Application for Employment

Private and Confidential

Personal Details

Current Driving Licence

Employment in the UK

Are there any restrictions on you taking up Employment in the UK? *


(Please complete in full)

Employment History

(Please complete in full)

Previous Employment

Previous Employment 2

Current Membership of Professional Bodies

Other Employment


References 1

(please note here 2 persons from whom we may obtain both character and work references)

References 2

(please note here 2 persons from whom we may obtain both character and work references)

General Comments

Cautions, Rehabilitations & Criminal Records

Special Requirements (Care Sector)

Because this position involves the care of children and/or vulnerable adults employment is dependent on the following:

1. Provision of a Disclosure and Barring certificate from the Disclosure and Barring Service.
2. Such disclosure being acceptable to us.
3. Proof of identity – birth or marriage certificate (where appropriate) and passport (if available).
4. Two satisfactory written references including one from your most recent employer (this is a Legal Requirement).
5. That you will supply a recent photograph of yourself for retention in your records (this is a Legal Requirement).
6. Evidence of physical or mental suitability for your work.
7. Documentary evidence of any qualifications relevant for the position (this is a Legal Requirement).

Data Protection

1. We are aware of our obligations under data protection legislation, including the obligation to collect only the data that is required for our specific purpose. The information collected in this application form is specific to our recruitment exercise and necessary for the performance of the role that you have applied for. If you are recruited for the role you have applied for, or any other role you are offered by us, the information provided will then be used for the purposes of your employment with us, together with further information collected upon recruitment for those purposes.

2. We will treat all personal information about you with utmost integrity and confidentiality. Our data protection policy sets out our approach to ensuring that your data is processed in line with the data protection principles within current data protection legislation.

3. Our privacy notice for job applicants gives you information on, amongst other things, the data we will hold about you during the recruitment exercise and what we use it for. You can view the privacy notice in our policy f8e held at Bankfield House Care Home.


(please read this carefully before signing this application)
  1. I confirm that the information provided in this application is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered.
  2. 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 the right to require me to undergo a medical examination.
  3. I agree that should I be successful in this application, I will, if required, apply to the Disclosure and Barring Service for a Disclosure and Barring Certificate. I understand that should I fail to do so, or should the disclosure not be to the satisfaction of the company any offer of employment may be withdrawn or my employment terminated.