Passion Home Care | Job Application

Which position are you applying for?*

Job Reference Number if Applicable

Closing Date for the Position

Data Protection Consent Statement

In submitting the information via the website you are agreeing to us holding your information for the purpose of applying for a job at Passion Home Care or are requesting your details to be held on file should a suitable position become available. Data submitted via the website will be held for 12 - 24 months in our email accounts and on our back office systems. Data held on the website will be deleted within 12-months. If you require more information on our Data Protection Policy and Data Retention Policy prior to submitting any details please use the contact form. If you do not want us to hold your information on our systems please telephone us to discuss.

Data Protection Consent*

Yes - You agree to the data submitted via the form kept on our systems for up to 24-months.

No - Please delete it immediately.

PERSONAL DETAILS AND CONTACT

The following section should be completed. All fields are mandatory.

Name*

Address*

Email*

Home Phone or Mobile*

Work Phone*

Can we Contact You at Work*

Are you related to any present or former employees of the PHC? YES / NO*

How did you find out about this vacancy?*

REFERENCES

Please provide two references that we may contact to confirm the details you have provided in relation to the suitability for the position you have applied for.

Name (Reference Number 1)*

Job Title (Reference Number 1)*

Company (Reference Number 1)*

Email (Reference Number 1)*

Address (Reference Number 1)*

Work Phone (Reference Number 1)*

In what capacity do you know the person (Reference Number 1)*

Can we Contact prior to Interview? (Reference Number 1)*

Name (Reference Number 2)*

Job Title (Reference Number 2)*

Company (Reference Number 2)*

Email (Reference Number 2)*

Address (Reference Number 2)*

Work Phone (Reference Number 2)*

In what capacity do you know the person? (Reference Number 2)*

Can we Contact prior to Interview? (Reference Number 2)*

QUALIFICATIONS AND EDUCATION

Please tell us about your education and training Please tell us about your education. List any qualifications gained. Any further education.

School / College __________ From To ____________ Qualification / Grades*

If you have undertaken any training or voluntary work to improve your employment prospects, please give details below:*

Please tell us about jobs you have had

We need a total history of your employment. Start with your present, or most recent job first. If there are gaps in employment please tell us why e.g. unemployment, bringing up family etc.

Employer / Job title and description of duties / Salary and wages / From To / Reason for leaving*

Contacting your present employer.

No approach will be made to your present employer before an offer of employment is made to you unless you have provided consent as one of your referees.

DECLARATION

Please answer the following questions prior to submitting the application.

Do you need a work permit to work in the UK*

When can you start work with us?*

Please use this space to tell us about any other information that you feel will help your application, including any other skills you may have. Please feel free to continue on a separate sheet of paper if required.*

Do you consider yourself to have a disability*

Please tell us if there are any reasonable adjustments we can make to assist you in your application or with our recruitment process.*

Please tell us if there are any dates when you will not be available for interview*

Electronic Signature Confirmation

I can confirm that to the best of my knowledge the above information is correct. I accept that providing deliberately false information could result in my dismissal.

Electronic Signature*

Date of Electronic Signature*

Data Consent

In ticking the following box and submitting the data completed in the above form you agree to us processing the information as stated at the start of the form. You will need to tick the box prior to submission.

Data Consent*

Data Consent

Instructions

When submitting this form it will generate an email to Passion Home Care. The information completed is the first part of the application process and on the successful submission you will be redirected to the Health Questionnaire. When completing this form please use the same email address as used as part of this submission. We will not process an application until we have received the "Job Application", "Health Questionnaire", "Equal Opportunities" and the "ID Verification Form" and the "Rehabilitation of Offenders Declaration".

Disclaimer

Passion Home Care will not accept a partially complete application and if any of the forms are missing we can not guarantee your application will be considered. For each form you will receive a confirmation email confirming the submission and we recommend that you retain this as proof. On submission you will be redirected to the next form but you do not need to complete within a specified time as long as all are received prior to the closing data of the advertised position.