Sunshine Care Online Application

Section One

Your Personal Details

About You

Title

Forename(s)

Surname

Your current Address

City / Town

Postcode

Day Phone

Evening Phone

Mobile phone

Date of Birth

N.I. Number

NEXT OF KIN

Forname & Surname

Relationship

Address

City / Town

Postcode

Telephone

OWN TRANSPORT & DRIVING LICENCE

What type of driving licence do you have?
Full UKProvisional UKFull EECOther InternationalNone

Do you have your own transport?
YesNo

Have you had any motor convictions or any
penalties?
YesNo

if yes, how many points?

Section Two

Employment Details

Section Three

CRIMINAL RECORDS AND WORK PERMITS

It is a condition of proceeding with your application that you apply for a DBS disclosure.

This disclosure will be compared with the information given above and any inconsistencies could invalidate your application or lead to termination of your employment with us.

POLICE WARNINGS, CAUTIONS, REHABILITATION AND CRIMINAL RECORDS

Have you ever been convicted, cautioned, or otherwise, in a Court of Law in respect of any offence?

Yes*No

Are you currently subject of any criminal investigation, proceedings or convictions?

Yes*No

*If Yes, please submit written details and dates of convictions, cautions, reprimands, final warnings,pending prosecutions, police enquiries, etc, using a sealed envelope, marked PRIVATE and CONFIDENTIAL, to the Recruitment Consultant.

DISCLOSURE AND BARRING SERVICES

Inclusion on the DBS's barred lists has the same effect as inclusion on the previous lists;
List 99, PoCA , PoVA, POCVA or the Unsuitable Person's Lists.Are you on these lists?Yes*No

RIGHT TO WORK IN THE UK

Do you need permission to work in the UK?
Yes*No(If No, please continue on Section 4) People with an automatic right to work are citizens of the UK, European Union and EEA and certain common wealth citizens.

Are you visiting Britain on a working holiday?

YesNo

Do you hold a Student Visa?

YesNo

Do you require a work permit?

YesNo

On entering Britain what entry was put on your passport by immigration?

Visa reference

Residency permit number

Work permit number

Visa issued date

Residency permit issued date

Work permit issued date

Visa expiry date

Residency permit expiry date

Work permit expiry date

Because this position involves the care of children and/or vulnerable adults, employment is dependent upon the following:

Your written consent to obtaining a standard/enhanced disclosure certificate from the Disclosure and Barrinng Services or an approved umbrella body
Such disclosure being acceptable to the company.
Sufficient proof of identity and current address.
Two satisfactory written references.
Photographs of yourself for retention in our records and for an identification badge.
Evidence of physical or mental suitability for your work.

Section Four

WORK HISTORY (must be from leaving school)

YOUR CURRENT OR MOST RECENT EMPLOYER

Name & Address of Employer

City / TownPostcode

Duties & responsibilities

Job title

Starting date

How long have you been with company
YEARMONTHS

Leaving date

Are you still working for this company?
YesNo*

*In Point 8, please explain your current situation
Reason for Leaving

YOUR MOST RECENT EMPLOYER

Name & Address of Employer

City / Town Postcode

Duties & responsibilities

Job title

Starting date

How long have you been with company
YEAR MONTHS

Leaving date

What was the gap between employment
YEAR MONTHS

*In Point 8, please explain this gap between jobs
Reason for Leaving

Name & Address of Employer

City / Town Postcode

Duties & responsibilities

Job title

Starting date

What was the gap between employment
YEAR MONTHS

Leaving date

Are you still working for this company?
YEAR MONTHS

*In Point 8, please explain this gap between jobs
Reason for Leaving

Name & Address of Employer

City / Town Postcode

Duties & responsibilities

Job title

Starting date

What was the gap between employmentYEAR MONTHS

Leaving date

Are you still working for this company?
YEAR MONTHS

*In Point 8, please explain this gap between jobs
Reason for Leaving

Section Four

WORK HISTORY (continued)

Name & Address of Employer

City / Town
Postcode

Duties & responsibilities

Job title

Starting date

How long have you been with company
YEAR MONTHS

Leaving date

What was the gap between employment
YEAR MONTHS

*In Point 8, please explain this gap between jobs
Reason for Leaving

Name & Address of Employer

City / TownPostcode

Duties & responsibilities

Job title

Starting date

How long have you been with company
YEAR MONTHS

Leaving date

What was the gap between employment
YEAR MONTHS

*In Point 8, please explain this gap between jobs
Reason for Leaving

Name & Address of Employer

City / Town
Postcode

Duties & responsibilities

Job title

Starting date

How long have you been with company
YEAR MONTHS

Leaving date

Are you still working for this company?
YEAR MONTHS

*In Point 8, please explain this gap between jobs
Reason for Leaving

Please identify and explain any gaps in your employmentIf required, you may add additional information using A4 white paper and black ink.

Section Five

EDUCATION & QUALIFICATIONS

WHAT HAVE YOU BEEN STUDYING?

Name of school attended

Starting date

Leaving date

Achieved qualifications or Area of study

Name of school/college attended

Starting date

Leaving date

Achieved qualifications or Area of study

Name of school/college/university attended

Starting date

Leaving date

Achieved aualifications or Area of study

WHAT HAVE YOU BEEN STUDYING?

Title / Membership	Registration number	Date of issue	Date of expiration

DO YOU SPEAK OR READ OTHER LANGUAGE OR DIALECT?

SUPPORTING INFORMATION

Important! Please include any skills or experience you have acquired that can support this application.

Section SIX

REFERENCES

Please give at least TWO work references and ONE being the last position in care.

Name of referee

Referee's Position in company

Address

City / Town Postcode

Day phone number

Lenght of time known

I giveI don't give permission to contact this referee prior to an interview

Name of referee

Referee's Position in company

Address

City / Town Postcode

Day phone number

Lenght of time known

I giveI don't give permission to contact this referee prior to an interview

Name of referee

Referee's Position in company

Address

City / Town
Postcode

Day phone number

Lenght of time known

I giveI don't give permission to contact this referee prior to an interview

Name of referee

Referee's Position in company

Address

City / Town Postcode

Day phone number

Lenght of time known

I giveI don't give permission to contact this referee prior to an interview

Section SEVEN

ADVERTISING

PLEASE TELL US HOW DID YOU FOUND OUT ABOUT US

Section EIGHT

HEALTH & WORKING TIME

The candidates must be medically fit to carry out the duties connected with post for which they are applying. The successful candidate may be asked to fill in a medical health questionnaire to determine whether any medical conditions are relevant to applied position.

I am NOT aware of any health conditions which may affect my ability to undertake the duties of the position or place me at any risk in the workplace.I AM aware that some of my health conditions may affect my work and may require some special adjustments in the workplace.

The EU has laid down guidelines for all workers, governing the length of maximum working week that it is safe to work. The current limit is 48 hours per week. Because you are under no obligation to accept work offered, you will never be compelled to work more than 48 hours per week but you may choose to do so.
Please tick appropriate box and sign.

I DO NOT WISH to work more than 48 hours per weekI DO WISH to work more than 48 hours per week

Your signature

Section Nine

DECLARATION

I declare that the information given in this application is true and correct to the best of my knowledge and belief.

It is understood and agreed that any misrepresentation by me on this application form will besufficient cause for cancellation of this application and/or termination from the employer's service if I am employed.

I give the employer the right to investigate all of the references and to secure additional information about me, if job related. I hereby release from liability the employer and its representatives for seeking such information and all other persons, corporations or organisations for furnishing such information.

Date

Your signature

APPLICATION FORM

GUIDANCE NOTES

Please send this application form using sealed envelope to our recruitment team.

Sunshine Care
Recruitment Team
The Retreat, Belle Vue Rd
Plymouth, PL9 9NR

Employment Details

The full job title should be completed, and indicate the earliest date on which you could start work for us if the job is offered to you.

Employment Details

Chose desired position and mark appropriate box if you happy to be transfered to another post during your time with us.

DBS Check

Employers are required to check the criminal background of those employees whose jobs give them access to children or other vulnerable members of society. Decisions to appoint will be subject to consideration of a disclosure from the Criminal Records Bureau.

If the post for which you are applying requires a Criminal Records Bureau check, you must provide information about ALL convictions, as the post is automatically exempt from the Rehabilitation of Offenders Act 1974 and rules relating to 'spent' convictions do not apply.

If the post for which you are applying does not require a Criminal Records Bureau check, you are still required to answer this question but you do NOT need to disclose convictions which under the Rehabilitation of Offenders Act 1974 are considered as 'spent'

Working History

Starting with your last employer, list all employers you have worked for, providing the job title, starting / leaving dates, salary and the reason you left. If relevant include any voluntary work.

Education & Qualification

This information may be used to assess whether you meet the experience requirement for the vacancy. List your formal qualifications, including grades where appropriate, where they were obtained and when awarded.

Please detail the organising body and the details of any training you have attended. Please make sure nothing has been omitted.

Supporting Information

This section is probably the most important part of your application, as you have to make your case here for selection. Make sure you complete this in a concise, well organised and positive way. Do not repeat your career history; refer only to the relevant parts.

References

Please give details of two referees including your current or most recent care employer. Note references will be taken up prior to interview unless otherwise requested.

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Sunshine Care Online Application

Section One

Section Two

Section Three

Section Four

Section Four

Section Five

Section SIX

Section SEVEN

Section EIGHT

Section Nine

APPLICATION FORM

Request a call back

Contact details

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