Job Application Form – Thomas Home Care Ltd

Please ensure that you complete the application form in full as we cannot accept CVs. If you prefer to download, fill the application form and send it to us CLICK HERE. Address: Tindle House, 6 Park Road, Dawlish. EX7 9LQ

This form will be kept in confidence. Please note that no applicant will be unfairly discriminated against. This includes discrimination on account of age, cultural/religious/political beliefs, disability, ethnicity, gender, race, relationship status, sexual orientation, and/or Trade Union membership or stewardship.

Position applied for

Preferred employment type (e.g. part time, full time)

Telephone number (home)

Telephone number (mobile)

National Insurance No

Own Transport

YES NO

How long has your licence been held?

Are you a United Kingdom (UK), European Community (EC) or European Economic Area (EEA) National?

YES No

If no, please detail current immigration status and the relevant visa currently held (including Visa number)

Are you are related to a member of staff or Service User at Thomas Homecare Ltd?

YES NO

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” and “long term adverse effect” on your ability to carry out normal day-to-day activities. Further information regarding the definition of disability can be found at: www.gov.uk/definition-of-disability-under-equality-act-2010.

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

YES NO PREFER NOT TO DISCUSS

1- School/College/University

1- Examinations Passed, Qualifications Gained and Year Obtained

2- School/College/University

2- Examinations Passed, Qualifications Gained and Year Obtained

3- School/College/University

3- Examinations Passed, Qualifications Gained and Year Obtained

Training Courses Attended or Completing

Employment History
Please record below the details of your full employment history beginning with your current or most recent first. If you cannot fit in all your employment history on this form, please email details to info@thomashomecareltd.com.

1- Name and address of your most recent/last employer

Start date and end date

Position held and reason for leaving

2- Name and address of employer prior to the employer listed above

Start date and end date

Position held and reason for leaving

3- Name and address of employer prior to the employer listed above

Start date and end date

Position held and reason for leaving

Please detail here any gaps in employment and state why:

Supporting Statement

Please add here your reasons for applying. You should refer to the job description and person specification to guide you. It would also be of value to describe particular strengths and talents that set you apart from others as well as including skills gained from work, home and other activities.

1- Current or Most Recent Employer

2- Previous Employer To The One Above

3- Character Reference

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 of confidence.

Rehabilitation of Offenders Act 1974
Thomas Homecare Ltd aims to promote equality of opportunity and is committed to treating all applicants fairly regardless of ethnicity, disability, age, gender or gender re-assignment, religion or belief, sexual orientation, pregnancy or maternity and marriage or civil partnership. Thomas Homecare Ltd undertakes not to discriminate unfairly against applicants on the basis of a criminal conviction or other information declared.

Answering 'yes' to the question below will not necessarily prevent your employment. This will depend on the relevance of the information you provide in respect of the nature of the position and the particular circumstances.

Are you currently bound over or do you have any current UNSPENT convictions that have been issued by a Court or Court-Martial in the United Kingdom or in any other country?

YES NO

Do you have any current UNSPENT police cautions, reprimands or final warnings in the United Kingdom or in any other country?

YES NO

Privacy

Thomas Homecare Ltd will only collect data for specified, explicit and legitimate use in relation to the recruitment process. By signing this application form, you consent to Thomas Homecare Ltd holding the information contained within this application form. If successfully shortlisted, data will also include shortlisting scoring and interview records. We would like to keep this data until the vacancy is filled. (We cannot estimate the exact time period, but we will consider this period over when a candidate accepts our job offer for the position for which we are considering you). When that period is over, we will either delete your data or inform you that we would like to keep it in our database for future roles. We have privacy policies that you can request for further information. Please be assured that your data will be securely stored by the Registered Manager and only used for the purposes of recruiting for this vacant post. You have a right for your data to be forgotten, to rectify or access data, to restrict processing, to withdraw consent and to be kept informed about the processing of your data. If you would like to discuss this further or withdraw your consent at any time, please contact the Registered Manager or Data Protection Officer on 01626 437390.

Declaration

The information in this application form is true and complete. I agree that any deliberate omission, falsification or misrepresentation in the application form will be grounds for rejecting this application or subsequent dismissal if employed by Thomas Homecare Ltd. Where applicable, I consent that Thomas Homecare Ltd can seek clarification regarding professional registration details.