate and the Department of Work and Pensions. The information you provide in this pack will be stored securely and will not be retained longer than necessary. Unsuccessful applications will not normally be kept for longer than a year. You have a right to access the information that SRS Care Solutions holds on you. SRS Care Solutions has a written policy on the recruitment of ex-offenders, which is available to all applicants. Having a criminal record will not necessarily bar you from working, this will depend on the nature of the position together with the circumstances and background of any particular offences.

I have read the above statements and the data protection policy and consent to SRS Partnership processing my data.

Declaration

I certify that all the information contained in this form and any attachments are true and correct to the best of my knowledge. I have not withheld any information which may affect my application for employment. I realise that false information or omissions may lead to dismissal. I agree to the information (which may include sensitive personal data) being used for legitimate purposes connected with recruitment and selection, including PVG Scheme membership. The information supplied above may be verified by SRS Care Solutions. I consent to the processing of data in accordance with the current GDPR legislation.

I consent to the above statements.

Signature (Enter Full Name)