Application Form

Provide complete information for your past 2 employers. Start with your present or most recent job.

Please list details of all qualifications you have obtained as well as any relevant training, including where and when you obtained them, in order of date received starting with the most recent.

Please give names and addresses of two referees who know you well enough to comment on your suitability for the post. One of them must be your present or most recent employer. If you have not been previously employed, give the name of a responsible person who knows you well. Your referees must not be a relative or a member of your household. Please state in which capacity you know each referee.

Assisted Lives aims to seek a workforce which reflects the community we serve. We welcome applications from those groups which are under-represented on our staff. Applications for vacancies are based purely on their skills and suitability for the vacancy. To ensure this policy is carried out effectively, we ask all applicants to provide the information requested on this page. It will be used only for administrative and monitoring purposes and will be confidential and not used to discriminate in favour or against any individual applicant.

As part of Assisted Lives’ Safe Recruitment Processes you will be asked to make a Disclosure Application so that the information you provide can be checked. For the purposes of the Rehabilitation of Offenders Act (1974), the group of people you will be working with are classed as a vulnerable group and this means that you are exempt from the Act. Therefore you can be asked and MUST declare any previous criminal record INCLUDING any spent convictions. Having a criminal record will NOT NECESSARILY mean that you will not be able to work in the Health & Social Care Sector. Please tick the appropriate answer below: