Your Details

Current Employer

Personal Statement

Please take the time to make a personal statement, giving the reasons for applying for this role with Cornwallis Care Services; explaining what skills, knowledge and experience you have that makes you the right person to be considered to join our Company. Thank you.

Employment History

(Please provide your full employment history explaining any gaps in employment)

Please select the number of previous Employers you wish to reference...

Qualification and Training Courses

For each Qualification or Training Courses please provide the Subject and Level, the Location of the Qualification or Training and the Date.

References

(Cornwallis Care Services require three references from you. The first reference must be from your current employer or most recent employer. Ideally, the other two references would be a combination of another employer or character references from a professional person; e.g. a tutor. References from family members are not acceptable)

Reference One

Reference Two

Reference Three

Arrangement for the Interview

Additional Information

Data Protection

Information from this application form may be processed for the purposes registered by the Employer under the Data Protection Act 1998. Individuals have, the right of Access to Personal Date held about them, subject to a written request and a payment of a fee under the Act.

Disclosure of Criminal Convictions

You are required to disclose all criminal convictions, cautions, warning or reprimands, including any which may be ‘spent’ under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 and 1986 and therefore even ‘spent’ convictions must be disclosed.
Any information you provide will be strictly confidential and will be considered only in relation to the particular application that you have made.
Disclosure of a conviction or caution does not necessarily mean that you will not be appointed or approved; a person’s suitability will be considered when all of the information is available; our main consideration will be whether the offence is one which would make a person unsuitable to work in a capacity that provides the opportunity for access to vulnerable adults and children.

A conviction includes:

A sentence of imprisonment, youth custody or borstal training;

An absolute discharge, probation order, conditional discharge, bind-over order, fit person order, supervision order or care order;

Any form of dismissal from the Armed Forces;

Detention by direction of the Home Secretary;

Detention centre, remand home, approved school or attendance centre orders;

A suspended sentence;

A fine or any sentence not mentioned above.

Declaration

On behalf of Cornwallis Care Services, thank you for choosing us to come and work for. We wish you every success in your application.