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Job application form

Please provide details of your full employment history and complete this form accurately giving as many details as possible of your skills and experience relating to this job application. Shortlisting will be based on the information gathered from the form and you will need to upload your CV to support this application.

To save your progress, please click on the « Save and Resume Later » button at the bottom of the page.

Position applied for

How did you hear about this vacancy?

Please state

1. Personal details

Title

Surname

Forename(s)

Previous names (if applicable)

Address

Post Code

Home telephone

Mobile telephone

E-Mail address

Do you have the right to work in the United Kingdom?

Applicants will be required to provide documentary evidence of their right to work in the United Kingdom if invited to interview.

Do you hold a current Driving Licence?

What type of documentation do you have?

Please tick the relevant statement below

I have my own transport to get to work
I use Public Transport to get to work

2. Employment history

Please start with your most recent employment. Briefly describe the main duties and responsibilities of your post.

We require a full work history including any periods of time not accounted for from leaving school to date.

Current / Most Recent Employer

Company Name

Date employed from

Address

Brief description of duties

Job Title

Date employed to

Rate of Pay

Reason for leaving

Previous Employers

Company Name

Date employed from

Address

Brief description of duties

Job Title

Date employed to

Rate of Pay

Reason for leaving

Add previous employer

Company Name

Date employed from

Address

Brief description of duties

Job Title

Date employed to

Rate of Pay

Reason for leaving

Add previous employer

Company Name

Date employed from

Address

Brief description of duties

Job Title

Date employed to

Rate of Pay

Reason for leaving

Add previous employer

Company Name

Date employed from

Address

Brief description of duties

Job Title

Date employed to

Rate of Pay

Reason for leaving

Add previous employer

Company Name

Date employed from

Address

Brief description of duties

Job Title

Date employed to

Rate of Pay

Reason for leaving

Add previous employer

Company Name

Date employed from

Address

Brief description of duties

Job Title

Date employed to

Rate of Pay

Reason for leaving

Add previous employer

Company Name

Date employed from

Address

Brief description of duties

Job Title

Date employed to

Rate of Pay

Reason for leaving

Add previous employer

Company Name

Date employed from

Address

Brief description of duties

Job Title

Date employed to

Rate of Pay

Reason for leaving

Add previous employer

Company Name

Date employed from

Address

Brief description of duties

Job Title

Date employed to

Rate of Pay

Reason for leaving

Add previous employer

Company Name

Date employed from

Address

Brief description of duties

Job Title

Date employed to

Rate of Pay

Reason for leaving

Add previous employer

Company Name

Date employed from

Address

Brief description of duties

Job Title

Date employed to

Rate of Pay

Reason for leaving

Add previous employer

Company Name

Date employed from

Address

Brief description of duties

Job Title

Date employed to

Rate of Pay

Reason for leaving

Add previous employer

Company Name

Date employed from

Address

Brief description of duties

Job Title

Date employed to

Rate of Pay

Reason for leaving

Add previous employer

Company Name

Date employed from

Address

Brief description of duties

Job Title

Date employed to

Rate of Pay

Reason for leaving

Add previous employer

Company Name

Date employed from

Address

Brief description of duties

Job Title

Date employed to

Rate of Pay

Reason for leaving

Add previous employer

Company Name

Date employed from

Address

Brief description of duties

Job Title

Date employed to

Rate of Pay

Reason for leaving

Unemployment history

Date from

Date to

Reason

Add more unemployment reasons

Date from

Date to

Reason

Add more unemployment reasons

Date from

Date to

Reason

Add more unemployment reasons

Date from

Date to

Reason

Other employment and commitments

Please give details of any other paid employment you intend to continue if offered a position with Seeds Care

Please give details of any commitments outside of work that could impact your availability to work

3. Contacts within Seeds Care

Do you know or are you related to anyone currently employed within the Seeds Care group?

Please give details below of their name and your relationship to them

4. Education

Please tell us about your education and any qualifications which you feel are relevant to the post including courses that you are currently undertaking.

Please start with the most recent.

Name of School / College / University / Training Body

Date (from)

Date (to)

Subject / Courses Studied

Examination Result / Grade

Add another qualification

Name of School / College / University / Training Body

Date (from)

Date (to)

Subject / Courses Studied

Examination Result / Grade

5. Complementary Experience

This section is for you to describe any experience you have since leaving school whether this was paid, unpaid, voluntary or personal life experience that may help to support your application;

6.a. Professional references

Please give the name, address and position/occupation of referees from your previous employers over the past 10 years. If you have worked for the same employer for longer than 10 years, then please detail your last 3 employers.

Additionally, please include all previous employment within health and social care – as references will need to be sought from all health and social care employers.

Organisation name

Referee full name

Address

Telephone Number

Your position held

Referee job title

E-mail address

Relationship to referee

Add more references

Organisation name

Referee full name

Address

Telephone Number

Your position held

Referee job title

E-mail address

Relationship to referee

Add more references

Organisation name

Referee full name

Address

Telephone Number

Your position held

Referee job title

E-mail address

Relationship to referee

May we contact prior to interview?

6.b. Character references

Referee full name

How long have you known the referee

Relationship to referee

Telephone number

E-Mail Address

Add more character references

Referee full name

How long have you known the referee

Relationship to referee

Telephone number

E-Mail Address

7. Previous convictions

The Rehabilitation of Offenders Act 1974 exceptions order 1975 (As amended in 2013 by SI 2013 1198)

Have you been convicted of a criminal offence or received a police caution (other than a protected caution or protected conviction)?

The role you have applied for is exempt from the provisions normally afforded to individuals under the Rehabilitation of Offenders Act 1974. This means that Seeds Care requires an enhanced disclosure through the Disclosure and Barring Service (DBS) under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended) and, in certain circumstances, the Police Act 1997.

Please give details

8. Disability: reasonable adjustments

Please give details below of any reasonable adjustments or access requirements needed in order for you to fully participate in our recruitment process

9. Declaration and Signature

Please tick the boxes to confirm you agree to the following statements:

Field #198 (copy)

I confirm that the information supplied in this application form is accurate to the best of my knowledge.
I understand and acknowledge that any inaccurate information supplied in this application form will result in my application being withdrawn from the process and not considered for future roles.
I have read and consent to my personal data being held and used by Seeds Care in accordance with our Privacy Policy
I consent to the Company using and keeping information I have provided on this application or elsewhere as part of the recruitment process and /or personal information supplied by third parties, such as referees, relating to my application or future employment.
I understand that my appointment is subject to DBS clearance and satisfactory references.
I give my consent for a disclosure to be carried out by the DBS
I understand that the information provided will be used to make a decision regarding my suitability for employment and if successful the information will be used to form my personnel record and will be retained for the duration of my employment. If I am not successful, I understand that the Company will retain the information and may use it to contact me in the event of there being any other vacancies for which I may be suitable.

Date

Job application form

1. Personal details

2. ​Employment history

3. Contacts within Seeds Care

4. Education

5. Complementary Experience

6.a. Professional references

6.b. Character references

7. Previous convictions

8. Disability: reasonable adjustments

9. Declaration and Signature

2. Employment history