Application Form

Skills, Knowledge, Loyalty

Home

About Us

Our Staff

Services

Training

Jobs

Contact Us

Share Your Feedback

Home

About Us

Our Staff

Services

Training

Jobs

Contact

Contact Us

Share Your Feedback

Request a Call back

OUR JOBS

Application Form

Please enable JavaScript in your browser to complete this form.

Layout

Affix a photograph *

Click or drag a file to this area to upload.

PERSONAL DETAILS

Mr., Mrs., Miss, Ms and Dr, Other...... *

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

How long have you lived at this address? *

If you have lived at your current address less than five years Circle YES and fill in the space on the next page to cover a 5 year period *

Yes
No

Layout

Current Addresses (UK) *

Address Line 1

City

State / Province / Region

Postal Code

Country

Period at previous *

First

Last

Layout

Previous Addresses *

Address Line 1

City

State / Province / Region

Postal Code

Country

Period at previous *

First

Last

Layout

Emergency Contact 1

Name *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Phone *

Relationship *

Emergency Contact 2

Name *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Phone *

Relationship *

EDUCATION

Layout

Schools attended and addresses *

Examinations Passed *

Date (Month and Year) From *

TO *

Layout

Schools attended and addresses *

Examinations Passed *

Date (Month and Year) *

TO *

Layout

Schools attended and addresses *

Examinations Passed *

Date (Month and Year) *

TO *

Layout

Schools attended and addresses *

Examinations Passed *

Date (Month and Year) *

TO *

Layout

Schools attended and addresses *

Examinations Passed *

Date (Month and Year) *

TO *

Layout

College, University, other Further Education and addresses *

Degrees, Awards or Professional Qualifications *

Date (Month and Year) From *

TO *

Layout

College, University, other Further Education and addresses *

Degrees, Awards or Professional Qualifications *

Date (Month and Year) *

TO *

Layout

College, University, other Further Education and addresses *

Degrees, Awards or Professional Qualifications *

Date (Month and Year) *

TO *

Layout

College, University, other Further Education and addresses *

Degrees, Awards or Professional Qualifications *

Date (Month and Year) *

TO *

Layout

College, University, other Further Education and addresses *

Degrees, Awards or Professional Qualifications *

Date (Month and Year) *

TO *

Layout

Previous Care Training and Courses *

Awards / Certificates / Diplomas *

Date (Month and Year) From *

TO *

Layout

Previous Care Training and Courses *

Awards / Certificates / Diplomas *

Date (Month and Year) *

TO *

Layout

Previous Care Training and Courses *

Awards / Certificates / Diplomas *

Date (Month and Year) *

TO *

Layout

Previous Care Training and Courses *

Awards / Certificates / Diplomas *

Date (Month and Year) *

TO *

Layout

Previous Care Training and Courses *

Awards / Certificates / Diplomas *

Date (Month and Year) *

TO *

Employment to cover at least 10 years

Layout

Date (month and Year) *

Employer’s name and addresses (most recent first) *

Position held *

Salary & Benefits *

Layout

Date (month and Year) *

Employer’s name and addresses (most recent first) *

Position held *

Salary & Benefits *

Layout

Date (month and Year) *

Employer’s name and addresses (most recent first) *

Position held *

Salary & Benefits *

Layout

Date (month and Year) *

Employer’s name and addresses (most recent first) *

Position held *

Salary & Benefits *

Layout

Date (month and Year) *

Employer’s name and addresses (most recent first) *

Position held *

Salary & Benefits *

Layout

Date (month and Year) From *

To *

Reason for Gap *

Layout

Date (month and Year) From *

To *

Reason for Gap *

Layout

Date (month and Year) From *

To *

Reason for Gap *

Layout

Date (month and Year) From *

To *

Reason for Gap *

Layout

Date (month and Year) From *

To *

Reason for Gap *

Layout

Date available to work *

Do you have access to a mobile phone? *

Yes
No

Do you hold a current UK driving license? *

Yes
No

Do you require a work permit? *

Yes
No

Are you legally eligible for employment in the UK? *

Yes
No

How many hours per week are you looking for? *

Are you available at short notice? *

Yes
No

Do you own a car? *

Yes
No

Please tell us why you would succeed in this position, setting out relevant knowledge, skills and experience you gained from current/previous employment or voluntary/community work. You should also provide any other information that may be of interest and relevant to the position. Please also describe your aspirations and ambitions. Please remember to address the criteria mentioned in the Job Description and/or Person Specification when completing your application.
(Continue on a separate sheet if necessary).

