Careers | North Care Services

Employment application form

Complete each section as fully as possible. Any offer of employment will be subject to satisfactory references, PVG checks, right-to-work checks and any other checks required by North Care Services.

Step 1 of 5

Full name Any previous names Date of birth Address Postcode Telephone number Email address National Insurance number

Do you hold a full UK Driving Licence? Yes No

Do you have access to a vehicle for work purposes? Yes No

Are you legally entitled to work in the UK? Yes No

If no, please provide details

Step 2 of 5

Position applied for Where did you hear about this vacancy? Relevant qualification Institution Date achieved Professional registrations, including SSSC Relevant training course Training provider Date completed Additional qualifications or training

Step 3 of 5

Most recent employer Job title Dates Reason for leaving Main responsibilities Previous employment / additional history Please explain any gaps in employment history

Step 4 of 5

Please describe your experience supporting children, young people or vulnerable individuals What does safeguarding mean to you?

Have you ever had any safeguarding concerns raised against you? Yes No

If yes, please provide details

Step 5 of 5

Please explain why you wish to work for North Care Services and what skills, experience and qualities you would bring to the role

Are you currently a member of the PVG Scheme? Yes No

PVG membership number, if known

Have you ever been subject to disciplinary action relating to the care of children or vulnerable people? Yes No

If yes, please provide details

Reference 1

Name Organisation Position Telephone Email Relationship to applicant

Reference 2

Name Organisation Position Telephone Email Relationship to applicant

Applicant signature Date

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Application documents.

Employment application form

Reference 1

Reference 2