Interested in joining our team? We would love to hear from you!
Fill in the form below with your details and we will get back to you.
Position Applied For*
Do you need a work permit to work in the UK?* YesNo
National Insurance Number or Work Permit Details*
Is you're vehicle properly insured, and is the insurance renewed annually?* YesNo
NOTE: You must have appropriate insurance cover for driving on our behalf, visiting our service users’ homes, and potentially taking service uses’ out in your vehicle. This is easily set up by contacting your insurance company. You must provide us with a copy of your insurance policy if you are offered employment with us.
If yes to either of the above, please give details:
In the box below please give details of your previous employment, including company details, duties, start date, end date and reasons for leaving. For your most recent employer please state the notice period you must give.*
In the box below please give details of your education history, including educational institution, qualifications, start date and end date. Also include any relevant qualifications or accredited training undertaken.*
All offers of employment are subject to receipt of satisfactory references.
If you have previously worked in domiciliary, nursing, or residential care before, you must include that employer in your list of Referees.
If you are able to provide more than two references, we may be able to process your application more quickly.
Note: Referres 3 and 4 will only be contacted if we cannot secure a reference from Referees 1 and 2.
Full Name Job Title Company Name Telephone Number Email Address Permission to contact reference? YesNo
Full Name Job Title Company Name Telephone Number Email Address Relationship to you: Permission to contact reference? YesNo
Our services are provided 7 days a week throughout the year. This includes early mornings, evenings and weekends and to fulfil your role you will need to be able to work regularly at some of these times. Please indicate below your availability in relation to working time.
Will this be your only job?* YesNo
If no, please specify other jobs and total hours worked as required by the Working Time Regulations.
If offered employment, how many hours and days per week would you ideally want to work?*
Would you be available to work at short notice if required (e.g. to cover other employee absences)*
If offered employment, when do you expect to be available to start?*
Do you currently have any holidays booked, or time off that you are already committed to?*
In the absence of an existing and current enhanced disclosure, your employment with Ashwell Home Care Services would be subject to satisfactory clearance following a Disclosure and Barring Service (DBS) search in respect of criminal convictions.
All potential new employees must agree to the submission of a DBS application. The fee is paid by us on your behalf, although it is an express condition of your employment that we have the right to recover the fee directly from your final remuneration, if your employment is terminated (for any reason and whether by you or us), either during, or following the conclusion of, your probation period. An unfavourable response to a DBS application may result in the withdrawal of any offer of employment, or termination of employment if already commenced.
If at any point during your ongoing employment with us, you become the subject of a criminal investigation; or you are cautioned or convicted of an offence, you are obliged to inform us of the details of the investigation, caution or conviction immediately. Furthermore, repeat disclosure searches in relation to all employees may be undertaken from time to time (usually annually).
Please list below any convictions, cautions, reprimands, or warnings, including any previous convictions that are normally considered as ‘spent’.
Ashwell Home Care Services is committed to the health and safety of all employees and every effort will be taken to minimise potential health risks to yourself and other workers. The information provided in the section below will remain confidential. Failure to disclose or the giving of false information could put yourself and others at risk.
Please answer the following questions in the spaces provided. The information is purely for monitoring purposes, to assist applicants for arrangements for interview and to assess ability to do the duties intrinsic to the role. We do not discriminate against disabled applicants for any other purpose.
Please state whether you have any specific requirements or require any adjustments in order to attend the interview.
Do you have any physical, medical or health issue which may impact on your ability to carry out the role and detail any adjustments you feel would be required for you to be able to carry out the duties intrinsic to this role.
We monitor diversity. Please confirm whether you have any physical, medical or health impairment which has an impact on your ability to carry out day-to-day activities or which may be a disability within the meaning of the Equality Act 2010.
Please provide any information that you feel may support your application, e.g. personal qualities, experience gained in previous employment, training and development initiatives you have undertaken.
Where did you here about our us? Advertisement (Website, Social Media etc.)Recruitment AgencyJob board site e.g. IndeedRelative or FriendEmployee ReferralOther
If Other, please give details
Please upload your CV (accepted file types doc, docx and pdf)*
I declare that the information on this form is correct to the best of my knowledge.
I have not withheld any information that could influence my application.
I believe that I can effectively, diligently, and professionally fulfil the role and duties of a domiciliary carer.