We Care 360 Vacancy Application Form

POSITION APPLIED FOR:

Title (Mr/Mrs/Miss/Ms/other):

Name:

First

Last

Address:

Postcode:

Telephone Number:

Email:

Do you need a work permit to work in the UK?

Yes
No

Do you have regular use of a car?

Yes
No

Make/Model/Year:

Driving Licence Status:

Full
Provisional
None

Driving Licence validity date:

Details of current endorsements:

Do you have any driving-related prosecutions / fixed penalties / endorsements or similar currently pending?

Yes
No

If “YES” please provide brief details:

Have you ever been disqualified from driving?

Yes
No

Have you ever had insurance refused?

Yes
No

Can you drive:

Manual
Automatic

Secondary Education:

Date:

Qualification Gained:

Higher Education:

Date:

Qualification Gained:

Professional Training:

Date:

Qualification Gained:

Membership of Professional Organisation:

Date:

Qualification Gained:

Languages other than English 1:

Fluency

Spoken
Fluent
Written
Read

Languages other than English 2:

Fluency

Spoken
Fluent
Written
Read

Previous Employer 1:

Position held:

Dates position held:

Reason for leaving:

Previous Employer 2:

Position held:

Reason for leaving:

Previous Employer 3:

Position held:

Dates position held:

Reason for leaving:

Reference Name 1:

Please provide details of 3 referees who we may approach with regards to this Job Application. These referees must not be members of your family, and one must be your present or most recent employer: All references will be verified by the Company. The Company will attempt to obtain references from all positions relating to Childcare if required. One reference can be a personal reference.

Company Address:

Telephone Number:

Company Email Address:

Position:

Reference Name 2:

Please provide details of 3 referees who we may approach with regards to this Job Application. These referees must not be members of your family, and one must be your present or most recent employer: All references will be verified by the Company. The Company will attempt to obtain references from all positions relating to Childcare if required. One reference can be a personal reference.

Company Address:

Telephone Number:

Company Email Address:

Position:

Reference Name 3:

Please provide details of 3 referees who we may approach with regards to this Job Application. These referees must not be members of your family, and one must be your present or most recent employer: All references will be verified by the Company. The Company will attempt to obtain references from all positions relating to Childcare if required. One reference can be a personal reference.

Company Address:

Telephone Number:

Company Email Address:

Position:

ANY PERSON, UPON SUBSEQUENT EMPLOYMENT, THAT IS FOUND TO HAVE KNOWINGLY SUPPLIED FALSE OR MISLEADING INFORMATION, OR HAS DELIBERATELY WITHHELD RELEVANT INFORMATION, MAY BE SUBJECT TO DISCIPLINARY PROCEEDINGS WHICH MAY RESULT IN DISMISSAL I have read and understood the information supplied to me in relation to this Job Position, and the information requested in this Job Application Form. I confirm that all information supplied by me is true and correct to the best of my beliefs. I give the prospective employer the right to follow up all references and to make any other job-related enquiries as may be deemed necessary.

By ticking YES in the box below, I am agreeing to digitally sign in place of my written signature

YES
No

Date: