If you have not been contacted within 7 days of submitting your application, please assume that you have not been successful at this time.

Details

Your Name*

Job Title Applied for*

Area of Position*

Date of Birth*

Nationality*

Current Residential Address: *

Contact Number*

Email Address*

Do you hold a full UK driving licence?*
NoYesOther

If you answered "Other", please provide details:

Do you have access to a car?*
NoYes

Do you currently hold a valid enhanced DBS and registered on the update service?*
NoYes

If "Yes", please provide certificate number for your DBS:

Rehabilitation of Offenders Act 1974

By virtue of the rehabilitation of offenders act 1974 the provisions of section 4.2 of the rehabilitation of offenders act 1974 do not apply to any which is concerned with the provision of health services and which is of kind as to enable the holder to answer to the following questions (answers should include any “spent” convictions).

Have you ever been arrested/cautioned/convicted of a criminal offence (including driving offences)?
NoYes

If answered YES to the above question please provide details:

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

If answered YES to the above question please provide 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/challenging young people?
NoYes

If answered YES to the above question please provide details:

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?
NoYes

If answered YES to the above question please specify:

Please Upload Your Current CV

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

Please explain briefly why you are a good candidate for this position?

Can you undertake a minimum of one placement a week?*
NoYes

Approximately, how many hours per week are you able to work?*

Are you able to work at least one or more of the following shift patterns? (please select your preferred shifts)*
8am-11pm8am-11pm + sleeping in2pm-11pm2pm-11pm + sleeping in10pm-8am (Waking watch)

Do you have the understanding that this is flexible role, with a temporary contract (where hours are dependent (0-40) based on your availability)?*
NoYes

Disclosure

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.

In order to enable us to effectively monitor our polcy please complete the section below. This information is strictl y confidential and is used solely for monitoring purposes only.

Please state your ethnic background:*

Please state your religion/belief:*

Declaration

International checks

Please note that as part of fulbridge social care vetting candidates will be required to obtain international checks / Statement of good conduct from any country other than the uk, that individuals have lived, worked or travelled for an extended period (12 consecutive weeks) alongside a british enhanced dbs in accordance to the childrens homes (england) regulations 2015. Companies must recruit staff using recruitment procedures that are designed to ensure childrens safety in particular ensure that full and satisfactory information is available in relation to the individual in each of the matters in schedule 2 regulation 32 (3) (d).

Fulbridge social care believe international checks are an important part of compliance in making the decision on a candidate’s application and suitability to work with children and young people.

Data Protection Statement

The information that you provide on this form and, on any cv, given, will be used by fulbridge social care to provide you work finding services. In providing this service, you consent to your personal data being included on a computerised database and consent to us transferring your personal details to our clients.

We may check the informaton collected, with third parties or other information held by us.

We may also use or pass to certain third parties information to prevent or detect crime, to protect public funds, or in other way permitted or required by law.

I declare that to the best of my knowledge and belief, the details that I have supplied in this application form are correct and accurate to the best of my knowledge. I understand that any false statements made could be a criminal offence and May disqualify me from employment or render me liable to be dismissed immediately.

I confirm that I have read all the information within this application and I consent to fulbridge social care checking the details I have provided in support of this application and to verify my identity and work history including references.
NoYes

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