Application Form

Post Details

Post Applied For



Closing Date For Application



Interview Date

Personal Details

Title
MissMrsMsMrDrOther

Are You Aged 18 or Over? *
YesNo

Surname *

Address Line 1 *



Address Line 2



Town *



County *



Postcode *

Tel No (Day)



Tel No (Evening)



Mobile



Email *

Do You Hold A Valid UK Driving Licence? *
YesNo


Are There Any Endorsements On This Licence? *
YesNo

Under The Assignment and Immigration Act 1996,

Do You Require A Work Permit To Work In The UK?
YesNo


Are You A Member of Any Professional Organisation? *
YesNo


If Yes, Please State Which

Employment Details

Current Or Last Post:

Employer



Address Line 1



Address Line 2



Town



County



Postcode



Position



How long at current employment
N/ALess than 6 months1 year2 years3 years4 years5 years6 years7 years8 years9 years10 years+


Notice Required



Current Duties and Responsibilities

Past Employment

Please Give Reasons Why Left Recent Social Care Employer (If Applicable)

Experience

Please Give Details About Your Knowledge, Skills And Experience And How You Would Apply Them To The Post.

Education And Training

Please Give Details Of Schools, Further Education and Professional Training

Other Relevant Training Undertaken

Relationships

Are You Related To Any Member Or Holder Of Any Post Within Inshore Support Ltd?
YesNo


If Yes, Enter Name Of Employee And Position

Declaration

I declare that to the best of my knowledge that information that I have given on this form is true and accurate. I understand that if I knowingly withhold information or include information I may be liable to instant dismissal.

Name *


I Confirm The Above Information Is Correct.

Date *

Declaration

Criminal Convictions

Due to the nature of the work for which you are applying, this position is exempt from the provision of section 4 (42) of the rehabilitation of offenders act 1974 (exemptions order) 1975. as a result you are not entitled to withhold information about criminal convictions which for any other purposes are ‘spent’ under the Act. In the event of employment any failure to disclose such convictions could result in instant dismissal or disciplinary action by senior management to staff. Any such information received will be treated in the strictest confidence and will only be taken into consideration in relation to an application for position to which the order applies. The position that you have applied for allows for substantial access to vulnerable adults and, any offer of employment will be subject to police and medical checks. Your written consent for these will be requested (if appropriate) at a later stage.

Name *


I Confirm The Above Information Is Correct.

Date *

Where Did You First See/Hear About This Vacancy.

Local Newspaper (Please Specify Below)Website/Internet (Please Specify Below)Job CentreInternal AdvertCurrent EmployeeOther