Application Form

You must provide the following at interview. Applicants without this documentation may have their application rejected.

1. Two forms of identification (preferably passport and driving licence)

2. An official letter with YOUR name and address on it (eg. Phone Bill/ Bank Statement etc).

3. Proof of ‘Right to Work in the UK’ (if you do not hold an EU passport)

Job Listing Form (#4)

Personal information

Training Records

Rehabilitation of Offenders Act



Employment Record

Please list ALL employments held from the age of 18 chronologically, starting with current or last employer.

Personal Attributes


Please give the names and addresses of your two most recent employers (if applicable). If you are unable to do this, please clearly outline who your referees are.

Reference 1

Reference 2


Recruitment Monitoring Form

This sheet will be separated from your application form upon receipt and does not form part of the selection process. It will be retained by Human Resources purely for monitoring purposes

To help us ensure that our Equal Opportunities Policy is fully and fairly implemented please COMPLETE THIS SECTION OF THE APPLICATION FORM.

What is your Ethnic Group?


Disability is defined as “physical or mental impairment, which has a substantial and long term adverse effect on a person’s ability to carry out normal day to day activities”.

Age Group


Asylum and Immigration Act 1996 .
It is now a requirement that before any offer of employment can be made, all candidates are to provide confirmation of their eligibility to work in the UK. Please bring one of the following original documents with you if invited to interview: a passport or an immigration and nationality directorate application registration card which evidence the right to work in the UK or a UK residence permit issued to an EEA national which confirms right of entry to or residence in the UK.


Please read this before you complete the Availability Form:
Standard working requirements are five days each week plus alternative weekends. It is not a requirement that Care Workers should work more than one period per day but you are free to commit to as many as you would like to. Hours are not guaranteed and shift periods are for illustration only. Payment is made for ‘contact time’ only.

Important: This availability will form the basis of any employment offer, and if you are accepted, forms a commitment on your part.

Weekdays Weekends
7am to 2pm
2pm to 4pm
4pm to 10.30pm