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Application for Employment

Position Applied For:

Where did you see this position advertised?

Personal Details:

Do you need a work permit to work in the UK?
*Note: Harmony Community Care will require proof of this right, as required by the Asylum and Immigration Act 1996, before employment can be confirmed.
Are you competent in spoken and written English?
Note: If English is not your first language you may be required to sit a basic English test prior to interview.
Do you have a clean, current driving licence?
Do you have a car or access to a car for business use?
Are you prepared to undergo a medical examination if necessary?

Your Qualifications:

Further & Higher Education:

State if full time or part time

Membership of Professional Bodies:

Employment History 1:

From / To

Employment History 2:

From / To

Employment History 3:

From / To

Periods of Unemployment:

Please provide details for any gaps in your employment dates:

From / To

Suitability for this position:

Training:

Referees:

Please give the details of TWO work related referees, who are not related to you, who we can approach for a confidential assessment of your suitability for this position. Referees should include the manager in your current or most recent employer and be from different companies. Please note that we will not contact your current employer for a reference unless and until we are prepared to offer the post to you.
(If you do not have any employment experience give details of your college/school form tutor or head teacher and one other professional person)

Referee One:

Referee Two:

Criminal Records Declaration:

Government legislation requires all prospective applicants undergo an Enhanced Access NI criminal records check and also an eligibility check to be able to work with vulnerable adults. This includes pending criminal charges, any spent convictions or cautions.

Harmony Community Care will request an AccessNI Enhanced Disclosure Certificate for successful applicants only where this is considered proportionate and relevant to the particular position. It is essential that you state all offences, including motoring offences. Any criminal conviction may never be regarded as spent and must be disclosed when applying for a post within Harmony Community Care. Please note that disclosure of a conviction does not necessarily debar any applicant from obtaining employment. (Recruitment of Ex-Offenders Policy enclosed including link to AccessNI code of practice).

Do you have any convictions that are not "protected" as defined by the Rehabilitation of Offenders (Exceptions) (Northern Ireland) Order 1979, as amended in 2014?

Declaration:

I declare that the information I gave here is correct. I understand that I risk having a job offer revoked or my employment terminated if it is later discovered that I deliberately omitted information or gave false information here with the intention of deceiving you.

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