Application Form

Our recruitment consultants have an in-depth knowledge of the skills and abilities most valued within Health & Social Care and have the training required to find the very best candidates for both ourselves and our clients. Once your application has been received, one of our dedicated recruitment consultants will be in contact.

Job Title

Location of Position

Personal Information

Your Name

Date of Birth

Nationality

Email Address

Contact Number

Address




Do you hold a full current driving licence?
 No Yes

Do you own or have access to a car?
 No Yes

Do you currently hold a valid DBS enhanced disclosure?
 No Yes

Have you been interviewed or worked for fulbridge before?
 No Yes

Declaration

By virtue of the rehabilitation of offenders act 1974 the provisions of section 4.2 of the rehabilitation of offender’s act 1974 do not apply to any positions which is concerned with the provision of health / social services therefore can you please answer the following questions (answer should include any “spent” convictions)

Have you ever been arrested/cautioned/convicted of a criminal offence (including driving offences)?
 No Yes

If yes please provide dates and details:

Are you aware of any police enquiries undertaken following allegations made against you?
 No Yes

If yes please provide dates and details:

Do you know of any unlawful act which you have been involved in which may have a bearing on your suitability to work with vulnerable individuals?
 No Yes

If yes please provide dates and details:

I understand that any offer of employment will be subject to satisfactory references and an enhanced DBS check being obtained:
 No Yes

Do you have any health issues, disability or other condition which may make it difficult for you to carry out the functions which are essential for the role you have applied for?
 No Yes

If yes please provide further information:

Please Upload Your Current CV

Upload your CV here (pdf/word document or txt file. 3mb maximum):

Please explain why you are looking to join Fulbridge Social Care

Please detail your previous experience which you feel is relevant for the position you have applied for:

Please give a brief overview of any qualifications and training you have completed:

Please give a brief overview of the days and hours you are looking to undertake placements and state if you can cover sleeps, nights, weekends etc:

References

Current or most recent employer

Name

Relationship to me

Company name and address

Phone number

Email Address

Second Reference

Name

Relationship to me

Company name and address

Phone number

Email Address

Third Reference

Name

Relationship to me

Company name and address

Phone number

Email Address

Additional Questions

Are the facts provided to the best of your knowledge true and complete?
 No Yes

I understand that any false statement may end my application
 No Yes

As part of the assessment, we may have to carry out checks to verify the information you have provided, we main obtain information about you from third parties (including references) and disclose your personal data to certain third parties such as law enforcement bodies.
 No Yes

Fulbridge Social Care has a policy of equal opportunity and as such will consider applications from candidates irrespective of sex, race, colour, ethnic or national origin, disability or willingness to work extended hours.

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