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a senior woman in her home with her home carer

Support Worker Part Time Application Form

1. Personal Details

2. Education/Qualifications

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Upload File

3. References

Please give details of two people to whom we may apply for a reference. All New Beginnings reserves the right, before appointment, to contact any previous employer. We may make contact by telephone with any of your referees. In any event, we will not make an appointment until satisfactory references have been received. References will normally be taken up when short-listed unless you specifically request otherwise.

Reference 1 - This must be your current or last employer

Reference 2 - character reference

4. Data Protection

The Data Protection Act 1998 requires that any staff handling personal data must follow certain principles in relation to the data that they hold. Individuals have the right of access to data that is held and rights to claim damages if various offences occur. This covers manual as well as computerised records. In implementing the legislation, All New Beginnings adopts a simple and straightforward policy. If you are unsuccessful in this application, we will keep this form on file for 6 months should you wish to be considered for other vacancies within All New Beginnings Ltd.

Please tick to show your agreement with this.

5. Availability

Please complete this section to let us know when you are available to work. Also please advise us of any previous care experience you may have.


6. Declaration

I hereby declare that the above statements are true to the best of my knowledge. I understand that any information submitted in connection with employment and subsequently found to be incorrect or deliberately misleading may render me liable to dismissal.

I can confirm that I do not have any disciplinary action outstanding that I have not informed All New Beginnings about. I have disclosed whether any information will show on my PVG check. I will disclose whether any referral has been made to my governing body i.e. NMC or SSSC in relation to my conduct or my practice. I have been made aware that I must be registered or in the process of being registered with the SSSC within 6 weeks of starting if not already registered.

Thanks for submitting!

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