STRICTLY CONFIDENTIAL Application for Employment
Please type or complete this form in black ink

๐—ก๐—˜๐—ซ๐—ง ๐—ข๐—™ ๐—ž๐—œ๐—ก
๐—ง๐—ฅ๐—”๐—œ๐—ก๐—œ๐—ก๐—š & ๐—ค๐—จ๐—”๐—Ÿ๐—œ๐—™๐—œ๐—–๐—”๐—ง๐—œ๐—ข๐—ก๐—ฆ
Please enclose, with your application a copy of your registration and membership card
๐——๐—•๐—ฆ ๐—ฆ๐—ง๐—”๐—ง๐—จ๐—ฆ
Please send a copy of your most recent DBS Disclosure (formally known as CRB)
All applications who cannot provide a registered DBS or full immunisation record will be required to complete at their own cost. Marielle 24-7 Healthcare Services will cover the cost of any Mandatory Training updates however cancellations outside of 48 hours and late attendances will be charged to the candidate.
๐—ช๐—ข๐—ฅ๐—ž๐—œ๐—ก๐—š ๐—ง๐—œ๐— ๐—˜ ๐—ฅ๐—˜๐—š๐—จ๐—Ÿ๐—”๐—ง๐—œ๐—ข๐—ก๐—ฆ For the purposes of the Working Time Regulations 1998 (as amended) I, consent to work in excess of an average of 48 hours per week, averaged over 17 weeks. I understand that I may withdraw this consent by giving Marielle 24-7 Healthcare Services not less than three monthsโ€™ notice at any time.
In addition, I also consent to work in excess of the maximum number of hours permitted to work at night under the directive. Please note you are under no obligation to sign either declaration.
๐—ฃ๐—ฅ๐—˜๐—ฉ๐—œ๐—ข๐—จ๐—ฆ ๐—˜๐— ๐—ฃ๐—Ÿ๐—ข๐—ฌ๐— ๐—˜๐—ก๐—ง
A full employment history must be detailed beginning with your current employment and covering all reasons for gaps in any given year.
(๐‘ถ๐’“๐’Š๐’ˆ๐’Š๐’๐’‚๐’ ๐’…๐’๐’„๐’–๐’Ž๐’†๐’๐’•๐’” ๐’‚๐’” ๐’‘๐’“๐’๐’๐’‡ ๐’๐’‡ ๐’’๐’–๐’‚๐’๐’Š๐’‡๐’Š๐’„๐’‚๐’•๐’Š๐’๐’ ๐’˜๐’Š๐’๐’ ๐’ƒ๐’† ๐’“๐’†๐’’๐’–๐’Š๐’“๐’†๐’… ๐’‚๐’• ๐’Š๐’๐’•๐’†๐’“๐’—๐’Š๐’†๐’˜)
๐—ฅ๐—˜๐—›๐—”๐—•๐—œ๐—Ÿ๐—œ๐—ง๐—”๐—ง๐—œ๐—ข๐—ก ๐—ข๐—™ ๐—ข๐—™๐—™๐—˜๐—ก๐——๐—˜๐—ฅ๐—ฆ ๐—”๐—–๐—ง ๐Ÿญ๐Ÿต๐Ÿณ๐Ÿฐ โ€“ ๐—ก๐—ข๐—ง๐—œ๐—–๐—˜ ๐—ง๐—ข ๐—ข๐—™๐—™๐—˜๐—ก๐——๐—˜๐—ฅ๐—ฆ
Because of the nature of the work involved, the post for which you are applying is exempt from Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation Offenders Act (Exemption Order 1975). This means that you are not entitled to withhold information relating to any convictions you may have had.
Any information should be given on a separate sheet and sent with this application form. This information will be treated as confidential and will not necessarily preclude you from employment
๐—”๐——๐——๐—œ๐—ง๐—œ๐—ข๐—ก๐—”๐—Ÿ ๐—ฃ๐—˜๐—ฅ๐—ฆ๐—ข๐—ก๐—”๐—Ÿ ๐——๐—˜๐—ง๐—”๐—œ๐—Ÿ๐—ฆ
Please give the name and address of at least two referees, one of whom must be your present employer or your most recent employer
This organisation seeks to work in a flexible and family-friendly manner with its staff, however, unsocial hours are part and parcel of a quality care service. Weekend working is a requirement for all staff, the frequency of which will be determined at interview
๐—›๐—˜๐—”๐—Ÿ๐—ง๐—› & ๐—ฆ๐—”๐—™๐—˜๐—ง๐—ฌ
Each agency worker has a responsibility at the start of their first shift to become familiar with the Clientโ€™s general policies including, without limitation, those relating to Crash Call Procedures, the Hot Spot Mechanism for alerting security staff that an individual is in trouble, Fire Policy and the Violent Episode Policy.
๐—ฌ๐—ข๐—จ๐—ฅ ๐—ฅ๐—˜๐—š๐—œ๐—ฆ๐—ง๐—ฅ๐—”๐—ง๐—œ๐—ข๐—ก ๐—–๐—›๐—˜๐—–๐—ž๐—Ÿ๐—œ๐—ฆ๐—ง
To complete your registration, you will be required to provide the following documentation please Tick