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Please indicate which services/areas you would like to apply for:
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Apprentice Support Worker, Maryport
Apprentice Support Worker, Distington
Apprentice Support Worker, Cleator/Cleator Moor
Apprentice Support Worker, Carlisle
Apprentice Support Worker, Workington
Apprentice Support Worker, Stainburn
Apprentice Support Worker, Whitehaven
Apprentice Support Worker, Grow West, Allerby
Apprentice Support Worker, Community Activities
Apprentice Support Worker, Cafe West Keswick
Apprentice Support Worker, Cafe West Whitehaven
Apprentice Support Worker, Cafe West Workington
Where did you hear about Support Worker Apprenticeship?
West House Website
Facebook Advert
Lakes College
Word of Mouth
Internet Search
Other
Name
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First
Last
Email
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Please note that by providing your email, you agree to receive relevant notifications from West House.
Address
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Postcode
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Home telephone number
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Mobile telephone number
Have you been employed by us before?
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Yes
No
*If Yes Please State Below
Do you have a GCSE grade C / 4 in English ?
Yes
No
Do you have GCSE grade C / 4 in Maths ?
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Yes
No
Do you hold a Functional Skills Level 2 in English
Yes - I have a Level 2 Functional Skills in English
No - I do not hold a Level 2 Functional Skills in English
Do you hold a Level 2 Functional Skills in Maths
Yes - I hold a Level 2 Functional Skills in Maths
No - I do not hold a Level 2 Functional Skills in Maths
Education history
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Please give: the name and location of the school/college or awarding body, dates you studied there, details of examinations taken (include date, level, grade)
Work related training
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Please give date and course/training details.
PRESENT EMPLOYMENT - name and address of present or most recent employer
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If not applicable, please write N/A
Job title
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Salary
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Date started
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Date of leaving (if applicable)
Period of notice required
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Date available to commence employment
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Reason for leaving (if applicable)
Main duties and responsibilities
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PREVIOUS EMPLOYMENT - please give the name and address of previous employers, dates you worked there, job title and brief description of the role and responsibilities, and reason for leaving.
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Please list in date order, most recent first, with no gaps unaccounted for. West House may contact all or any employers you have listed below in order to verify the employment details stated. If not applicable, please write N/A
Rehabilitation of Offenders Act 1974 - have you ever been convicted of a criminal offence?
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Yes
No
If you answered 'yes' to the question above, please provide details
Immigration, Asylum and Nationality Act 2006 - do you have the right to live and work in the United Kingdom?
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Yes
No
The Immigration, Asylum and Nationality Act 2006 imposes civil and criminal penalties on West House if it employs those who do not have permission to live or work in the United Kingdom. Applicants will be required to provide evidence of their right to work in the United Kingdom if invited to interview.
The role for which you are applying involves substantial moving and bending. Do you have any health problems that might prevent you from satisfying these requirements?
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Yes
No
The information gained from this question will only be used at the pre-employment offer stage to determine if you will be able (in conjunction with any reasonable adjustments) to carry out functions that are intrinsic to the work concerned.
If yes, please give details
The role for which you are applying involves working variable shifts, working at night and at unsociable hours. Do you have any health problems that might prevent you from satisfying these requirements?
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Yes
No
The information gained from this question will only be used at the pre-employment offer stage to determine if you will be able (in conjunction with any reasonable adjustments) to carry out functions that are intrinsic to the work concerned.
If yes, please give details
Are you, to the best of your knowledge, related to any member or employee of West House?
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Yes
No
If yes, please state whether they are a member, management committee member or employee, and give their name, address and your relationship to them.
Reasons for Applying for an Apprenticeship with West House This is the most important part of your application. You MUST aim to write between 300 - 600 words. You might want to include in here: • Why you have chosen to apply for an apprenticeship (over college, 6th form or University for example). Any skills that you have that can be transferred to an apprenticeship. • Any extra-curricular activities / hobbies you have participated in that relate to a Support Worker Apprenticeship. This is your opportunity to sell yourself.
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Referee 1
Name of present employer / education provider
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Job title of referee
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Capacity in which known
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Address of referee
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Telephone number
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Email
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Can we contact them prior to interview?
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Yes
No
Referee 2
Name of character reference (professional body / someone upstanding in the community)
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Job title of referee
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Capacity in which known
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Address of referee
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Telephone number
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Email
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Can we contact them prior to interview?
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Yes
No
Any additional information you may wish to include.
Declaration
To the best of my knowledge I declare that the information contained in this application form is accurate and correct. I understand and agree that:
a) The provision of false information may result in disqualification from the recruitment process or termination of employment.
b) The information provided on this application may be stored and processed by West House for a period of 6 months for recruitment purposes and if successful the information will be stored on personal file and processed for the purpose of the employment relationship.
c) Where I cannot provide evidence of qualifications and/or suitable references the offer of employment may be rescinded and/or employment terminated.
d) Canvassing of Officers or members of West House directly or indirectly for any appointment will disqualify my application.
e) Depending upon the nature of the post and work I will be undertaking, failure to disclose any convictions spent or otherwise will result in non-appointment or disciplinary action and potential dismissal.
f) Where the post for which I am applying requires me to work with children and/or vulnerable adults I hereby agree to a disclosure being made by the Disclosure & Barring Service about the existence and content of a criminal record spent or otherwise.
g) Should I be short-listed I will be required to provide documentary evidence of my right to live and work in the United Kingdom (see guidance notes).
h) All information contained in this form will be treated as strictly confidential, and used only for recruitment purposes. By supplying information, I am indicating my consent to the information being processed for all employment purposes as defined in the Data Protection Act 1998, and any verification checks that may be made.
I) I confirm I am at least the age of 16 at the time of applying OR I are due to turn 16 in the next three months.
J) I agree for West House to share my Application Form with Lakes College West Cumbria for the purpose of Initial Assessment Screening.
I agree to the declaration above (please write name)
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