Yorkare Homes - Care Homes of Distinction

APPLY FOR A CAREER

Name

Address

Phone Number

Email Address

Home

Position Applied For

Preferred Shifts

Hours

Current Notice Period

Education Information

Education information and dates:

Qualification Information

Qualification information and dates:

EMPLOYMENT INFORMATION

Please provide at least ten years of your job history (if possible), you can add and remove jobs by using the buttons below

Employer Name

Employer Dates

Employer Address

Employer Job Title

Employer Salary

Employer Reason For Leaving

Reasons For Gaps In Employment

Employer Name

Employer Dates

Employer Address

Employer Job Title

Employer Salary

Employer Reason For Leaving

Reasons For Gaps In Employment

Knowledge And Skills

Please list here the knowledge and skills you feel would be beneficial to the role you are applying for

Personal Qualities

Please list here the personal qualities you feel would be beneficial to the role you are applying for:
(i.e. motivation, flexibility, objectives, safety awareness, willingness to train)

Management And Supervision Skills

Please list your experience in relevance to the post which you are applying for:
(i.e. mentoring / managing / supervising others etc)

Other Relevant Information

Criminal Record

Have you ever been convicted of a criminal offence?

Yes No

Health Information

Are there any disabilities or illnesses which may affect your ability to perform your job?

Yes No

Work Absences

Please list all absences from work in the past 12 months and the reasons for such absences:

Entitlement to Work in the UK

If you are not an EU national, do you have permission to work in the UK?

Yes No

REFERENCES

One of these should be your most recent employer. No family members to act as referees.

Reference 1 Name

Reference 1 Address

Reference 1 Phone Number

Reference 1 Email Address

Reference 1 Occupation

Reference 2 Name

Reference 2 Address

Reference 2 Phone Number

Reference 2 Email Address

Reference 2 Occupation

Reference 3 Name

Reference 3 Address

Reference 3 Phone Number

Reference 3 Email Address

Reference 3 Occupation

DECLARATION

I Authorise Yorkare Homes to obtain references to support this application once an offer has been made and accepted and release the organisation and referees from any liability caused by giving and receiving information.

I can confirm that the information given on this form is, to the best of my knowledge, true and complete. Any false statement may be sufficient cause for rejection or, if employed dismissal.