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Liverpool 0151 737 2820
Cheshire 01244 313 576
Find your local branch
Liverpool 0151 737 2820
Cheshire 01244 313 576
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About

Application Form (Offered)

Image of two people sat at a table in a canteen setting, chatting over a cup of tea.

PERSONAL DETAILS

Name(Required)
Email(Required)
Address(Required)

EDUCATION

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PROFESSIONAL QUALIFICATIONS/TRAINING COURSES – original certificates required

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WHY ARE YOU INTERESTED IN THIS POSITION WITH HOMECARERS LTD?

WHEN CAN YOU WORK?

Tick the shifts you are available to work.
What shifts can you work?(Required)

Please note: It is compulsory that all support workers are able to commit to working alternate weekends. As a minimum requirement, hours will be the same as during the weekdays. Staff can select to work extra on their working weekend or planned weekend off.

EMPLOYMENT HISTORY

Due to the nature of employment, it is required that you state ALL employment history from leaving school, you must include ALL periods of employment and explain fully any breaks in employment. This is statutory for all support staff. Please start with your most recent employment.
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Are you currently in employment?(Required)

REFERENCES

(references will only be requested following your acceptance of position with the company) Please provide a minimum of two referees, one of which must be your most recent employer. For employment references, they should be your most recent employers (no relatives). If you cannot provide two employment references, you must provide one employment reference and two character references. If you have not worked in the last 5 years you should provide 3 character references Character references – work colleagues, neighbours, friends of the family, business acquaintances, and clients. References will be applied for once you have accepted a formal offer.

PLEASE SPECIFY AND TICK IN THE BELOW THE AREAS YOU ARE ABLE TO WORK IN?

Are you able to work in Chester, covering the following areas: Chester, Malpas, Tarporley, Ellesmere Port, Neston(Required)
Are you able to work in Winsford, covering the following areas: Winsford, Middlewich, Northwich, Helsby(Required)
Are you able to work in our Extra Care Housing, covering the following areas: Abbotswood, Devapoint, Kingswood, Hallwood(Required)

DRIVING LICENSE & DBS

Do you have a full UK driving license?(Required)
Do you have access to your own vehicle?(Required)
Do you currently have/have held a full enhanced DBS?(Required)

REHABILITATION OF OFFENDERS (EXCEPTIONS) ACT 1979

Have you ever been convicted of a criminal offence?(Required)
All successful applicants must undergo and DBS Disclosure. On sending this form you are agreeing to a DBS being carried out on offer of employment.

DECLARATION

In signing this form, you are giving your permission for the following: You personal data to be stored and processed for the purpose of arriving at a selection decision and, for the successful candidate, future personnel administration. Permission for your data to be shared with our training provider Richmond Training to enable them to prepare documents and assessments for your induction and any subsequent training and relevant funding. You give the employer the right to apply for references (following acceptance of job offer) and to secure all additional information about you, if position related. You hereby release from your liability the employer and the representatives for seeking such information and all other persons, corporations and organisations for furnishing such information. I understand that the position applied for/offered will be subject to the satisfactory outcome of references, proof of my right to work in the UK, a completed DBS and proof of qualifications. I declare that all information provided is accurate at the time of signing and understand that if I have entered any false or misleading information, this may lead to termination of any employment offered. By submitting this form, you are agreeing to Home Carers Ltd's Privacy Policy.(Required)
Agree? (Required) *
Consent(Required)