SCS Application Form - Care Assistant (Enhanced)

1. PERSONAL DETAILS

Job Reference

Surname Please enter your surname

First Name Please enter your first name

Middle Names

Address Please enter your address

Date of Birth Please enter your date of birth

Tel No (home)

Tel No (mobile) Please enter a valid UK mobile number

WhatsApp No

E-Mail address Please enter a valid email address

National Insurance No

Gender

Male Female Other

Please select your gender

Nationality Please enter your nationality

If you are not a British passport holder or a European Citizen, or you do not have the permanent right to remain in the UK, you will require a work permit.

Do you need a work permit to be employed in the UK?

Yes No

Please select an option

Where did you learn of the post?

2. EDUCATION AND PROFESSIONAL QUALIFICATIONS

Original documents as proof of qualification will be required at interview.

Secondary School / College / University	Examinations taken	Result

Professional Qualifications currently held: how obtained and grade

0 / 1000 characters

Other relevant Educational or Training Courses

0 / 1000 characters

3. PRESENT POST

Title of Post

Salary/Grade

Name of Employer

Business of Employer

Address

Date Commenced

Date Ended (if applicable)

Please outline your responsibilities, to whom you are responsible and staff responsible to you (if applicable)

0 / 2000 characters

Reason for leaving or wishing to leave

0 / 500 characters

Period of notice required to terminate present employment

Dates available for interview

4. PREVIOUS EMPLOYMENT

Name and Address of Employers	Position(s) held, Date Started and Ended	Reason for leaving	Final grade/salary

5. RELEVANT SKILLS AND EXPERIENCE

Important: This section is your opportunity to demonstrate why you're the ideal candidate. Please be specific about your relevant experience and how your skills match the role requirements.

Relevant skills, abilities, knowledge, experience and your reasons for applying for this job

0 / 3000 characters

Please describe your relevant skills and experience

6. OTHER INFORMATION

What activities outside work interest you? (State any positions held you consider relevant)

0 / 500 characters

Do you hold a current driving licence?

Yes No

Do you have access to a car?

Yes No

If selected for interview, do you require any special arrangements to be made on account of a disability?

Yes No

We are committed to the Equality Act 2010 and will make reasonable adjustments to support candidates with disabilities throughout the recruitment process.

7. REFERENCES

Please provide two professional references. At least one should be from your current or most recent employer.

Reference 1

Title Please enter the title

Full Name Please enter the full name

Job Title Please enter the job title

Organisation Please enter the organisation

Address Please enter the address

Tel No

E-mail address

May we obtain this reference prior to interview?

Yes No

Reference 2

Title Please enter the title

Full Name Please enter the full name

Job Title Please enter the job title

Organisation Please enter the organisation

Address Please enter the address

Tel No

E-mail address

May we obtain this reference prior to interview?

Yes No

8. DECLARATION & SUBMISSION

I declare that the information given in this application form is true and complete. I understand that if I have given any misleading information on this form or made any omissions, this will be sufficient grounds for terminating my employment.

I agree to the declaration above You must agree to the declaration to proceed

Full Name Please enter your full name

GDPR Notice: The information provided by you on this form will be stored in accordance with the Data Protection Act 2018 and GDPR. Your data will be processed solely in connection with recruitment and will be retained for a maximum of 12 months. You have the right to request access to, correction of, or deletion of your personal data at any time.

I consent to the processing of my personal data as described above You must consent to data processing to proceed

Draft Auto-Saved! Your application draft has been saved locally and will be automatically deleted 30 days after your last edit for security purposes.

1. PERSONAL DETAILS

2. EDUCATION AND PROFESSIONAL QUALIFICATIONS

3. PRESENT POST

4. PREVIOUS EMPLOYMENT

5. RELEVANT SKILLS AND EXPERIENCE

6. OTHER INFORMATION

7. REFERENCES

Reference 1

Reference 2

8. DECLARATION & SUBMISSION

Application Submitted Successfully!

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