KNOWLEDGE *

SKILLS *

EXPERIENCE *

REFERENCES

Please give the name and address of two referees, one of whom should be your present or most recent employer. (If character reference, 2 references are needed for 1 employment reference) Do we have permission to contact before interview? *

Yes
No

Layout

Name *

Job Title *

Address and Tel. No. *

Layout

Name *

Job Title *

Address and Tel. No. *

Layout

Name *

Job Title *

Address and Tel. No. *

Layout

Name *

Job Title *

Address and Tel. No. *

Layout

Name *

Job Title *

Address and Tel. No. *

OTHER INFORMATION

If you consider yourself as having a disability, is there any support you would require to attend for interview? Please specify (eg wheelchair, accessible rooms, etc.) *

Are you related to any employee of this organization?

Yes
No

Have you applied for any other post in this organization in the last year?

Yes
No

ADDITIONAL PERSONAL DETAILS

Outside interests, leisure time activities and other personal information, which you think may assist us in evaluating your application. (Continue on separate sheet if necessary). *

DATA PROTECTION ACT 1998

All employees of SKL Professional Recruitment Agency must not, without prior permission, disclose any information regarding patients or staff in the place of work allocated to them by the agency. In instances where it is known that a member of staff has communicated information to unauthorized persons, those staff will be liable to dismissal. The Data Protection Act 1998 also renders an individual for prosecution in the event of unauthorized disclosure of information.

I have read and understood the Data Protection Act and will abide by the conditions.

Sign here *

Date *

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 of Offenders Act (Exemptions Order 1975). This means that you are not entitled to withhold information relating to any convictions you may have had.

Do you have any convictions to disclose?

Yes
No

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.

DISCLOSURE

A disclosure will be requested from the Criminal Records Bureau in the event of you being offered a position. Do you agree to us obtaining a disclosure?

Yes
No

A criminal record will not necessarily bar you from obtaining a position with us.

HEALTH SCREENING

The appointment of any post with this Agency is subject to satisfactory health screening. You will therefore be asked to complete a declaration of Health and may be asked to undertake a medical examination if successful.

I declare that the information given is correct to the best of my knowledge. I understand that omissions or false statements may disqualify me from employment or lead to dismissal. I give the employer the right to investigate all references.

Signature *

Date *

The following original documents have to be seen/screened at the office: -

1) Passport (including eligibility to work in the UK documents)

2) Card Proof of Driving Licence

3) Car Insurance (including eligible to insure for work purposes)

4) Evidence of National Insurance details

5) Evidence of Bank Details (dated within 3 months of application)

6) Current DBS if on the update system

7) 2 Proof of Addresses (dated within 3 months of application)

8) Covid 19 Certificate

9) Proof of eligibility to work in the UK if you are a foreign national

Skills, Knowledge, Loyalty

At SKL Homecare, we’re dedicated to providing compassionate and reliable care tailored to your loved ones’ needs.

LOCATION

Unit 5 Edinburgh Mews Bushey WD19 4FS

Quick Links

Home
About Us
Our Staff
Jobs
Contact Us

OUR SERVICES

Live-in Care
Social Care
Nutritional Care
Supported Home

For any further information please call or email us!

Email

info@skl-homecare.co.uk

Call

Tel : 0208 950 6992

Donate to support

Volunteers

Join Community

SKL Homecare with Passion by K.G.N London Infotech © 2024 All rights reserved

All rights reserved

Please enable JavaScript in your browser to complete this form.

Request a Quote Form

Name *

First

Last

Email *

Phone *

Your Message *