Personal Details

Full Name *

First

Last

Current Address *

Address Line 1 *

Address Line 2

City *

County *

Postcode *

Country *

Email Address *

Contact Number *

i.e. your mobile or landline number

Are you eligible to live and work in the UK? *

Please be aware that before starting work, all applicants will be required to produce evidence of right to work in the UK

Which position are you applying for? *

How many hours are you looking to work per week? *

Do you hold a full driving licence? *

Do you own a car you can use for work purposes? *

Do you have any endorsements? *

Do you own a smartphone which you can use to download required apps? *

It's a requirement to be able to access apps such as Log My Care (for electronic recording) and Yoti (digital ID badge)?

Do you have access to a laptop / computer / iPad and internet so that you can complete training courses from home? *

Are you involved in any activities which might limit your availability to work / working hours? *

For example, training / education or another job

Do you have any holidays booked within the next 6 months? *

Are you subject any restrictions or convenants which might restrict your working activities? *

There's an expectation you will work weekends, overtime, sleep-in shifts and waking night shifts if required, do you accept this? *

As part of the application process you will be required to complete a health questionnaire, if necessary are you willing to undergo medical examination prior to employment starting *

Have you ever applied for a position with New Direction Support before? *

Are you currently employed? *

Notice period you're required to work (current employment) *

Do you smoke? *

Do you have any objections to working with someone who smokes? *

Education / Training Provider Names

College name

Year Started

Year Finished

University Name

Year Started

Year Finished

Other Education Setting

Year Started

Year Finished

Details of Qualifications

If you have already provided this on your uploaded CV please leave blank

Subject / Qualification

i.e. GCSE English

Grade

Date Achieved

Subject / Qualification

i.e. GCSE English

Grade

Date Achieved

Subject / Qualification

i.e. GCSE English

Grade

Date Achieved

Subject / Qualification

i.e. GCSE English

Grade

Date Achieved

Subject / Qualification

i.e. GCSE English

Grade

Date Achieved

Subject / Qualification

i.e. GCSE English

Grade

Date Achieved

Subject / Qualification

i.e. GCSE English

Grade

Date Achieved

Subject / Qualification

i.e. GCSE English

Grade

Date Achieved

Other Relevant Qualifications (only tick if you have a valid and in-date certificate) *

Current / Most Recent Employment

Do you agree for us to contact your current / most recent employer before an offer of employment is made? *

Name of Current / Most Recent Company Worked For *

Contact Name i.e. name of person responsible for references from this company *

Current / Most Recent Employers Address *

Current / Most Recent Employer Contact Telephone Number *

Current / Most Recent Employer Contact Email Address *

Nature of the Business *

i.e. retail, care provider, sales

Your Job Title (with Current / Most Recent Employer) *

Brief Summary of Duties / Responsibilities *

If you have already provided this information by uploading a CV, please state "See CV"

Start Date of Employment *

End Date of Employment (if applicable)

If you are still employed please leave this blank

Why did you leave, or why are you considering leaving, this employment?

Previous Employer (Prior to Current / Most Recent)

Do you agree for us to contact your previous employer before an offer of employment is made? *

Name of Previous Company *

Contact Name i.e. person responsible for providing references from this company *

Previous Employers Address *

Previous Employer Contact Telephone Number *

Previous Employer Contact Email Address *

Nature of the Business *

i.e. retail, care provider, sales

Your Job Title (with Previous Employer) *

Brief Summary of Duties / Responsibilities *

If you have already provided this information by uploading a CV, please state "See CV"

Start Date of Employment *

End Date of Employment (if applicable)

If you are still employed please leave this blank

Why did you leave, or why are you considering leaving, this employment?

Full Employment History

Full Employment History (Document / Photo)

Select File(s)

Please upload a file / photo which shows a full employment history (including any gaps), you will need to provide employer name, start / end date of employment and contact details. If you have already provided this through an uploaded CV you do not need to do this again

Reference 1 (Current / Most Recent Employer)

Current / Most Recent Employer Name *

Current / Most Recent Referee Name i.e. line manager *

Current / Most Recent Employer Contact Details *

Contact Number, E-mail & Postal Address

Reference (Previous Employer)

Previous Employer Name *

Previous Employer Referee Name i.e. line manager *

Previous Employer Contact Details *

Contact Number, Email & Postal Address

Reference (Character / Educational)

Some description about this section

Referee Name *

Your Relationship to the Referee *

Referee Contact Details *

Contact Number, Email & Postal Address

Rehabilitation of Offenders Act 1974

Do you have any unspent conditional cautions or convictions under the Rehabilitation of Offenders Act 1974? *

Please be advised that before a full over of employment is made or employment commences you will be expected to have a satisfatory DBS check and two satisfactory written references (one of which must be the most recent employer). The amendments to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020) provides that when applying for certain jobs and activities, certain convictions and cautions are considered ‘protected’. This means that they do not need to be disclosed to employers, and if they are disclosed, employers cannot normally take them into account, however, because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974, by virtue of the Exceptions Order 1975 as amended by the Exceptions (Amendment) Order 1986, which means that convictions that are spent under the terms of the Rehabilitation of Offenders Act 1974 must be disclosed, and will be taken into account in deciding whether to make an appointment. Any information will be completely confidential and will be considered only in relation to this application.

Do you have any adult cautions (simple or conditional) or spent convictions that are not protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020? *

Please be advised that before a full over of employment is made or employment commences you will be expected to have a satisfatory DBS check and two satisfactory written references (one of which must be the most recent employer). The amendments to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020) provides that when applying for certain jobs and activities, certain convictions and cautions are considered ‘protected’. This means that they do not need to be disclosed to employers, and if they are disclosed, employers cannot normally take them into account, however, because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974, by virtue of the Exceptions Order 1975 as amended by the Exceptions (Amendment) Order 1986, which means that convictions that are spent under the terms of the Rehabilitation of Offenders Act 1974 must be disclosed, and will be taken into account in deciding whether to make an appointment. Any information will be completely confidential and will be considered only in relation to this application.

Are you on the DBS barring list? *

Please be advised that before a full over of employment is made or employment commences you will be expected to have a satisfatory DBS check and two satisfactory written references (one of which must be the most recent employer)

Source of Application

How did you hear about us? *

Declaration

I confirm that the above information is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered. *

Should we require further information and wish to contact your doctor with a view to obtaining a medical report, the law requires us to inform you of our intention and obtain your permission prior to contacting your doctor. I agree that the organisation reserves right the right to require me to undergo a medical examination. In addition, I agree that this information will be retained in my personnel file during employment and for up to six years thereafter and understand that information will be processed in accordance with the Data Protection Act. *

I agree that my previous employers may be approached for references. I also agree that should I be successful in this application, I will, if required, apply to the Criminal Records Bureau/Scottish Criminal Records Office for a standard or enhanced (as appropriate) disclosure. I understand that should I fail to do so, or should the disclosure or reference not be satisfactory, any offer of employment may be withdrawn or my employment terminated. *

I understand these details will be held in confidence by the organisation and in compliance with the Data Protection Act 1998. I also understand that there are times when this information may be required to be shared with a third party such as the Local Authority or Care Quality Commission. *

Enter your name here (signing to agree you declare you have read and understood information above)