Application Form

Please take your time to complete this application form. Following completion, please return the application form to Willow Home Care Ltd. Post review of your application, if you are a suitable candidate for the job role, we will contact you and invite you for an interview.
Willow Home Care Ltd aims to lead the way in Community Care, by providing a professional,safe, quality service, offering choice, reliability and sensitivity to meet the needs of each service user.
 
Willow Home Care Ltd strive to meet the key values, that underpin the quality of our care and support services we provide:privacy, dignity, independance, choice, rights and fulfilment.
A JOB FIT FOR YOUR LIFESTYLE............
Our care service operates 24 hours a day, seven days a week, 365 days a year. Offering candidates flexible working to suit their life style choices on either a permanent, full time or part time basis.
PREVIOUS EMPLOYMENT
 
We will contact your previous employer to request a reference. All job offers are subject to satisfactory references.
Employment History *
 456
Company Name:
Address:
Email:
Contact Number:
Position Held:
Start Date:
End Date:
Employment History Continued *
 123
Company Name:
Address:
Email:
Contact Number:
Position Held:
Start Date:
End Date:

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AVAILABILITY TO WORK
As you are aware, our service operates 7 days per week, we require all our staff to work alternative weekends. As a guideline, please let us know your availability. *
 7am - 3pm3pm - 10pmNights
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
As per the Terms and Conditions, detailed in your contract, you will be required to work alternate weekends.. Could you please confirm, your acceptance of this requirement. *
Would you be willing to work hours, over and above your availability? as and when business requires. *
Are you applying for a full or part time position? *
Professional Referee Details


Please provide 2 professional references below *
 NameNumberemailRelation to you
1
2
Character Referee Details


If you are unable to provide 2 professional references (above) please provide 3 character references (please note these cannot be family members). *
 NameNumberemailRelation to you
1
2
3
HOW DID YOU HEAR ABOUT WILLOW?
CRIMINAL CONVICTIONS
Have you ever been convicted of any criminal offence, either spent or unspent convictions, under the Rehabilitation Offender Act 1974? *
DRIVING LICENCE
I have a full UK driving licence (or EU equivalent) *
I have never been convicted of drink or drug related driving offences *
I have access to my own vehicle *
I am willing to obtain business insurance if successful for this position *
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