Complex Needs Support Worker

£11.80 per hour rising to £12 per hour

Parchment Trust - Application Form

PARCHMENT TRUST LIMITED

ORE PLACE FARM THE RIDGE,

HASTINGS

TN34 2RA

REGISTERED CHARITY NO: 1081148

CONFIDENTIAL

Post Applied For: *

PERSONAL INFORMATION

Title *

First Name *

Surname *

Address *

Address2

Town *

Postcode *

County *

Country *

Phone Number *

Email Address *

Next of Kin Details

Next of Kin - Name *

Next of Kin - Address *

Next of Kin - Relationship *

Next of Kin - Telephone Number *

REQUIREMENTS TO WORK

Do you have a full manual UK driving license? (option 2) *

If yes give details, including any endorsements e.g. car HGV, PSV etc.

Do you have the right to work in the UK? *

National Insurance Number

EDUCATION

Details of Schools attended and qualifications attained, including grades. *

Details of Colleges/Universities attended and qualifications attained, including grades.

Other Training/Membership of Professional Bodies/Apprenticeships/Special Courses etc. Include dates where appropriate.

WORK HISTORY

Please include details of your last three roles, starting with the most recent. There is room at the end of this section to add details of any other relevant roles.

You may include any temporary posts and work experience

Job 1 - Dates From / To *

Job 1 - Job Title *

Job 1 - Name and address of employer *

Job 1 - Duties and Responsibilities *

Notice Required (if any) in current role

Job 2 - Dates From / To

Job 2 - Job Title

Job 2 - Name and address of employer

Job 2 - Duties and Responsibilities

Job 3 - Dates From / To

Job 3 - Job Title

Job 3 - Name and address of employer

Job 3 - Duties and Responsibilities

Details of any other relevant past roles

REFERENCES

Please note here the names, addresses, email addresses and telephone numbers of two persons from whom we may obtain both character and work experience references.

One of these should be your current or most recent employer. If this is your first job, then a reference from a School/College can be used.

References from your current employer will not be sought without your authority.

Reference One - Most recent employer

Reference Two - Character

ADDITIONAL INFORMATION

Leisure

Please note here your leisure interests, sports, hobbies and other pastimes etc. including positions of responsibility held. *

Attendance and Reliability

Please give details of your lateness and absence records over the last 12 months. *

General Comments

Please detail here your specific reasons for this application, your main achievements to date, the strengths you would bring to this post and any other information relevant to your application. *

Please let us know how you heard about this vacancy. *

DECLARATIONS

THE REHABILITATION OF OFFENDERS ACT 1974 (EXCEPTIONS ORDER 1975)

By virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Order 1975), the provisions of Section 4.2 of the Rehabilitation of Offenders Act do not apply to any employment which is concerned with the provision of health services and which is of such a kind as to enable the holder to have access to persons in receipt of such services in the course of their normal duties.

Your answer to the following question should include any ‘spent’ convictions.

Have you ever been convicted of a criminal offence? *

If YES, please give details

DECLARATION (Please read this carefully before signing this application)

I confirm that the above information is complete and correct and that any untrue or misleading information will give the employer the right to reject my application, to withdraw any employment contract offered or, if employed, dismiss without notice.

I understand that my information will be processed securely and lawfully according to the Parchment Trust data protection policy. For more information, please view our recruitment privacy notice via our website at www.parchment-trust.org.uk/privacy

I understand and agree *

Cancel

You couldn’t find a better working life than at Parchment Trust.

If you would like to be considered for future positions, please click on our 'Waiting List' below. This allows you to register your interest in working for us, and allows us to notify you when a suitable job opening becomes available.