Application Form

Title (Mr./Mrs./Miss/Other)

Forename/s

Surname/previous names and dates

Addresses for last 5 years.

Home Phone

Mobile

N_I_number

NHS Number

Passport Details

Visa Details

Are there any restrictions on you taking up work in the UK? (Yes/No. yes please give details)

Five year Work History Employer name and Address or Attach your CV.

File Upload

Job Title and Main
Duties

Start Date

End Date

Reason For Leaving

Please provide details of 2 referees who we may approach with regards to this Job Application. These referees must not
be member of your family, and one must be your present or most recent employer.
If you are applying for a post which requires unsupervised access to vulnerable adults, we reserve the right to
approach any past employer for a reference.

Professional Referee

Name

Referee Name

Address

Referee Address

Postcode

Referee Postcode

Telephone Number

Referee Telephone Number

Character Reference

Name

Reference Name

Address

Reference Address

Postcode

Reference Postcode

Telephone Number

Reference Telephone Number

Education/ further education. Evidence required please.

Start Date

End Date

Qualification

Training applicable to this application . Evidence required please

Grade Achieved

Expiry date

*This will have no bearing on your application as full training will be given

Special Requirements

Because this position involves the care of vulnerable adults, employment is dependent on the following:

1. Your written consent to obtaining an enhanced disclosure certificate from the Disclosure & 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.

5. That you will supply a photograph of yourself for retention in your records..

6. Evidence of physical or mental suitability for your work..

Rehabilitation of Offenders ACT 1974

Through the 1975 Exemptions Order of the Rehabilitation of Offenders Act 1974 and by virtue of the nature of the post for which you are applying, we are obliged as your prospective employers to ask the following question. Any information supplied by yourself will remain confidential and considered only in relation to this job application.

With the exception of minor motoring offences, have you ever been convicted of any criminal offences by a court of law?

If yes please provide brief details of the offence(s) and relevant dates:

Leisure Activities

Please provide brief details of your hobbies, sport and other leisure past times in which you participate.

Applicant information

Please give brief details as to why you would like to join work with us at ZD Global Consultancy LTD and what skills or services that you could bring to our agency?

Questionnaire about vaccinations including results from Covid 19 testing. Please provide all known vaccinations and dates given.

Declaration by Job Applicant

Any person, upon subsequent employment, that is found to have knowingly supplied false or misleading information, or has deliberately withheld relevant information, will be summarily dismissed.

I have read and understood the information supplied to me in relation to this Job Position, and the information requested in this Job Application Form.

I confirm that all information supplied by me is true and correct to the best of my beliefs. I give the prospective employer the right to follow up all references and to make any other job-related enquiries as may be deemed necessary.

I have agreed to the terms provided in this application.

ZD Global Consultancy LTD is an Equal Opportunities Employer

The sole criterion for selection of applicants will be suitability for the Job Position, regardless of gender, background, culture, ethnic, denomination, religious affiliation, marital status, or disability.

Can we assist you with any special requirements to enable you to attend an interview?

Interview process:

Application Form

Are there any restrictions on you taking up work in the UK? (Yes/No. yes please give details)

Professional Referee

Name

Address

Postcode

Telephone Number

Character Reference

Name

Address

Postcode

Telephone Number

*This will have no bearing on your application as full training will be given

Special Requirements

Because this position involves the care of vulnerable adults, employment is dependent on the following:

1. Your written consent to obtaining an enhanced disclosure certificate from the Disclosure & 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.

5. That you will supply a photograph of yourself for retention in your records..

6. Evidence of physical or mental suitability for your work..

Rehabilitation of Offenders ACT 1974

With the exception of minor motoring offences, have you ever been convicted of any criminal offences by a court of law?

Leisure Activities

Applicant information

Declaration by Job Applicant

ZD Global Consultancy LTD is an Equal Opportunities Employer

The sole criterion for selection of applicants will be suitability for the Job Position, regardless of gender, background, culture, ethnic, denomination, religious affiliation, marital status, or disability.

Can we assist you with any special requirements to enable you to attend an interview?

Compassionate Care For Your Loved Ones, Delivered With Dignity.

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