How did you hear about this employment opportunity?
First Name
Last Name
Address
Postcode
Phone
Email
National Insurance No
Languages Spoken
Length of notice with current employer
Date available for work
Other relevant training
Current or most recent employer
Address
Position Held
Dates of employment (From - To)
Brief description of duties
Reason for leaving
Previous employer
Address
Position Held
Dates of employment (From - To)
Brief description of duties
Reason for leaving
If there are any gaps in your employment, please give an explanation of why, otherwise enter N/A
Livingsupported Ltd operates a two-week rolling shift pattern, working one weekend in two. The nature of the job role requires staff 365 days a year, and it is to be understood the position involves working evenings, weekends and bank holidays. Start and finish times for each shift vary but will generally start from 6:30am onwards and end by 10:30pm.
Please identify the shift patterns you would be available to work, including any specific times where these are required.
Week 1 Weekdays
Week 1 Weekend
Week 2 Weekdays
Week 2 Weekend
Nights
If yes to any pre-booked annual leave , please detail below
Please tell us why you feel you would succeed in this position, identifying any relevant knowledge, skills and experience. You should also provide any other information that may be of interest and relevant to the application.
Please give the name and address of at least two referees, one of whom should be your present employer.
N.B. We reserve the right to contact any of your other previous employers within the last three years.
Reference 1 Name
Position
Organisation
Relationship to you
Phone
Email
Reference 2 Name
Position
Organisation
Relationship to you
Phone
Email
Reference 3 Name
Position
Organisation
Relationship to you
Phone
Email
Is there any support you would require to attend for interview? Please specify (e.g. wheelchair, accessible rooms, etc.)
Are you related to any employee of this organisation? If yes, please state name of employee:
BS DISCLAIMER
A Disclosure and Barring Service check is necessary for the position you are applying for. Should you be successful in your application, you will be asked to sign a DBS disclaimer. This will be explained, in full, prior to signing the form.
Rehabilitation Of Offenders Act 1974 – Notice To Offenders
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 Offenders Act (Exemption Order 1975). This means that you are not entitled to withhold information relating to any convictions you may have had.
If yes, please provide details of any convictions which are not spent under the terms of the Rehabilitation of Offenders Act 1974. This information will be treated as confidential and will not necessarily preclude you from employment.
If yes, please provide details of any Referrals
SUBMIT APPLICATION
