A: PERSONAL DETAILS

    Telephone

    B: DRIVING RECORD

    C: EDUCATION & PROFESSIONAL TRAINING (from year 11)

    Education Centre (school, college etc)

    DATES

    Qualifications gained

    from

    to

    1. Secondary Education (secondary school)

    2. Higher Education (university / college / polytechnic)

    3. Further Education (Professional Training)

    4. Membership of Professional Organisations

    D: LANGUAGES


    E: PERSONAL DBS CERTIFICATES

    If the position you are applying for (whether paid or voluntary) is listed in Schedule 1, Part II of the Rehabilitation of Offenders Act (Exceptions) Order 1975, we are entitled to ask Exempted Questions as defined by Section 113(5) of the Police Act 1997 about you. We are required to check a DBS Certificate in relation to any person who is a Care Manager or Care Worker. If your application is successful and before your appointment is confirmed, you will be required to submit a personal current and valid DBS Certificate for our inspection.

    Having a criminal record will not necessarily bar you from working with us. This will depend upon the nature of the position and the circumstances and background of your offences. We observe the “Code of Practice for Registered Persons and Other Recipients of Disclosure Information” published through the Disclosure & Barring Service on behalf of the Home Office, and we will provide you with a copy of it upon request.



    F: EMPLOYMENT HISTORY

    Please provide details of all employment, beginning with your present or most recent job first

    DATES

    Employer

    Salary

    Position(s) held

    Reason for leaving

    From

    To

    G: VOLUNTARY & COMMUNITY WORK EXPERIENCE

    DATES

    Organisation

    Position(s) held

    Duties

    From

    To

    H: JOB FLEXIBILITY



    I: REFERENCES

    Please provide details of 2 referees who we may approach with regards to this Job Application. These referees must not be members of your family, and one must be your present or most recent employer:



    J: DECLARATION BY JOB APPLICANT

    ANY PERSON, UPON SUBSEQUENT EMPLOYMENT, THAT IS FOUND TO HAVE KNOWINGLY SUPPLIED FALSE OR MISLEADING INFORMATION, OR HAS DELIBERATELY WITHHELD RELEVANT INFORMATION, MAY BE SUBJECT TO DISCIPLINARY PROCEEDINGS WHICH MAY RESULT IN DISMISSAL

    I have read and understood the information supplied to me in relation to this Job Position, and the information requested in this Job Application Form. I confirm that all information supplied by me is true and correct to the best of my beliefs.

    I give the prospective employer the right to follow up all references and to make any other job-related enquiries as may be deemed necessary.


    PECHIV CARE IS AN EQUAL OPPORTUNITIES EMPLOYER

    The sole criterion for selection of applicants will be suitability for the Job Position, regardless of gender, background, culture, ethnic denomination, religious affiliation, marital status or disability.

    Data Protection Act 1998: Your signature on this document gives us the right, under the Data Protection Act 1998 to process the information you have given, including data of a sensitive nature, relating to your application for employment. Any processing of the data by us will be in accordance with our Policy and the processing principles set out in the Act. Application forms of unsuccessful candidates will be destroyed after 6 months in accordance with our Record-keeping Policy.


    About Us

    We are at our most comfortable when we are living independently in our own home. However, if you are frail or have long term care needs, it may be difficult to do so without the support of other people and services.

    Read More

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    Contact Us

    01235 798202
    info@pechivcareservices.co.uk
    5 East St Helen's Street, Abingdon, Oxfordshire, OX14 5EG