Job Title and or Reference Number

Location of Position

Personal Information

Your Name

Date of Birth

Nationality

Email Address

Contact Number

Address

Do you hold a full and current driving licence and have access to a vehicle?
NoYes

Are you able to provide a minimum of 2 references including your most recent employer?
NoYes

Do you currently hold a valid DBS enhanced disclosure which has been made portable and registered on the online checking system?
NoYes

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)?
NoYes

If yes please provide dates and details:

Are you aware of any police enquiries undertaken following allegations made against you?
NoYes

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?
NoYes

If yes please provide dates and details:

I understand that any offer of employment will be subject to satisfactory references including all care related roles and an enhanced DBS check being obtained, please note that in some cases, an international check may be required as part of compliance:
NoYes

Do you have any health issues, disability or other condition which may make it difficult for you to carry out all aspects of the role which can be viewed on the 'Join the Team' page on this website under the heading of Intrinsic Functions of the Role. Please note that this Health Question only relates to the identified intrinsic functions of the role.
NoYes

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 confirm out of the following selection, shift patterns you are able to undertake within our care settings: 8am - 10pm, 2pm + sleep, 8am + sleep and 10pm - 7am (waking watch). These shift patterns cannot be amended. (Please note this role will give you the opportunity to work up to 40 hours a week as this is a flexible agency contract that works around your availability: Please also confirm if you are looking for weekends, Monday to Friday, nights, school holidays etc.

Additional Questions

Are the facts provided to the best of your knowledge true and you understand that any false statement will end your application?
NoYes

Have you worked or been interviewed by Fulbridge before?
NoYes

By submitting this application form, you are agreeing to process your personal data via the Fulbridge Social Care website. As part of the assessment, we may have to carry out checks to verify the information you have provided, we may obtain information about you from third parties (including references) and disclose your personal data to certain third parties such as law enforcement bodies.
NoYes

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.

This form collects some of your personal details. For further information on how we protect your data please visit our privacy policy.