APPLICATION FOR EMPLOYMENT
Position applied for: Support Worker
Location applied for (Please specify area)
Ref: PAP/ 2181
Where did you see this
position advertised?
Haverhill
Surname:
Preferred title e.g. Mr, Mrs, Miss
First Name:
Previous Names (if applicable):
Do you have your own transport? (Yes/No):
Address:
Daytime Telephone:
Mobile:
Postcode:
Email:
Have you ever been employed by
Papworth Trust (please delete)
No
Yes
Are you related to any employee of the Papworth Trust? If yes, please specify
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Education and Training (if necessary please continue on a separate sheet)
Establishment
Secondary Education
Dates Attended
Examinations passed / grades
Further education and
relevant training (if any)
Please provide an Employment Record for at least the past ten years and let us know of
any roles where you worked supporting vulnerable adults or children (if necessary
please continue on separate sheets). If there are any gaps in employment in the last 10
years please let us know dates and reason(s). If we offer you a role we will ask you to
do your best to provide a full employment history. However we do not need this now.
Current / last employer (name
Job Title:
and address)
Date Commenced
Date Left (if no longer in
employment)
Notice Period
Annual Salary
Reason for Leaving
Please describe the duties and responsibilities of your present / last job. Indicate
to whom you are / were responsible and those responsible to you.
Please list past employers - if necessary please continue on a separate sheet
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Employers Name & Address
Position held, main duties and reason for
leaving
Dates of employment
From:
To:
(day/month/year)
Employers Name & Address
Position held, main duties and reason for
leaving
Dates of employment
From:
To:
(day/month/year)
Employers Name & Address
Position held, main duties and reason for
leaving
Dates of employment
From:
To:
(day/month/year)
Employers Name & Address
Position held, main duties and reason for
leaving
Dates of employment
From:
(day/month/year)
Please use additional sheets if required.
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To:
References
Please provide the names of two work referees (who will be able to provide
details of your employment history), one of which must be your Manager in your
current or most recent employment. Please note that we are unable to accept
references from relatives or friends and references will need to be sent to
company addresses, not home addresses. Where this is not possible, please
supply reasons.
For reference purposes if you have been known by a previous name please
advise of this and for which organisations this would relate to.
If you have been previously employed or volunteered for Papworth Trust, please
provide full details below. However, we will still require details of two additional
referees.
Referee 1
Referee 2
Name
Company
Address
Telephone
Email Address
Occupation /
relationship to
you
May we
approach
without further
permission?
Yes
No
Yes
No
The information on this form will be treated as strictly private and confidential.
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Supporting Information
Please provide an answer for each of the questions below, taking the
opportunity to demonstrate your skills, knowledge and experience:
1. How have you previously supported others with care, support and life skills?
2. What experience do you have of dealing with situations that are
challenging?
3. Are you able to participate in a rota that will include; early mornings,
evenings, weekends and sleep-ins or waking nights?
Any additional information which might be relevant to your application:
Declaration
I certify that the particulars given above are correct. I understand that any false
or withholding of relevant information will result in the withdrawal of any offer of
appointment or termination of any subsequent employment with the Papworth
Trust
Signature
Date
If you have attached separate sheets, please indicate how many: _____
Please return your completed application form and associated documents
where possible by email to: [email protected] If you do not receive
an auto reply within 24 hours please telephone to ensure your application
reaches us. If you have not heard from us within two weeks after the closing
date, please presume that your application has been unsuccessful. Please note
that no discourtesy is intended by this practice. Alternatively please post them
to: The Human Resources Department, Papworth Trust, Bernard Sunley Centre,
Papworth Everard, Cambridge, CB23 3RG. Please ensure you use the correct
postage for returning your application to us. We look forward to receiving your
application.
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