Job title you are applying for * Healthcare Assistants Support Workers Volunteers Date of Birth * Address * Natioanlity * Email * Phone number * National Insurance Number * Do you hold a full & valid driving license for the UK? * Yes No How would you like to be paid? * PAYE Direct through UTR or company (Ltd) Are you eligible to work in the UK? * Yes No Training and Education *
Was your mandatory training – for example moving & handling, infection control, safeguarding completed within the last year? Briefly outline any qualifications as well as professional & vocational training that you feel are relevant to this job
Employment History *
Briefly detail your employment history within the past 5 years, starting with the most recent. Please include details of any employment gaps within this period.
Previous Convictions *
Please give details of any convictions in this country or abroad you currently or have previously had.
If none, please write the word “NONE” in this box. Please be aware that it is an offence to withhold this information.
Please give details of two people that would be prepared to give you a reference. One must be from a current/previous employer; the other should be a character reference, from someone other than a family member. Any offer of employment will be subject to satisfactory references. By entering their details here, you give Oaksfield Care Ltd. permission to contact these people. Please include Name, Position, Organisation, Address, Email and Phone Number
DBS status. Have you subscribed for the DBS Update Service? Please select. * Yes No If you selected "Yes", please enter the number of the DBS certificate you subscribe with? Please note this is the DBS certificate number, not your subscription number. Health and Safety – Do you have a disability of any kind that may affect your work? please select. * Yes No If you selected "Yes", please give details … Online data – We keep many of your records securely online. In addition, clients may ask that these are uploaded and shared online with their own client base (e.g. nursing & care homes), prior to the commencement of your first shift with them. Do you authorize that these details can be shared with them online? * Yes No Working time regulations – Under European Union rules, the maximum working week is currently limited to 48 hours. As you are under no obligation to accept any work offered, you will not be compelled to work more than 48 hours per week. However, you may choose to do so. Please select. * I DO NOT wish to work more than 48 hours per week I DO wish to work more than 48 hours per week Data Protection Our records, including any copies of documents supplied are kept securely in line with GDPR regulations. You understand & give permission for these to be made available from time to time to authorized personnel or inspectors, Home Office Immigration Check. If applicable, you understand & give permission for Oaksfield Care Ltd. to contact the appropriate authority in order to verify your current immigration status. Please tick. * Declaration I confirm that I have read and understood the above and confirm my answers to be accurate and correct. Additionally, I understand that … It is my responsibility to update Oaksfield Care Ltd in the event any of these details change in the future. Any job offer made to me is based on a zero-hours contract with no guarantee of work or working hours. Any job offer made to me is subject to satisfactory references being obtained from the individuals offered above. I give permission for Oaksfield Care Ltd to contact the referees given. Upon acceptance, if I do not subscribe to the DBS Update Service, Oaksfield Care Ltd will arrange a Disclosure and Barring Service (DBS) check now, and at intervals thereafter. I agree to pay the cost of this, determined at the time, either through deductions from my wages, or paid directly by me after three months from the DBS request being made, whichever is sooner. I also understand that Oaksfield Care Ltd may contact the Home Office/UK immigration in order to verify my eligibility to work in the UK. If information given on this application form is found to be false it may result in disciplinary action, or dismissal. *