Franchard Care

Step 1
Personal Details
Step 2
Education / Qualifications
Step 3
Employment History
Step 4
References
Step 5
Declaration
Step 6
Availability

* Indicates mandatory fields

JOB DETAILS

Vacancy Title:

Job Ref:

Closing Date:

Location(s):

* Please tell us how you heard about this vacancy:

Recommendation Search Other
If other please specify:

1. Personal details

* Title:

* First Name:

Previous Surnames (if any):

* Surname:

* Address:

* Postcode:

* Home Telephone No.:

* Daytime Contact No.:

* E-mail address:

* National Insurance Number:

* Are you free to remain and take up employment in the UK?

Yes No

You will be required to provide appropriate documentary evidence of this at interview. For examples of acceptable documents please see www.ukba.homeoffice.gov.uk

Driving Licence (if relevant to post applied for)

Do you hold a full, clean driving licence valid in the UK?

Yes No

If no, please give details below

Convictions/ Disqualifications

Upon offer of employment we reserve the right to request a Criminal Records Bureau Disclosure

Please complete all mandatory fields or you will be unable to proceed to the next step

2. Education/Qualifications

* School(s) 11+ & Study Dates

* Qualifications, Grades & Dates Obtained

College / University & Study Dates

Qualifications, Grades & Dates Obtained

Ongoing Professional Development Qualifications & Dates Obtained

Training Courses

Course Details
(including length of course/nature of training)

Current Membership of any Professional Body/Organisation

Please give details:

Please complete all mandatory fields or you will be unable to proceed to the next step

3. Employment History

Previous Employment: Please include any previous experience (paid or unpaid), starting with the most recent first. Current or most recent employer

Name of Employer:

Address:

Postcode:

Position Held:

Date Started:

Reason for leaving:

Salary on leaving this post:

Notice Period:

Brief description of duties

Previous employer

Name of Employer:

Address:

Postcode:

Position Held:

Date Started:

Reason for leaving:

Salary on leaving this post:

Notice Period:

Brief description of duties

Please complete all mandatory fields or you will be unable to proceed to the next step

4. References

Reference 1

* Name:

* Job Title:

* Organisation:

* Address:

Contact No:

* Email:

* How is this person known to you:

* Do you wish to be consulted before this referee is approached?

Yes No

Reference 2

* Name:

* Job Title:

* Organisation:

* Address:

Contact No:

* Email:

* How is this person known to you:

* Do you wish to be consulted before this referee is approached?

Yes No

Please complete all mandatory fields or you will be unable to proceed to the next step

5. Declaration

Statement to be Signed by the Applicant (Candidates selected for interview will normally be notified within four weeks of the closing date.)

Please complete the following declaration and sign it in the appropriate place below. If this declaration is not completed and signed, your application will not be considered:

* I agree that Franchard Recruitment Ltd. can create and maintain computer and paper records of my personal data and that this will be processed and stored in accordance with the Data Protection Act 1998.

* I confirm that all the information given by me on this form is correct and accurate and I understand that if any of the information I have provided is later found to be false or misleading, any offer of employment may be withdrawn or employment terminated.

* Date:

Please complete all mandatory fields or you will be unable to proceed to the next step

6. Availability

Holidays Booked:

Please detail your shift preferences: Daytime / Night / Weekday / Weekend.

Minimum notice needed to work:

Do you have any regulations on hours you can work?

Please input the text shown:

Please complete all mandatory fields or you will be unable to proceed to the next step

Application Form