Application Form (confidential)

Please complete this form to apply for a role with us.
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References - please provide referee's we can contact should you be suitable.  We need the details of two refererees

Option 1 - Employment references (including one from current/most recent employer or one from previous employer)

Option 2 - Employment references (including one from current/most recent employer or one from previous employer) or Character reference (Character must be a person in professional capacity, ie GP, Nurse, Dentist, Police Officer, Paramedic, Teacher, Social Worker, Magistrate, Care Manager, Director of a Business, Firefighter, Councillor

Option 3 - Two character references.  One as above criteria plus one other.

Please note that character references should only be used where its is not possible to provide employment references.  BJP Home Support will always endeavour to obtain current/most recent employment references.  References cannot be provided by family members and you must have been known by them for at least 3 months

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We will contact the above referees asking them to supply a reference for the purpose of assessing suitability for employment with our company.

The new GDPR rules ask that we gain permission to contact previous employees and that they know you have given us your consent for them to supply information to us.  Therefore, please read the statement below and sign the consent form should you agree with the statement.

Should you wish to discuss this first please contact us.

I authorise my referees to provide either written and/or verbal references, and this includes both referees who are previous employers and non-work related personal or character referees.  I agree that any reference provided about me and may include information related to (but not necessarily limited to): my job title and duties, dates of employment, reasons for leaving, final salary, competence, attitude, ability to manage workload and work without supervision, honesty, attendance record, timekeeping record, relations with colleagues and clients, disciplinary record, performance management record, grievances raised and days and instances of sickness absence.

I understand that I have a genuine choice as to whether I wish my referees to provide a reference about me.  My explicit consent to the provision and release of a reference to the company by my referees is therefore freely given and informed.  Finally, I understand that I have the right to withdraw my consent at any time and that I may do this by contacting my referees directly.  I acknowledge that I have been notified that the company will process any references provided by my referees in accordance with the terms of the privacy policy for job applicants.

Previous employment

Please give details of ALL employment since leaving school including unpaid work, starting with your most recent employer.

Please give details of, and provide an explanation for, and time you were not working or in full time education.

For each employer please provide the following - Start month/year, End month/year, Employers Name & Address, Job held/achievements, Reason for leaving

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Rehabilitation of offenders act 1974

Ny virtue of the Rehabilitation of Offenders Act 1974 or amendments to the act (exceptions order 1975, section 4.2 of the Rehabiliation of Offenders Act 1974) does not apply to any employment which is concerned with the provision of health services and where the applicant may have access to persons in receipt of such services in the course of their normal duties.  Your answer to the following questions should include any 'spent' convictions.

All information provided about criminal cautions, convictions and offences will be kept in the strictest confidence and only used for the purpose of assessing your suitability for the post you have applied for.

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Data Protection Statement

The information that you provide on this form and that obtained for other sources will be used to process your application for employment.  The personal information that you give us will also be used in a confident manner to help us monitor our recruitment process.

If you succeed in your application and take up employment with us, the information will be used in the administration of your employment with us and to provide you with information about us via your payslip.  We may also use information if there is a complaint or legal challenge relevant to this recruitment process.

By signing the application form we will be assuming that you agree to the processing of sensitive personal data  (as described above) in accordance with our registration with the Data Protection Commissioner.

If you are successful our GDPR policy will be discussed and you wil be given a full copy of our policy at induction.

Declaration

I declare that the information I have given in this application is accurate and factual.

I understand that providing misleading or false information will disqualify me from appointment OR if appointed may result in my dismissal.

COMPETENCY APPLICATION FORM

Relevant skills, knowledge and expertise

In this section you are asked to outline how your knowledge, skills and experiences meet the competences required for this role (job description and person specification).  You should draw on your experiences from your current or pevious roles or from other relevant situations (such as activities outside work)

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