integralfocusltd
Surname:
First name:
Date of birth:
Nationality:
Home address:
Postcode:
Home Tel. No:
Mobile Tel. no:
Your main contact number:
Your email::
Are you related to any present or former employees of the Agency?YESNO
Job applied for:
Job ref:
Are you eligible to work in UK?YESNO
Do you need a work permit to work in UK?YESNO
If yes, when does it expire?
How did you find out about this vacancy?:
Have you ever been convicted of a criminal offence before?YESNO
Have you worked or applied to work for Integral focus Support and Care Services before?YESNO
List the language you speak:
Please give us the details of two people who will provide us with a reference. One should normally be your current employer. If this is not the case, please tell us why not. We will not contact your employer before an interview, but we will contact them before appointment.
Name:
Position:
Agency:
Address:
Tel. no. work:
Tel. no. other:
Is this your current employer?YESNO
Are they related to you?YESNO
Please tell us about your education and training
Please tell us about your education. List any qualifications gained. Any further education.
School / College
From
To
Qualifications – include dates and grades
If you have undertaken any training or voluntary work to improve your employment prospects, please give details below:
Please tell us about jobs you have had
We need a total history of your employment. Start with your present, or most recent job first. If there are gaps in employment please tell us why e.g. unemployment, bringing up family etc.
Employer
Job title and description of duties
Salary / wages
Reason for leaving
No approach will be made to your present employer before an offer of employment is made to you.
Further information
Please use this space to tell us about any other information that you feel will help your application, including any other skills you may have. Please feel free to continue on a separate sheet of paper if required.
Equal Opportunities Recruitment Monitoring.
Integral Focus Support and Care Services is an Equal Opportunities Employer and as such we wish to demonstrate our commitment to equality. To do so, we need to monitor the applicant's sex, age, martial/family status, religion, disability, colour and ethnic origin. This is to ensure that no job applicant or employee receive less favourable treatment because of these factors.Our selection criteria and procedures are frequently reviewed to ensure that individuals are selected, promoted and treated on the basis of their relevant merits and abilities. All employees are given opportunity and are encouraged to progress within the organisation. We are committed to an on-going programme of action to make this policy fully effective and would ask you co-operation by filling in this survey. The information which you give on the form will be treated in the strictest confidence and will not be used for any purpose other than monitoring.
Do you consider yourself to have a disability or health condition?YESNOPrefer not to say
What is your Gender:ManWomanIntersexNon-binaryPrefer not to say
Are you married or in a civil partnership?YESNOPrefer not to say
What is your sexual orientation?HeterosexualGayLesbianBisexualPrefer not to say
Age: 16-2425-2930-3435-3940-4445-4950-5455-5960-6465+Prefer not to say
What is your ethnic origin: BangladeshiIndianPakistaniAfricanCaribbeanBritishIrishAsian & WhiteBlack African & WhiteBlack Caribbean & WhiteOtherOther Ethnic GroupChineseOther ethnic group
I can confirm that to the best of my knowledge the above information is correct. I accept that providing deliberately false information could result in my dismissal.
Signature:
Date:
