Job Application Form

Step 1 of 12

Application & Personal Details

Application

Application for the post of

Choose the role that interests you, or select general interest if you would like to discuss a suitable role.

At (name of home/location)

If you know the location or name of the home you are applying to work at, please inform us.

How did you hear about Guidance Care or this role?

For example: a job site, member of staff, social media or our website.

Personal details

First name

Last name

Date of birth

Home address

Street address

Address line 2

City

County / Region

Postcode

Country

Telephone no

Email

National Insurance number

Optional at this stage. We only need it if you are offered the post, for payroll and for the DBS check.

Step 2 of 12

Right to Work & Driving

Right to work

Are you eligible to work in the UK?

Yes No

If appointed, is a permit required to work in the UK?

Yes No

Driving licence

Do you hold a full and current UK driving licence?

Yes No

Have you had any driving convictions/penalty points in the last 5 years?

Yes No

Step 3 of 12

Connections to Guidance Care

Family / relation

Are you related to any person employed by, or connected with, Guidance Care?

Yes No

Step 4 of 12

Present (or Last) Employer

Employment details

If this is your first job, enter “N/A - first job” in the required employer fields. Leave the optional employer email blank. Still complete your education history and explain any gaps.

Date from

Date you were employed from.

Date to

Leave blank if still employed.

Name of employer

Phone number of employer

Employer’s email address

Address of employer

Street address

Address line 2

City

County / Region

Postcode

Country

Nature of the business

Position held

Current/last salary

Reason for leaving or wishing to leave current/last employment

Notice period required

Please give a brief description of duties and responsibilities

Do you give Guidance Care permission to contact your current employer for a reference upon our extension of a conditional offer of employment?

No, I do not wish for my current employer to be contacted at this time Yes, I am happy for my current employer to be contacted

Step 5 of 12

Previous Employment History

Employment in reverse order

Please list employment in reverse order. Any gaps in employment since leaving school MUST be explained in the section below and accounted for. If you have no previous employment please fill “N/A”.

Gaps in employment or education

Do you have any gaps in employment or education? Choose No gaps to continue without entering gap dates.

No gaps Yes, add gap details

Step 6 of 12

Education & Qualifications

Secondary / higher education

List all secondary/higher education. If you have no qualifications, enter “None” in that column. Short-listed candidates will be asked to provide original certificates where relevant.

Interests/responsibilities whilst at school

Languages, other qualifications & professional memberships

Please provide details of any language(s), and/or any qualification/professional membership/relevant course, with the date achieved/attended.

Step 7 of 12

Further Information

Why would you like to work with Guidance Care?

Tell us about the work that interests you and your career goals.

What experience, skills or knowledge would you bring?

For a role you have discussed with us, refer to its requirements. For general interest, describe the strengths you would bring to our homes or teams.

Leisure interests

Please give brief details of interests, membership of clubs etc.

Upload your CV

PDF, Word, RTF, ODT or TXT, up to 10 MB. Your CV is not included in a saved draft and must be selected again when you return.

Step 8 of 12

Criminal Convictions

Disclosure

Do you have any convictions or cautions you are legally required to disclose for this role?

Yes No

Do not disclose protected convictions or cautions. The information you need to declare depends on the role and its DBS eligibility. Read the current DBS filtering guidance, or ask HR which rules apply before completing this section.

If you answer yes, please provide details in a sealed envelope marked “Confidential - for the attention of HR” and send it to: Guidance Care Ltd, Unit 8, Sovereign Court, Wyrefields, Poulton-le-Fylde, FY6 8JX, or hand it in at interview. A completed “Employee Declaration - Rehabilitation of Offenders” form can be requested from hr@guidancecare.co.uk.

Step 9 of 12

References

If you have previously worked in a childcare position or a position involving children and young people that is different from the previous reference, you must provide the last relevant employer.

Referee 1 - current/most recent employer

First name

Last name

Job title

Address

Street address

Address line 2

City

County / Region

Postcode

Country

Phone

Email

Referee 2

First name

Last name

Job title

Address

Street address

Address line 2

City

County / Region

Postcode

Country

Phone

Email

Step 10 of 12

Points of Declaration

Declaration

I understand that appointment to this post is conditional on the information supplied with my application being correct and that if I have withheld any information or any information is found to be false, my application will be dismissed, or I will be liable to disciplinary action. I am not subject to any immigration controls or restrictions that prohibit my undertaking work in the UK. The statements made by me in this application form and on any additional sheets are true to the best of my knowledge and belief. I understand that I will be asked for criminal record information that I am legally required to disclose for this role, excluding protected convictions and cautions. Failure to disclose information that is legally required may result in an offer of employment being withdrawn. Should an offer of employment be given I will declare to the Company any behaviour in or outside of work which would call into question my suitability to work in social care services. If successful, I understand that the Disclosure & Barring Service check appropriate to this role will be required, including an enhanced check where the role is eligible. I understand that a criminal record does not necessarily prevent employment with the Company. In accordance with the Data Protection Act, the personal details submitted with this application form will be used only for selection and interview procedures and for employment records if successful. If I am not appointed to this post, I understand that these details will be kept on file for six months. Should we require further information and wish to contact your doctor with a view to obtaining a medical report, the law requires us to inform you of our intention and obtain your permission prior to contacting your doctor. I agree that the organisation reserves the right to require me to undergo a medical examination. In addition, I agree that this information will be retained in my personnel file during employment and for up to six years thereafter and understand that information will be processed in accordance with the Data Protection Act.

First name

Last name

Date

Signature of applicant

Our HR team considers applications against opportunities across our homes. If you would like an update or want to discuss a particular role, email hr@guidancecare.co.uk or call 01253 530008.

Step 11 of 12

Disqualification Declaration

Disclaimer

I declare that I am not barred or disqualified from working with children in the role for which I am applying. I understand that HR will check the requirements that apply to the role.

First name

Last name

Date

Signature

Step 12 of 12

Comments & Submit

Have you any comments on the content of this application form?

By clicking “Submit”, your application will be checked and sent to our HR team at hr@guidancecare.co.uk for review. If sending fails for any reason, your answers remain on this page and we’ll show you how to try again. Details you give us are used only for selection, interview and (if successful) employment records; unsuccessful applications are kept on file for six months and then destroyed.

Application & Personal Details

Right to Work & Driving

Connections to Guidance Care

Present (or Last) Employer

Previous Employment History

Education & Qualifications

Further Information

Criminal Convictions

References

Points of Declaration

Disqualification Declaration

Comments & Submit

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