Phoenix Application Form

1

What is your Full Name?* This field is required.Left Box = First Name | Middle Box = Middle Name | Right Box = Last Name

2

What is your ethnicity?* This field is required.Please provide your ethnicity.

e.g. White British

3

What position are you looking for?* This field is required.

Part-Time

Full-Time (35+ Hours Weekly)

4

What are your available weekly working hours?* This field is required.All of our Zero Hour Contract staff have to work a minimum of 10-15 hours per week. You will also be required to attend mandatory training as well. Please, select Day(s) and Time(s) you will be available to work in the average week.

5

What is your National Insurance number?* This field is required.

6

What is your email address?* This field is required.Please enter a valid email address below

example@example.com

Email Verified

The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification

••••

7

Where do you live?* This field is required.

Street Address

Street Address Line 2

City

Postcode

Country

8

What is your best contact number?* This field is required.

9

What is your notice period at current employment?* This field is required.What is the earliest date you can start with us?

One Week

One Month

Other

10

What is the date of your notice period?* This field is required.

12

Specify your first language? (If not English)

13

Do you know anyone who works at Phoenix Support?* This field is required.

Yes

No

14

Who do you know working at Phoenix Support?

16

So how did you hear about us?

17

Do you have any prior/upcoming holidays booked?

18

What is your current work status? (If not living in UK)It is illegal to employ someone who is not allowed to work in the UK. As an employer, we have a duty to check potential employees' documents, before we employ them, to ensure they have the right to work in the UK.

0/100

19

If applicable please give full details of work permits, VISA's, leave to remain etc., that allows you to work legally in the UK. Please include relevant reference numbers and expiry dates.

e.g. VISA - Expires on 12/10/2017

0/100

20

Education Details* This field is required.Please enter all of your education details.

21

What qualifications have you achieved?* This field is required.

22

Upload Training CertificatesPlease include proof of school certifications (Only ones that are relevant to working in the care sector).

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Min. file size1.0MB, Max. file size: 10.0MB

23

Upload CV/Cover LetterPlease upload a fully updated CV for us to review and have ready upon interview request.

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Min. file size1.0MB, Max. file size: 10.0MB

24

What is your current/last company name?* This field is required.

25

What was your position within the company?

26

What was your annual gross salary?

27

What is the date that you joined the company?* This field is required.

28

Please enter the date you left the company?* This field is required.

29

What was the reason for leaving your company?* This field is required.

30

Specify your reason for leaving the company?* This field is required.

31

What tasks did you undertake within your role? * This field is required.

0/200

32

Employment History* This field is required.It is a CQC legislation requirement that ALL career gaps are documented. We are unable to proceed with your application unless this is fully completed.

33

Work/Personal References* This field is required.Please give at least two references, including your current or last employer.

34

Please tell us in your own words why you feel you are suited for this role?* This field is required.

0/200

35

Please read carefully before answering the questions below;

Owing to the nature of the work for which you are applying, this post is exempt from the provisions of section 4 (2) of the Rehabilitation of Offenders act 1974 (Exemptions Order 1975). Applicants are therefore not entitled to withhold information about convictions which for any other purpose are “spent” under the provisions of the Act and in the event of employment, any failure to disclose convictions could result in disciplinary action or dismissal. Any information given will be completely confidential and will be considered only in relation to the application for positions in which the Order applies.

A copy of our Recruitment policy is available on request. A criminal record will not necessarily be a bar to obtaining a position unless Phoenix Support considers that it renders you unsuitable. In making the decision Phoenix Support will consider the nature of the offence, how long ago and what age you were when it was committed and any other factors which may be relevant. Phoenix Support adheres to the DBS Code of Practice. Further guidance can be obtained by reference to the DBS’s Code of Practice, a copy of which can be obtained from www.DBS.gov.uk.

Where the response to any of the following is “Yes”, full details should be given. Although the information requested relates to the United Kingdom, information should also be given in respect of any comparable provisions, which apply overseas. Information about companies, partnerships or incorporated associations relates to information within the knowledge of the individual in question.

DBS APPLICATIONS:
The Disclosure Barring Service states that any member of staff who works with Vulnerable Adults requires a Disclosure Barring Service BEFORE they can commence employment with PHOENIX SUPPORT.

The disclosure is a document containing information held by the police and government departments. Disclosure provides details about a person’s criminal record including convictions, cautions, reprimands and warnings held on the Police National Computer. Depending on the level of disclosure information may also be provided by local police forces.

All staff dealing with Vulnerable Adults are required to obtain a standard check. Staff that have a greater degree of contact with Vulnerable Adults will be required to undertake an Enhanced check. You will be advised which check you are required to undertake.

You must provide us with a current and satisfactory DBS check before you can commence employment with PHOENIX SUPPORT.

For any conviction, caution or reprimands, please provide a written statement of each and every event and why you think that it will not affect your ability to carry out the role that you are applying for and attach to this document.

1) Via e-mail please mark as private and confidential and send it to kerry@phoenixkent.com.

2) Via post please to be placed in a sealed envelope marked as private and confidential, addressed to Kerry McAllister.

FRAUD:
Please state whether you have been in connection with the information or management of any company, partnership or unincorporated association, been adjudged by a court liable for any fraud, misfeasance, wrongful trading or other misconduct towards such a body or towards any member or creditor of such a body?

COURT PROCEEDINGS:
Please state whether you are currently engaged in (otherwise than in a professional legal capacity or as an expert witness or plaintiff) or have been the subject of any court proceedings (Including criminal prosecutions and any prosecutions that may be pending).

36

Do you have any criminal convictions?* This field is required.

Have you ever been convicted of a criminal offence?

Do you have any unspent convictions?

Are currently engaged in or have been subject to any court proceedings?

Have you been involved in any fraud cases?

Are you included in the ISA Vulnerable Adults bar list?

Have you ever completed an enhanced DBS check?

37

If you answered "Yes" to one or multiple of the above categories, please provide a written statement of each and every event. Please state why you think it will not affect your ability to carry out the job role and then attach the document in the dropbox provided.

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Select files to upload

Min. file size1.0MB, Max. file size: 10.0MB

38

Your Declaration* This field is required.All staff dealing with vulnerable adults require obtaining a standard check. The staff that has a greater degree of contact with vulnerable adults will be required to undertake an enhanced check.

39

Please Sign your Full Name* This field is required.Left Box = First Name | Right Box = Last Name

40

Please verify that you are human* This field is required.

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