Application For Job – Suffolk Care Assist

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s u f f o l k c a r e a s s i s t

CARE PROFESSIONAL EMPLOYMENT APPLICATION FORM

PERSONAL DETAILS

Thank you for showing interest in Suffolk Care Assist Ltd. As part of our process and to ensure we adhere to our statutory requirements, we require all sections of this application form to be fully completed. If you have any issues completing this form, please call or email our support team.

Vacancy applied for: *0 / 100

Please indicate where you heard about the vacancy0 / 30

First Name

Middle Name

Last Name

Street Address *

Apartment, suite, etc

City *

ZIP / Postal Code *

Country

Phone *

Email Address *

Date of Birth *

N.I. Number *0 / 10

Do you hold a full current UK Driving Licence? *NoYes

Do you have access to reliable transport? *NoYes

Have you worked for Suffolk Care Assist Ltd before? *NoYes

If yes, please provide details:0 / 100

EDUCATION AND TRAINING

Please provide details of education and training

Field Group

Date (Start - Finish)

Name and Address

Exam /Awards

Results

Date (Start - Finish)

Name and Address

Exam /Awards

Results

EMPLOYMENT HISTORY

Please detail a full employment history in chronological order, including full and part-time work as well as paid and unpaid work experiences. Provide explanation of any gaps in employment.

Dates (MM/YYYY) From - To *

Name & Address of Employer *

Job Title/Duties & Salary *

Reason for Leaving the Job *

ABOUT YOU

Please provide details of your skills and experience, both personal and professional which you could bring to Suffolk Care Assist.

Hobbies and Interests

REFERENCES

At Suffolk Care Assist, we ourselves on the quality of professional care we provide ans therefore, as part of our recruitment process, we ask for a minimum of your references. Two personal (Not relatives) and Two professionals, one of which must be most recent employer.

PERSONAL REFERENCES

Referee's Full Name *

Email and Phone no. *

Relationship to You *

No. of Years Known *

PROFESSIONAL REFERENCES

Referee's Full Name *

Email and Phone no. *

Relationship to You *

No. of Years Known *

AVAILABILITY

Please let us know when you would be available to work. Please not that, this does not guarantee that we can provide these hours.

CONVICTIONS

The position you have applied for is exempt from the provision of section 4 of the Rehabilitation of Offenders Act 1974, which means that you are not entitled by law to withhold information about any civil or criminal convictions which for other purposes are “spent” under the provisions of the Act. If you are successful with this application, any failure to disclose such information could result in withdrawal of offer, dismissal or disciplinary action. Any information given will be completely confidential and will be considered only in relation to this application. In view of this, please answer the following questions:

Have you any previous civil or criminal convictions, cautions, reprimands, final warnings or any pending prosecutions? *YesNo

If yes, please detail offence(s) including date(s) and sentence(s) where relevant, on a separate sheet.

I can confirm that I am not barred from working with vulnerable adults or children or subject to sanctions imposed by a regulatory body. *YesNo

RIGHT TO WORK IN THE UK

Do you need a permit in order to work in the UK? *YesNo

FILE UPLOAD

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Upload CV and other supporting documents here.

DECLARATION

I certify that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application may result in rejection of my application or discharge at any time during my employment. In line with the Data Protection Promise provided, I am happy for this information to be held in a secure place and used in processing my application. I understand that any offer of employment will be subject to the receipt of evidence of the right to work in the UK, a satisfactory enhanced disclosure and a minimum of 4 satisfactory references. *Yes, agreed

Signature *

Date *

Day

Month

Year

CONSENT

Thank you for taking the time to complete this application form.

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We aim to empower individuals with disabilities to thrive in a supportive and inclusive community .

while advocating for equality and social justice, amidst societal challenges and economic instability.

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