Apply to work at ALCG

Job application form NEW

Position applied for

Date of application

Your personal details

Title

Surname

Has your surname changed since birth?

Birth surname

When did you change your surname?

First Name

Has your first name changed since birth?

Birth first name

When did you change your first name?

Your mother's maiden name

Your gender

Your National Insurance Number

Your address

Address Line 1

Address Line 2

City

County

Postcode

Country

Your phone number

Previous addresses

If you have lived at your current address for less than 5 years, please provide your previous address history covering the full 5-year period to date.

Have you lived in your CURRENT address for more than 5 years?

Previous address 1

Address Line 1

Address Line 2

City

County

Postcode

Country

Please type in the dates you moved IN and OUT of this address.

Does the length of time spent at these above addresses cover the previous 5 years?

Previous address 2

Address Line 1

Address Line 2

City

County

Postcode

Country

Does the length of time spent at these above addresses cover the previous 5 years?

Previous address 3

Address Line 1

Address Line 2

City

County

Postcode

Country

Your date of birth

Your birth nationality

Your town/city of birth

Your country of birth

Has your nationality changed since birth?

Your new nationality

Immigration details

Are you an EU citizen?

Your settlement status

Do you need a work permit in order to work in the United Kingdom?

Do you have a Biometric Residence Permit (BRP)?

Biometric Residence Permit (BRP) number.

Do you have a valid driving licence?

Do you have a car you can use for work purposes?

Education

Schools/FE/HE attended. Please type in all the schools/further education/higher education attended along with the final examination grades and the year(s) when you graduated.

Previous employment

A full employment history must be detailed beginning with your current employment and covering all reasons for gaps in any given year.

Please provide your full employment history, including your current employer. For each position, include your job title, employment dates, salary, and reason for leaving. Please explain any significant gaps in your work history (if applicable).

Please detail any disciplinary action within the previous 3 years, including any current, “live” formal warnings (if applicable).

REHABILITATION OF OFFENDERS ACT 1974 – NOTICE TO OFFENDERS

1.Do you have any convictions, cautions, reprimands or final warnings that are not “protected” as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013) 2.The amendments to the Exceptions Order 1975 (2013) provide that certain convictions and cautions are protected and are not subject to disclosure to employers and cannot be taken into account

Any information on this matter should be given on a separate sheet and sent with this application form. This information will be treated as confidential and will not necessarily preclude you from employment.

Your signature ⤵

First Name

Last Name

Today's date

Note: Failure to declare or the falsification of any of the above details will result in the withdrawal of any job offer.

Statement of your personal qualities and any experiences which is relevant to the post

Please outline your personal qualities, relevant skills, and past experiences that make you a great fit for this role.

References

Please give the name and address of two referees, one of whom must be your current or most recent previous employer. References from relatives or friends are not accepted.

Professional Reference 1 (Most Recent Employer) ⤵

Please provide the full name, their position held, contact address, email and telephone number.

Professional Reference 2 ⤵

Please provide the full name, their position held, contact address, email and telephone number.

Character Reference (Must not be a friend or relative) ⤵

Please provide the full name, relationship with them, contact address, email and telephone number.

Our organisation seeks to work in a flexible and family friendly manner with its staff, however unsocial hours are part and parcel of a quality care service. Weekend working is a requirement for all staff, the frequency of which will be determined at interview.

Please indicate holiday dates if already booked.

Period of notice required in present post:

Earliest possible start date.

Thank you for completing this application form.

Final declaration & signature

I declare that to the best of my knowledge, all the information contained and documented herein is complete and truthful.

First Name

Last Name

Date of signature