Application for Employment

3. General Information
Have you been employed by Young Foundations before?*
Please give details - Job Title, Dates, Reason for Leaving
Are you related to an employee of Young Foundations?*
Please tell us their full names, and job titles
Do you require a Work Permit to work in the UK?*
Please tell us your Nationality
Important - Work Permits are not transferable between employers, and any job offer made will be subject to obtaining a new work permit.
Will you work shifts or other flexible working arrangements if necessary?*
Will you relocate, if required?*
Will you work overtime, if necessary?*
Will you travel, if the job requires it?*
Do you hold a current driving licence?*
Do you have any current endorsements on your driving licence?*
Please give details of the endorsements on your driving licence*
Dates available for work*
Where did you here about this job? (Job Centre / Newspaper / Friend / Online Search / Other)*

4. Education
Please include details of all Schools, Universities, and Further Education establishments you have attended. Proof of relevant qualifications will be required at interview.*
Date From / To Educational Establishment Qualifications and Grades
Languages - Please list all languages you speak and understand
Language Speak (some / fluently) Read (some / fluently) Write (some / fluently)

5. Qualifications / Professional Bodies
Specialist Qualifications - Please provide details of your record of training, and specialist courses, which are relevant to the position you are applying for.
Training / Course Details
Professional Bodies - Please provide details of any professional bodies of which you are a member
Professional Body Details
Registration Numbers (NMC Pin, ISA, SSSC, Etc). Please include expiry dates
Name of Registration Registration Number Expiry Date

6. Employment
Are you currently employed?*
Current Employer
Your Current Job Title*
Name of Current Employer*
Address
Telephone
Email
Start Date*
Notice Period*
Salary*
Outline of Responsibilities - make particular reference to responsibilities which relate to this post*
Last Employer
Your Last Job Title*
Name of Your Last Employer*
Address
Telephone
Email
Start Date*
Finish Date*
Reason for Leaving*
Salary*
Outline of Responsibilities - make particular reference to responsibilities which relate to this post*

7. Employment History
How many previous jobs have you had (excluding the job you told us about in the previous question) ?*
Job 1
Job Title
Employer
Address
Telephone
Email
Start Date
Finish Date
Salary
Outline of Responsibilities
Reason for Leaving
Job 2
Job Title
Employer
Address
Telephone
Email
Start Date
Finish Date
Salary
Outline of Responsibilities
Reason for Leaving
Job 3
Job Title
Employer
Address
Telephone
Email
Start Date
Finish Date
Salary
Outline of Responsibilities
Reason for Leaving
Job 4
Job Title
Employer
Address
Telephone
Email
Start Date
Finish Date
Salary
Outline of Responsibilities
Reason for Leaving
Job 5
Job Title
Employer
Address
Telephone
Email
Start Date
Finish Date
Salary
Outline of Responsibilities
Reason for Leaving
Other Jobs
Please give full details of the other jobs you have had, including all dates*
Gaps in your employment history
Please explain any gaps in your employment history

8. Additional Information
Use this space to tell us more about yourself, highlighting any personal attributes and experience relevant to the position for which you are applying. Your answer should reflect competencies required for this post*
Hobbies and Interests - Please tell us about your hobbies and interests*

10. Rehabilitation of Offenders Act 1974

The position for which you have applied is subject to the legislation contained in the Rehabilitation of Offenders Act 1974.

You must therefore declare any information about convictions or cautions. Any information provided will be kept in strictest confidence.

Please note that convictions are not necessarily a bar to employment. Failure to disclose any information that is later found to be correct will lead to summary dismissal.
Have you at any time had a criminal conviction (including 'spent' convictions) ?
Have you at any time accepted a CAUTION/WARNING or REPRIMAND from the police?
Do you have any criminal proceedings pending against you?
Please provide full details including dates below*
I declare that, to the best of my knowledge and belief, the information given in this section is true and complete*
- I agree

11. Investigations or Disqualifications
Are you currently the subject of any investigation or proceeding by any body having regulatory functions in relation to health/social care professionals including such regulatory body in another country?
Please provide full details below*
Have you ever been disqualified from practice of a profession or required to practice it subject to specified limitations following a fitness to practice investigation by a regulatory body, in the UK or another country?
Please provide full details below*

12. Declaration

I understand that failure to disclose information or the provision of incorrect information may result in an offer of employment being withdrawn or disciplinary action being taken leading to dismissal at a later date. I give the company the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the company and its representatives for seeking such information and all other persons, corporations or organisations for providing such information.
I CERTIFY THAT I HAVE READ AND UNDERSTOOD THE ABOVE AND THAT THE INFORMATION I HAVE GIVEN IS TRUE, ACCURATE, AND FORMS A COMPLETE RECORD*
- I agree
Name
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Current Employer