Recruitment Form

Local Recruitment (UK)
Application Form

"*" indicates required fields

Step 1 of 9 – Personal Details

11%

Post applied for*

Full Name*

Gender

Home Address*

Post Code*

Home Telephone

Mobile Number*

Email*

Date of Birth

MM slash DD slash YYYY

National Insurance Number*

Are you free to remain and take up employment in the UK?*

Do you have a visa or residence permit?*

Type of Visa*

Expiry Date*

MM slash DD slash YYYY

Present Nationality*

Do you have any restrictions?*

Do you have UK Driving license?*

Access to a car?*

Name of your most recent/current employer*

Date*

MM slash DD slash YYYY

Nature of business*

Position held*

Reason for leaving

Name of your most recent/current employer*

Employer Address*

Date Started*

MM slash DD slash YYYY

Date Ended*

MM slash DD slash YYYY

Position Held

Nature of business

Reason for leaving

Name of Institution*

Course*

Qualification*

Date completed*

MM slash DD slash YYYY

Do you require us to make any special arrangements in order for you to participate in the recruitment process? For example, large print forms? Or additional time to complete forms? **

If yes, please give details

1. Reference Fullname*

Position*

Company Name*

Telephone Number

Email*

Full company address*

2. Reference Fullname*

Position*

Company Name*

Telephone Number*

Email*

Full company address*

Are you currently registered with SSSC?*

SSSC Number*

Are you a member of the Protection of Vulnerable Groups Scheme (PVG) with Disclosure Scotland?*

PVG Membership Number*

Regulated to work with*

Have you ever been convicted of a criminal offence or cautioned, or are you at present subject of criminal charges or proceedings?*

If you have answered yes, please give details

Date of Conviction

MM slash DD slash YYYY

Nature of Offence

Penalty/Sentence

Date of Conviction

MM slash DD slash YYYY

Nature of Offence

Penalty/Sentence

I declare that to the best of my knowledge and belief the information given by me in this application is true, and I understand that the above information forms the basis of my contract of employment. I understand that if any of the information supplied by me is found to be falsely declared, my contract may have been fundamentally breached, and my employment will be terminated immediately. I understand that I may not be offered a post until satisfactory response has been received with respect to my PVG register status, and that should I subsequently be offered a post, that offer will be subject to receipt of two satisfactory references. By my signature, I authorise Baal-Perazim Care Services to request PVG background check. I undertake to inform my employer immediately of any change to my PVG, such as being charged with an offence, referral to any register of barred list, or withdrawal of any registration required by my employment status.

Fullname*

Signature*

Date*

DD slash MM slash YYYY

Yes, I agree with the privacy policy and Service User Privacy Statement.

Comments

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EH6 4DD, UK

info@baalperazimcareservices.org.uk