Please provide us with a full job history starting with your most recent employment. Your two most recent employers must match your references. Without a full job history (from when you left school) we cannot process your application. Please ensure you provide the date for each job to include at least the month and year.
Please note: We would like to ensure we have 3 references, one of your referee’s must be from your
present/ or most recent employer, and 1 shall be a personal/character reference. We cannot accept
family members or friends as references.
Please ensure you give the full postal address, including their full name, name of the company and
REFEREE 1 (current/most recent employer)
REFEREE 3 (character reference)
REHABILITATION OF OFFENDERS ACT 1974 – NOTICE TO OFFENDERS
Because of the nature of the work involved, the post for which you are applying is exempt from
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Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation Offenders
Act (Exemption Order 1975). This means that you are not entitled to withhold information
relating to any convictions you may have had.
Any information 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
Failure to declare or the falsification of any of the above details will result in the
withdrawal of any job offer.
St Jude’s Care Ltd 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.
If you have any regular weekly commitments, for example night class, this can be discussed at
Please see Job Description and Person Specification for more information
ADDITIONAL PERSONAL DETAILS
Outside interests, leisure time activities and other personal information which you think may
assist us in evaluating your application. Please tell us about you…
I declare that to the best of my knowledge, all of the information contained and documented herein is
complete and truthful.
Equal Opportunities Monitoring
This section of the application will be detached and used for monitoring purposes only. Our
organisation recognise and actively promote the benefits of a diverse workforce and are committed to
treating all employees with dignity and respect regardless of race, gender, disability, age, sexual
orientation religion or belief. We welcome applications from all sections of the community.
Race Relations (Amendment) 2000
I would describe my ethnic origin as:
Thankyou for taking the time to fill out the application. Please take a minute to review the information you have entered before clicking submit below.