Support Workers application – West House – Care and support provider for adults and children with disabilities.

Right to Work in the UK: West House are unable to offer any applicant a sponsorship to work in the UK, therefore, before proceeding with this application please ensure you have legal the right to work and live in the UK and are able to evidence this right. All roles are subject to Enhanced DBS Checks.

Please specify how many hours per week you are interested in? - select all that apply *

Where did you hear about this job? *

If someone who already works at West House has informed you about the job opportunity, please confirm their name below as they may be entitled to a £250 Recruitment Referral Payment.:

Personal Details

Name *

First

Last

Email *

Please note that by providing your email, you agree to receive relevant notifications from West House.

Address *

Postcode *

Home telephone number

Mobile telephone number

Do you hold a UK MANUAL driving License? *

In some services, Support Workers regularly drive work vehicles. Do you have any concerns or issues with driving a work vehicle? *

Additional Information

Please provide reason(s) for leaving current/most recent employer.

Please provide the year that you left Secondary Education.

Rehabilitation of Offenders Act 1974 - have you ever been convicted of a criminal offence? *

Immigration, Asylum and Nationality Act 2006 - do you have the right to live and work in the United Kingdom? *

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.

Do you currently have a Sponsorship in place? *

If Yes, please provide Sponsorship details in the box below.

Details of my current Sponsorship (if applicable)

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? *

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.

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? *

Please use the space below and tell us why you would be a great Support Worker at West House *

REFERENCE DETAILS

Reference Details: Current / Most Recent Employer - Name of Employer *

Job Title of Referee *

Capacity in which known *

Do you have a personal relationship with the named referee? If yes, please provide details below:

Address of referee *

Telephone number *

Email Address - West House will ONLY ask for References by email, therefore it is important that you supply an accurate email address for us to request a reference. *

Can we contact them prior to interview and/or at point of offer? *

Reference Details: Character

Name of Referee supplying Character Reference *

Capacity in which known *

Do you have a personal relationship with the named referee? If yes, please provide details below:

Address of referee *

Telephone number *

Email Address - West House will ONLY ask for References by email, therefore it is important that you supply an accurate email address for us to request a reference. *

Can we contact them prior to interview and/or at point of offer? *

Any additional information you may wish to include such as any pre booked holidays in the next 6 months. *

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) If successful with an offer of employment - 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 2018, and any verification checks that may be made.

I agree to the declaration above (please write name) *

Date *

If you do not hear from West House within 28 days of submitting your application form, please consider your application to be unsuccessful.

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