Care in the Community
For the standard of Care YOU deserve.
APPLICATION FORM
Please complete in black pen.
If you have any problems, please do not hesitate to contact us. The address and telephone number are as follows:
Angela Fraser (Director/Registered Manager)
Abby Russell (Director/Office Manager)
756 Wimborne Road
Moordown
BOURNEMOUTH
BH9 2DZ
Tel: 01202 533532
APPLICATION FOR POST OF: _________________________________________
PART 1: Applicant Details
Title: Mr Mrs Miss Ms Other _____
Surname: _______________________________
First Name(s): _______________________________
Address: _______________________________
_______________________________
_______________________________
Telephone: _______________________________
Date of Birth: _______________________________
National Insurance Number: _______________________________
Length of Notice required: _______________________________ weeks/months
Do you hold a full current driving licence and have use of a car? YES / NO
PART 2: References
Details of present or most recent employer. Previous Employer
Name: _______________________________ ______________________________
Job Title: _______________________________ ______________________________
Address: _______________________________ ______________________________ _______________________________ ______________________________
_______________________________ ______________________________
Telephone: _______________________________ ______________________________
Fax/email: _______________________________ ______________________________
Can we contact prior to interview YES / NO
PART 3: Education
Secondary schools and colleges attended, and any qualifications. Please state names and dates if possible.
______________________________________________________________________________
_____________________________________________________ Dates: __________________
______________________________________________________________________________
_____________________________________________________ Dates: __________________
Training if any which is relevant to the position applied for:
______________________________________________________________________________
_____________________________________________________ Dates: __________________
______________________________________________________________________________
_____________________________________________________ Dates: __________________
PART 4: Employment History
Dates to and from. Employer’s name
& address.
Job description and duties.
Salary
per hr/week
Reason for leaving.
PART 5: Health and Medical History
We are a caring employer. We have concern for your health and welfare. How many days sick have you had in the last year? _____ days/weeks. Have you any health issues you would like us to be aware of?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
PART 6: Confidentiality
Tender-Care Services Limited will treat all information it received regarding clients, customers and personnel with total confidentiality and to keep all records secure. The agency will never breach these rules of confidentiality. It is of the utmost importance that information received by this agency is not passed to outside sources.
You should be aware that any information disclosed, whilst in the employ of Tender-Care Services Limited