Application -Carer

Step 1 of 5

Section 2

Employment History & Relevant Education

Have you previously been employed? (any official employment)

We ask this question as some indviduals have no official previous employment, such as school leavers.

Do you have previous experience in care?

This only includes experience working in an official Carer/Healthcare Assistant capacity.

Do you have a Care Certificate?

Employment History

PLEASE SELECT “Add” BELOW TO ADD ADDITIONAL EMPLOYERS

Employer Name

Start Date

Currently employed here?

Leave Date

Reason For Leaving (If currently working here please type "N/A")

If currently working here please type “N/A”

Job Title

Roles & Responsibilities

Contact Number

Employer Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Please use this field to explain all gaps in employment

Cover Letter

Section 4

References Consent Form

I have applied for employment with Gentle Helpers Care LTD. As part of the recruitment process I have provided details of my previous employment.

I hereby consent to Gentle Helpers Care LTD contacting the referees I have provided in this application in accordance with its normal policy if I am the successful candidate following the selection process:

I understand that my referees will not be contacted before a conditional offer of appointment is made except where I have provided written consent to do so on my application form.

I understand that the reference information is required to assess my suitability for the purpose of employment and may include, but is not limited to, information about my employment performance, professional demeanour, dates of employment, salary and employment history.

I consent to the referees specified in this application form providing information regarding my employment record to Gentle Helpers Care LTD.

I understand that subsequent and continued employment with Gentle Helpers Care LTD may be subject to this feedback.

I have been provided with a copy the Company’s privacy notice for job applicants which describe the need for the collection, processing and retention of my personal data to assess my suitability for employment and for the management of any subsequent employment. I also understand my rights under the data protection legislation as explained in the privacy notice to job applicants.

I understand that I have the right to withdraw my consent to the processing of my personal information for the purpose of obtaining information from my references at any time. And I understand that this will not affect the lawfulness of processing based on my consent before its withdrawal.

If you wish to withdraw your consent, please contact the Registered Manager. Once we have received notification that you have withdrawn your consent, we will no longer process your personal information for the purpose you originally agreed to, unless we have another legal basis for processing.

To continue with the application and be considered for the role you must read and consent to this form.

I have read, understood and consent to the above References Consent Form

I consent

I consent / do not consent for the referees provided in this application form to be contacted before an interview, and before a conditional offer of employment is made to me.

I consent
I do not consent

Section 1

Section 2

Employment History

References

Reference

Section 4

References Consent Form

Section 5

Statement of Recruitment of Ex-offenders

Data Privacy Notice

Declaration