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Contact Details

Career Opportunities

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Application Form

We are dedicated to providing equal opportunities and encourage applications from all of the community.

Role Details

Role Applying For

Role Reference No

Role Closing Date

Personal Details

Title

Name

Full Address

Email Address

Telephone Number

Do you have an entitlement to work in the United Kingdom?

If yes, is your entitlement time limited?

Entitlement Expiry Date

National Insurance Number

Do you have a driving licence?

If yes, please indicate type

Do you have any live endorsements/penalty points?

If yes, please provide details

Do you have business insurance?

Employment History

Current Employment Details

Job Title

Employer name

Employer address

Current salary/hourly rate

Notice required

Employment start date

Employment end date

Brief Outline Of Job Role & Responsibilities

Previous Employment Details

Starting with most recent, please ensure you include all employment since leaving school or full time education and explain all gaps in your employment history.

Employer’s Name

Position Held

Reason for leaving

Start Date

End Date

Education & Qualifications

Give details of all secondary schools/colleges attended. You will be required to provide evidence of qualifications gained.

College/University

Start Date

End Date

Qualification

Please give details of the name of the association, membership grade/level and membership number.

Training Courses

Provide details of any training that may be relevant to your application including dates/duration.

Training Course

Date

Supporting Information

Use this section of the application form to explain why you are applying for the job, concentrating on how your skills, knowledge and personal qualities match the requirements of the person specification.

References

Please enter the names and addresses of two referees. One should be your present or most recent employer. References will only be taken up and considered after selection and an offer of employment has been made.

(Please note that relatives or friends may not be used as a referee). With the exception of your current employer YOU MUST SEEK THEIR PERMISSION BEFORE SUBMITTING THEIR NAMES.

Referee 1

Name

Company Name

Relationship

Full Address

Telephone Number

Email Address

Referee 2

Name

Company Name

Relationship

Full Address

Telephone Number

Email Address

Are you related to any Employee or Client of Select Support Partnerships?

If yes, please provide Name and relationship

Criminal & Safeguarding

Offers of employment to regulated/controlled and exempt posts will be subject to a satisfactory enhanced disclosure via the Disclosure and Barring Service. The Safeguarding Vulnerable Groups Act In 2012 the new Disclosure and Barring Service (DBS) was launched. All applicants for posts that are defined as a ‘regulated’ or ‘controlled’ activity within the Company will be subject to an Enhanced Disclosure via the Disclosure and Barring Service. Rehabilitation of Offenders Act The Rehabilitation of Offenders Act allows for a person who has been convicted of a criminal offence involving a sentence of not more than 2 years imprisonment and who has since lived trouble free for a specified period of time (related to the severity of the offence) to be treated as if the offence, conviction or sentence had never occurred. This is known as a spent conviction. The job for which you are applying is one of those to which the provisions of the above Act in relation to spent convictions, do not apply. You must, therefore, disclose whether you have any previous convictions, whether or not they are spent. Should you identify that you have a criminal conviction, this will be discussed in confidence at interview. However you should you not disclose any conviction you have it could lead to your application being rejected, or, if you are appointed, may later lead to your dismissal. People who have convictions will be treated fairly and given every opportunity to establish their suitability for the job. Any information that you give will be kept in strict confidence and will be used only in respect of your application for this job. Only convictions that are relevant to the job in question will be taken into account.

Do you have any spent criminal convictions?

If yes, please give details

Declaration

To the best of knowledge and belief all the particulars I have given are true. I acknowledge that providing incorrect information or deliberately concealing any relevant facts may result in disqualification from the selection process or where the discovery is made after an appointment in termination of contract. I also understand that no offer of employment made to me will be binding unless confirmed in writing.

Date Signed

Select Support is committed to protecting your privacy by making sure that your personal information is held securely. We limit access to the personal information contained within your application to certain organisations who have statutory or regulatory responsibilities and to trusted, non-commercial organisations to enable research about recruitment in the Health and Social Care Sector. When you submit this declaration, you will be providing your consent to the use of your personal information, as defined by the Data Protection Act 1998, by Select Support Partnerships Ltd.

Date Signed

Equal Opportunities

How would you describe your ethnic origin?

What is your nationality?

Are You...?

Please select your age group

Are you registered disabled?

The Equal Opportunities information is to develop our equal opportunities policy and is used only for monitoring purposes.

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Get In Touch

We'll reach out to you promptly to explore and address your specific needs.

Contact Details

Career Opportunities

Application Form

We are dedicated to providing equal opportunities and encourage applications from all of the community.

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