Personal Details

Please Note: this information is kept private and confidential.

Are you a driver?

What hours are you looking for?

Do you hold a current DBS less than 12 months old?

Do you consider yourself disabled?

This information is needed so all applicants, who have a disability and meet the minimum criteria for this position, are offered an interview.

If Yes, are you registered?

All applicants who have a disability and meet the minimum criteria for the job will be interviewed.

Have you previously applied for a post at Shared Approach?


Previous Employment

Please provide details of Full employment history. Include any voluntary work. Please explain any reasons for any break in employment.

Current/Most Recent Job


Previous Job

Previous Job


Education/Training

Please give information about qualifications gained relating to the role you are applying for. Include your grade/level and where you recieved the qualification from.

If you have undertaken any relevant training to this post please give details of them below including the dates and training providers.


References

Please give names, addresses, telephone numbers and e-mails of two people to whom reference can be made, who are not related to you, and should be able to comment on your capacity to provide services as a Support Worker. One should be your present or last employer.

Reference 1

Can we contact this person prior to interview?

Reference 2

Can we contact this person prior to interview?


Personal Statement

Why do you feel you would be suitable for this post? (e.g. details of personal/professional experiences).

The additional information given will help your application at the shortlisting stages.

Rehabilitation of Offenders Act 1975 - Notice to Offenders

This post is exempt from the Rehabilitation of Offenders Act 1975 and does not apply in this instance, all convictions or cautions no matter when committed must be declared, failure to declare this information or the making of a false declaration could constitute a criminal offence.

Have you ever been convicted of a criminal offence or cautioned? Please include Driving offences.

Health Declaration

Do you, or have you ever suffered within the last three years from any physical illness, disability or impairment which would affect your ability to care for those people who are the subject of this application.