Stable Steps Care center

47 Adswood Lane West Stockport SK3 8HZ

Job Application Form - PR12

Position Applied For

I understand this role may include: Shift work, Unsociable Hours, Lone working involved.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Personal Details

Equality Act 2010 Under the Equality Act 2010 the definition of disability is if you have a physical or mental impairment that has a "substantial" & "long-term adverse effect" on your ability to carry out normal day-to-day activities.

For the purposes of this application & interview stage only, is there anything you would like us to be aware of so that we can make reasonable adjustments during the process?

Education & Training
School / College / University Date From Date To Examinations, Qualifications
Subject Location Date Details
Name of Organisation Registration Number Renewal Date Details
Employment History

Please record below the details of your full employment history beginning with your current or most recent first. Any gaps must be explained. Click on add button to add previous employer if required;

Current / Most recent employer

References

Please provide names, addresses and telephone numbers for referees below who we may approach for a reference. In line with CQC requirements, we require references (or other satisfactory evidence as the employer may determine) from all previous employers concerned with the provision of services relating to health or social care, or children or vulnerable adults which should include details of why their employment came to an end (note that this is not time limited).

If your previous employment does not concern the provision of services relating to health or social care, or children or vulnerable adults, you must provide references from your two most recent employers.

Please provide two character references if you are unable to obtain two professional references, e.g. in the case of an applicant who has been raising children for ten years. All will be contacted, therefore please inform the referees of the fact that you have used their name. If you are unable to provide the required references, please discuss the matter with us.

Referee Details

Declaration

Safeguarding / Ex-Offenders Declaration

Please note this section will only be seen by those involved in the recruitment process and will be treated with the strictest confidence.

The Rehabilitation of Offenders Act 1974 aims to promote equality of opportunity ... undertakes not to discriminate unfairly against applicants on the basis of a criminal conviction or other information declared.

Privacy Statement

We will only collect data for specified, explicit and legitimate use in relation to the recruitment process...

We have privacy policies that you can request for further information...

You have a right for your data to be forgotten ... contact the Registered Manager to discuss.

Declaration

The information in this application form is true and complete ...

Supporting Statement

Please add here your reasons for applying ...

Values Based Screening Questions