Online Application Form

Online application form

Please complete the following form

Title:*
Name:*
Forename Surname
What position are you applying for?*
National Insurance Number:*
Mobile Telephone Number:*
Landline Telephone Number:
Email Address:*
Do you have a valid UK driving license?*
- Yes
- No
Do you have access to a vehicle?*
- Yes
- No
Name of current Employer: (if applicable)
Current job title: (if applicable)
Upload Your CV:
Please attach relevant documents
References Details Number 1
Name:
Address:
Email Address:
Telephone Number:
References Details Number 2
Name:
Address:
Email Address:
Telephone Number:
References Details Number 3
Name:
Address:
Email Address:
Telephone Number:
Do you have any criminal or driving convictions?*
- Yes
- No
What area do you live in?
Full Employment History
Please list employers name, job title, salary and dates from and to
Availability*
Please list your availability, days of the week, times and total hours of work per week you are looking for
What month & year did you move to you current address*
If you moved into your current address less than 5 years ago, please provide details of your previous addresses and dates you moved in and out over the last 5 years*
Please include months and years
What was your surname at birth?*
If your surname has changed since birth, please tell us when this changed?
Please provide details of any other names used at any other time during your lifetime and the dates the names were used:
What was your country of birth?*
What is your town / city of birth as recorded on your birth certificate?*
What is the county / district of your birth, as recorded on your birth certificate?*
When would you be able to start working for us?*
Due to the nature of the work you may be requested to work at short notice, please indicate how much notice you would require?*
Where did you hear about the vacancy you are applying for?*
Any questions you would like to ask us?
Consent - please type your name in the box to agree to the below statement:*
I hereby declare that the information given is full and true to the best of my knowledge. I understand that if, at a later date, it is discovered that I have knowingly withheld or provided false information, disciplinary action may be taken against me, which may include dismissal. If my application is successful I agree to Scott Care Ltd sharing my information with the Care Quality Commission (CQC), who may contact me to seek my views on aspects of my role as a health & social care employee.

Contact Info



Phone No

0845 680 05 06



Head office

Scott Care Ltd, Unit B7, St Geroges Business Park, Castle Road, Sittingbourne, ME10 3TB



Email Address

info@scottcare.co.uk



Medway Office

Scott Care Ltd, Unit 71, Riverside 3, Sir Thomas Longley Road, Medway City Estate, Rochester, ME2 4DP

Providing care services and staffing solutions in Kent. We are a family run organisation, operating since 2004.

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As an employer the Company collects and processes your personal data for employment and application for employment purposes. We will process your personal data in accordance with the Data Protection Act and other relevant legislation, and not disclose your personal data to any other third party, unless allowed or required to do so under the Data Protection Act. For further details about the processing of your personal data please see the Full Privacy Notice available by contacting us.

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