Night Care Assistant - Yorkare Homes - Care Homes of Distinction

Personal Information

Title*

Forenames*

Surname*

Address*

Postcode*

Telephone Number*

Mobile Number

Email Address*

Preferred Hours

Full Time

Part Time

Preferred working pattern (care staff only)*

Are you currently working?

Notice Period Required

Education & Training Details

Name of School/College/University

Qualifications Gained

Year Achieved

Employment History

Please list from the age of 16 and in chronological order with the most recent first, and explain any gaps in employment i.e. maternity etc.

You can add and remove jobs by using the buttons below.

Dates*

Name*

Address*

Job Title*

Salary

Reason for Leaving

Knowledge and Experience

Please list here the knowledge and experience 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)

Mental and Emotional Ability

Please list here the abilities you feel would be beneficial to the role you are applying for:
(i.e. Concentration, coping with distressing circumstances, prioritising, tact, empathy etc)

Communication and Verbal Skills

Please list here the skills you feel would be beneficial to the role you are applying for:
(i.e. communicating with others, challenging circumstances, interpersonal skills)

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)

Any other information you may feel relevant to the role

Criminal Record

Have you ever been convicted of a criminal offence?*

If yes, please give details

Other Work

If offered this position, will you continue to work in any other capacity?*

If yes, please give details

Health Information

Are you in good general health?*

Are there any disabilities which may affect your application?*

If yes, please give details

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 a UK national, do you have permission to work in the UK?*

If yes, you will need to produce evidence of your entitlement to work in the UK before taking up your post if your application is successful.

Personal Relationships

Do you know or are you related to any resident that is currently living at any Yorkare Homes, Care Homes?*

If yes, please provide name and state in what capacity you know/are related to the person

Do you know or are you related to any staff member currently employed at Yorkare Homes Ltd?*

If yes, please provide name and state in what capacity you know/are related to the person

References

We require 3 references - One of these should be your most recent employer.

No family members to act as referees.

Name*

Address*

Telephone Number*

Email

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.

Apply for a Night Care Assistant position at Louth Manor

Personal Information

Preferred Hours

Education & Training Details

Employment History

Knowledge and Experience

Personal Qualities

Mental and Emotional Ability

Communication and Verbal Skills

Management and Supervision Skills

Any other information you may feel relevant to the role

Criminal Record

Other Work

Health Information

Entitlement to work in the UK

Personal Relationships

References

Declaration