Cherished Care Services Application

Cherished Care Services Application

Our application process is designed to take you automatically from initial form right through to a pre-screen interview and to schedule your guaranteed interview. This is a three step process that will take you approximately 15 minutes. We look forward to meeting at your interview.
Role Applied For: *
Full time or Part time (Please note this includes working every other weekend) *
Name *

First Name Last Name
If applicable: Previous surnames (Supply documentary evidence e.g. marriage certificate, deed of name change etc):
Email
example@example.com
Address *

Street Address

Street Address Line 2

City County

Postcode
Moved to this address on (date):

Day Month Year
Date
Previous Address: Note: For Criminal Record check purposes, addresses covering the five years up to the application date must be supplied.

Street Address

Street Address Line 2

City County

Postcode
Main Phone Number *

Area Code Phone Number
Do you have a current driving license? *

Yes No
Do you have access to a car that you can use for work purposes?

Yes No

Education
School / College / University
Examinations Passed/Qualifications Gained
TRAINING HISTORY/PROFESSIONAL STATUS
Date of Graduation/Qualification
Location/Details
ADDITIONAL COURSES ATTENDED
Please supply detail of any training you have undertaken that is relevant to the role you are applying for. Please include name of course and date completed:

Employment History

Current/most recent first. Information must cover the whole of your working life to date. State the reasons for any breaks in employment. Use a separate attached sheet if required; please sign that sheet(s).
Name and address of your most recent/last employer: *
Job Title
Date employed:

Day Month Year
Date
Reason for leaving:
Name and address of employer prior to the employer listed above:
Job title
Date employed

Day Month Year
Date
Reason for leaving
Name and address of employer prior to the employer listed above:
Job Title
Date employed

Day Month Year
Date
Reason for leaving:
Please state below any prior employment including, employer name, dates from and till and reason for leaving. If there is a break in your career please state the reasons for this:
If you have a current CV you can also upload that here:

Browse Files

Cancel of

Other information
ASSISTANCE WITH INTERVIEW AND ASSESSMENT Do you require us to make any special arrangements in order for you to participate in the recruitment process? For example, large print forms? Or additional time to complete forms? *

Yes No
If yes, please give details: This information will not be used in reaching a decision on whether to offer employment.
Are there any restrictions to your residence in the UK which might affect your right to take up employment in the UK?

Yes No

REFEREES
You must provide references from your two most recent employers. Please provide an additional character referee. All will be contacted, therefore please inform the referees of the fact that you have used their name. If you are unable to provide the required references, please discuss the matter with us.
Most Recent Employer:
Referee 1 Name *

First Name Last Name
Referee 1 Job Title:
Referee 1 Email
example@example.com
Referee 1 Telephone

Area Code Phone Number
Referee 2:
Referee 2 Name: *

First Name Last Name
Referee 2 Job title
Referee 2 Email
example@example.com
Referee 2 Telephone

Area Code Phone Number

Declaration
Workers of Cherished Care Services are subject to the Health and Social Care Act 2008, and will be subject to a Police Record Check through the DBS. Please declare all criminal convictions, whether spent or not, charges, whether proceeded with or not, and warnings and cautions.

Please note, you may not be eligible for work in a Care setting if you are on the DBS Register(s).
Please declare all criminal convictions, whether spent or not, charges, whether proceeded with or not, and warnings and cautions in the space provided below.
I declare that to the best of my knowledge and belief the information given by me in this application is true, and I understand that the above information forms the basis of my contract of employment. I understand that if any of the information supplied by me is found to be falsely declared, my contract may have been fundamentally breached and my employment may be terminated immediately.
I understand that I may not be offered a post until a satisfactory response has been received with respect to my DBS Register status, and that should I subsequently be offered a post, that offer will be subject to receipt of two satisfactory references, one of which must be from my previous employer, and that confirmation of the employment will be subject to a satisfactory criminal record check from the DBS.
The cost of the DBS will be paid upfront by Cherished Care Services. However should you not complete your 6 months probationary period, or not start the full cost will be due to Cherished Care Services.
I understand that until a satisfactory response is received from the DBS, and my employment is confirmed, I will be supervised at all times at work, and will not seek or have unsupervised access to vulnerable people. If the post I have applied for is as a Registered Nurse, my confirmation of employment will also be subject to a satisfactory search of the Nursing and Midwifery Council records and registers. By my signature, I authorise Cherished Care Services Limited to request a DBS Register check and a criminal records check from the DBS, on initial employment and at any time during my employment thereafter. I undertake to inform my employer immediately if my DBS Register status or criminal status changes at any time during my employment, such as by being charged with an offence (other than motoring offences), the administering of a warning, criminal conviction, referral to any register of barred Care workers, or withdrawal of any registration required by my employment status.

Privacy notice
We process personal data relating to those who apply for job vacancies with us or who send speculative job applications to us. We do this for employment purposes, to assist us in the selection of candidates for employment, and to assist in the running of the business. The personal data may include identifiers such as name, date of birth, personal characteristics such as gender, qualifications and previous employment history.
We will not share any identifiable information about you with third parties without your consent unless the law allows or requires us to do so. The personal data provided during an application process will be retained for a period of at least six months or, if required by law, for as long as is required.
This privacy notice does not form part of an employment offer or contract between us. If we make an employment offer to you, we will provide further information about our handling of your personal information in an employment context separately.
If you would like to find out more about our data retention policy and how we use your personal data, you want to see a copy of the information about you that we hold or have any questions or issues regarding data protection, please email us with the Subject “Data Protection Request”.
Signature

Clear
Date

Day Month Year
Date
Should be Empty:

Cherished Care Services Application

Education

Employment History

Other information

Declaration