Application for employment
Post Applied for:
First Name
Last Name
Full Address
National Insurance
Home Telephone
Mobile Telephone
E-mail address
If you are successful you will be required to provide relevant evidence of the above details prior to your Appointment.
SECTION 2: PREVIOUS EMPLOYMENT RECORD(A brief explanation must be given for any periods of time not spent in employment or full-time education.)
Employer Name & address)
Position Held
Start Date (Month/Year):
Start Date (Month/Year):
End Date (Month/Year):
Please give details of any other relevant training and ‘non-qualification’ courses undertaken:
Name of Course
Date Completed (Month or Month/Year)
Please give details of registration with (or membership of) any relevant professional bodies:
Name of professional body
Personal registration (or membership) number
Date registration expires
REFERENCES
Please be aware that Amara Care Services Limited will not be able to short-list your application if this information is not provided. Therefore, please provide below the details of appropriate referees who have knowledge of your work. Please also be aware that Amara Care Services Limited have
the right to request details of additional referees from you, should we require further information to ensure that you are a suitable candidate for the post.
SERVICES
Referee 1
Referee 2
Name of individual:
Referee 1
Referee 2
Name of organisation
Referee 1
Referee 2
Address:
Referee 1
Referee 2
Landline Tel:
Referee 1
Referee 2
Mobile Tel:
Referee 1
Referee 2
Email
Referee 1
Referee 2
Relationship to you:
Referee 1
Referee 2
PRE-EMPLOYMENT CHECKS
Due to the nature of the post, applicants who are offered employment will be subject to a Disclosure and Barring Service check (at the appropriate level for the role) before commencement of employment. Please note that the post you have applied for is exempt from The Rehabilitation of Offenders Act 1974, meaning that all cautions, reprimands or final warnings as well as convictions, will be checked, and would therefore need to be disclosed. Please also ensure that you have read and understood the DBS Privacy Policy enclosed within this pack. Having a criminal record will not necessarily bar a person from working for Amara Care Services Limited. This will depend on the nature of the position and circumstances/background of the offences. For further information, please refer to the enclosed “Recruitment of Ex Offenders Policy”.
If “yes”, please provide details on a separate sheet and placed in a sealed envelope. Please write your full name on the outside of the envelope and attach it to this form.
If “yes”, please provide details on a separate sheet and attach it to this form
DECLARATION
Amara Care Services Limited expects that you have the experience and qualifications that you have stated on this form. It reserves the right to terminate your employment with or without notice or payment in lieu of notice in cases where: (a) it is discovered that you do not have the claimed qualification or experience; (b) you fail for whatever reason to acquire any appropriate examination or registration; (c) you are removed from the appropriate regulatory body.
I understand that my appointment, if offered, will be subject to satisfactory references, health questionnaire, confirmation of eligibility to work in the UK and criminal records check. I confirm that all information on this form is correct and understand that false or misleading information may lead to any offers of employment being withdrawn or summary dismissal. I understand the information will be stored in paper files and under the terms of the Data Protection Act 2018 (General Data Protection Regulations) will be treated in a secure and confidential manner.
Full Name
Signature
Date:
Send
