Job Vacancies | SureCare Enfield

Section 1 - Personal details

Passport photo

Name *

Address

Country

Zip code

Home telephone number *

Mobile telephone number

Nationality

Do you hold a current driving licence?

Yes

Section 2 - Tell us about your practical experience

Are you currently employed?

Yes

Employer Information

Last or current employer and start/end date

Do you have formal/paid experience in care?

Yes

Describe your experience

How many months/years experience and in what capacity: Residential Home/Domiciliary Care/Supported Living/Hospital/Mental Health Institution/Day Centre/Private as a: Health Care Assistant/Live in Carer/Night Carer/Nurse/Support Worker

Do you hold any relevant qualifications/training (with certificates ready to present)?

Yes

Specify qualifications/training

Section 3 - Tell us about your availabilty

Availability to work

What days/times are you available for work: Mon Tues Weds Thurs Fri Sat Sun Please write in start and finish time for each day

Section 7 - Criminal Records Bureau

The Care Standards Act 2000 requires that a check be made on you with the Criminal Records Bureau. The information provided in the subsequent disclosure will be considered prior to you being engaged with SureCare and may or may not affect your application. Failure to agree to apply for a disclosure to the Criminal Records Bureau will result in SureCare being unable to offer you engagement. An adverse inference may be drawn from any difference between your answer to Section 4 and the disclosure issued by the CRB.

I agree to apply for disclosure to the Criminal Records Bureau and have completed the separate application form accordingly.

By typing in your name, you are agreeing to the above

Section 12 - Working Time Directive

Do you wish to work more than 48 hours per week

Yes

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Sign

Section 13 - Data Protection Act 1998

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Sign

I give consent to personal information being processed in connection with my application and any subsequent work arranged for me by SureCare. I am aware that I can see a copy of all personal information held by making a written request to my Registered Manager.

Section 14 - Declaration

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The information that I have given in this application form is, to the best of my knowledge, complete and accurate in all respects. I understand that knowingly giving false information will disqualify me from registration with SureCare.