Position Applied for
Personal Details
Title
Forename
Surname
Date Of Birth
N.I. Number
Address
Postcode
Email
Mobile Number
If no, please give details
Please give details of any ill health and any medication/medical treatment you are receiving:
If yes, please give dates:
If your application is successful, please specify the date on which you would be able to start work?
To
Name and type of school (i.e Grammar/Secondary)
Examinations taken, qualifications gained, grades, awarding body?
To
Name of Institution Full-time or part-time
Subjects studied, level of qualification gained, awarding body
Membership or registration with a Professional Organisation or Governing Body Grade or type of membership
Institute/ Organisation
Date joined
Employment Record (Start with current/most recent employer) There should not be any gaps in your employment history. Please attach a separate sheet of paper explaining any periods when you were not employed. (If additional employment room is needed, please attach a separate sheet of paper) For each employment make sure to add Name and Address of Employer/Nature of Business: | From: | To: | Job title and final salary: | Reason for leaving/ any disciplinary action taken against you:
Please use this space to tell us a little about yourself. Your reasons for applying for this job and any relevant skills or experience you may have.
If yes to any of the above, please give details:
References Please give the details of two work related referees, including your current or most recent post. A reference from your school/ university will be accepted if you have been in education. 2 character references are also required, from colleagues or friends who have known you for a minimum of 3 years, and can comment on your character and aptitude for the job. Referees will not be contacted prior to you being offered a position with Rehovot Services Ltd. We also require details of all previous jobs working in the care industry, in order to obtain references. We will only accept one referee from each employer, which would ideally come from the HR Department or Direct Line Manager. Provide Name, Company, Position, Address, Email, Telphone for each reference
References Please give the details of two work related referees, including your current or most recent post. A reference from your school/ university will be accepted if you have been in education. 2 character references are also required, from colleagues or friends who have known you for a minimum of 3 years, and can comment on your character and aptitude for the job. Referees will not be contacted prior to you being offered a position with Rehovot Services Ltd. We also require details of all previous jobs working in the care industry, in order to obtain references. We will only accept one referee from each employer, which would ideally come from the HR Department or Direct Line Manager. Provide Name, Company, Position, Address, Email, Telphone for each reference We will process the personal information provided by you in the application form, and any other personal information provided by you now or in the future, in accordance with the Data Protection Act 1998, to assist us in considering your application for employment and, if you become an employee, for purposes relating to your employment. For selection purposes, your personal information will be considered by appropriate individuals within the organisation. Any appointment will be subject to satisfactory references and advanced DBS check. We keep all unsuccessful applications for 6 months just in case a suitable position does become available. However if you would prefer us NOT to retain your information please contact us by email to request that all your information held by us is deleted/destroyed – this only applies to unsuccessful applications. All other staff records are retained whilst you continue to work for us. If your application is successful, all of your personal information (including sensitive information) provided on your application form, and any information provided by you now or in the future, may form part of your personal file and will be held confidentially. Your personal information will be processed to assist in the service and administration of the Company’s employment practices e.g. payroll & pension. Your supervisor may also have access to your personal information to assist in line management duties e.g. Professional Development/Appraisal Reviews. Should you leave the Company’s employment, your personal information will be retained for a reasonable period of time in line with Personnel practice, including the purposes of providing references and dealing with queries in connection with your employment.DECLARATION I declare that to the best of my knowledge and belief all the statements and information given in this form are true and complete, and that I have not withheld any material fact. I understand that any appointment will be made on the basis that the information given on this form is true and correct. I understand that if I have failed to disclose information or have given incorrect information this may result in an offer of appointment being withdrawn, or in disciplinary action or summary dismissal at a later date. I have read and understood the Data Protection statement and consent to the Company processing my personal information as described above Name
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Date
EQUAL OPPORTUNITY AND DIVERSITY We are committed to promoting equal opportunities and diversity in employment, in respect of our recruitment and selection procedures and in ensuring that all employees receive equal treatment in employment. We seek to employ a workforce which reflects the diverse nature of our community and value the contribution of each individual regardless of sex, age, marital status, disability, sexual orientation, race, colour, religion, ethnic or national origin. Responses will be treated in the strictest of confidence. The information you provide will be used for statistical analysis only and will assist in evaluating the Company’s progress towards improvements in its diversity strategy. We would, therefore, be grateful if you would complete the details below in line with our commitment to promoting diversity. The information will be held in compliance with the Data Protection principles as set out in the Data Protection Act 1998. Should you become an employee, we will seek periodic confirmation from you as to its accuracy. Name
Position Applied For
Nationality
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