Apply Online

Thank you for choosing to apply for a position with us. We look forward to receiving your application and hopefully meeting you.
We have included some guidance notes to help you complete your application form and to give you a few hints on what we are looking for in our candidates. Serenity Always Healthcare is an energetic company that has the aim of making the Care Industry a great industry to work within and one that has many prospects for all.


Some tips for completing your application form:
Before completing your application form, please read it through thoroughly


•If you would like this application form in another format (e.g. large print) then please contact us on 01902459199. We are happy to receive applications in other formats.
• This position requires an Enhanced DBS Disclosure therefore please provide accurate information as any false or incorrect information may cause delays in obtaining your Enhanced DBS. Please note that the cost of the DBS will be borne by the applicant as DBS’s are now the property of applicants.
• Owning and driving a car is an advantage for the position as the role will require applicant to travel between locations.
• Make sure you include all relevant training you have received and qualifications you have gained.
• Try to make your experience and achievements relate to the position you are applying for. We are looking for candidates that meet, and exceed, the job description criteria. This could include experiences, training and skills gained from education, employment, voluntary work or your personal life. If you have been given extra responsibilities in previous positions, then please make sure you include them.
• Please include two professional references and one character reference including one from your current/previous employer, especially if the position involved working with Vulnerable People.

Serenity Always Healthcare
6 Waterloo Road
Wolverhampton
WV1 4BL

or

email – info@serenityalways.co.uk

Section 1: Personal Details

Note: As stated in all our job descriptions, an Enhanced DBS Disclosure is required for this position. If your application is successful, we will use the information you have given to apply for an Enhanced DBS Disclosure on your behalf. These can take several months therefore it is essential you provide accurate information to ensure there are no delays.

Do you hold a current UK driving licence* —Please choose an option—YesNo
Please state details of any penalties on your licence or convictions pending:*
Do you own a car* YesNo
Where did you see Serenity Always Healthcare advertised?*

Section 2: Education Qualifications


Note: You will be asked to provide copies of all your educational qualifications and training. If you have problems obtaining such copies please feel free to contact us and we will discuss this with you.


Please list your educational qualifications and training in chronological order with the most recent first. Feel free to continue a separate sheet if necessary but please ensure you attach any additional sheets securely.


Education Qualifications

Section 3: Employment History


Please list below a complete record of other employments and include, if you wish, any voluntary activities either paid or unpaid. These should be in date order, starting with the most recent. Please explain any gaps in employment.

How many sick days have you had in the last 3 years*
Please list the reasons for such sick days.*
Are you currently working?* —Please choose an option—YesNo

Do you have any commitments that prevent you from working certain hours/days? * —Please choose an option—YesNo

Your Availability

Section 4: Why would you like to work for Serenity Always Healthcare?


This is your opportunity to sell yourself. Please write a brief paragraph about why you want to work for Serenity Always Healthcare, why you want to work within the care industry and what attributes you have that would make you the ideal candidate.


A few hints:

1. Try to relate your experience, qualifications and training to the job description. State what you feel have been your biggest achievements and what you enjoy most.
2. Read all information we provide and spend a little time doing a bit of research about Serenity Always Healthcare and the Care Industry.
3. Are you sure homecare is for you? Do some research on homecare and what it entails?

Section 5: Further Information


Criminal convictions*
As defined by the Rehabilitation of Offenders Act 1974 and subsequent regulations, under section 4.2 you do not need to declare convictions which are 'spent'.
However, by virtue of the Rehabilitation of Offenders (Exceptions/Amendments) Order 1986 those provisions do not apply if you are applying for a job supervising, caring for or otherwise connected with people from the following list, you must always declare any convictions and/or cautions for criminal offences, even where they are 'spent'. For these purposes, this includes working with children, young and older people, those who are dependant on alcohol or drugs, and those with mental or physical disabilities, illness, injury or deformity, including people who are blind, deaf or without speech.



Please note if you have any cautions or convictions that you do not declare on this form then we will not be able to offer you a position. Please list all cautions and convictions.

References


PLEASE PROVIDE TWO PROFESSIONAL REFERENCES,
ONE MUST BE YOUR CURRENT/LAST EMPLOYER.

Name:

Company Name:

Address:

Tel:

Mobile:

Email:

Name:

Company Name:

Address:

Tel:

Mobile:

Email:

Name:

Company Name:

Address:

Tel:

Mobile:

Email:

Section 6 Health Questionnaire

PLEASE COMPLETE ALL FIELDS

Surname:
Forenames(s):
Date of Birth:

Further Questions

Notice:


Serenity Always Healthcare requires certain information prior to candidates commencing employment, to ensure performance requirements for the position are met and a reliable service is provided. This information is to ensure compliance with relevant Health and Safety regulations. The information is also required in order to establish whether any reasonable adjustments may need to be made to assist you in performing your duties, in accordance with the Disability Discrimination Act 1995. All information provided is kept confidential and used only for the purposes detailed above in compliance with the Data Protection Act 1998.

Immunisations: Have you ever been vaccinated, immunised or tested for any of the following:

Section 7: Equal Opportunity Policy


We regularly review and improve our recruitment process; therefore, we ask that you complete the following form to assist us with such improvements.
Information you provide in this form will not be used in selecting or not selecting you for an employment position and is used to monitor our equal opportunities policy. This information is confidential, and you will not be identified by any information you provide in this form. Completed forms will be detached from your application upon receipt and will not be held in employment files. This form is not part of your application.

Job Title Applied For:*


Surname:*


Forename(s):*


Gender:*


Marital Status:*

Ethnic Origin (The following categories are recommended by the Commission for Racial Equality. If you feel the choices do not provide a suitable option, please write down how you would describe your ethnic origin)
A White D Black or Black British
1 White British 11 Caribbean
2 White Irish 12 African
3 White Other (please specify) 13 Any other Black background (please specify)
B Mixed E Chinese or other ethnic group
4 White and Black Caribbean 14 Chinese
5 White and Black African 15 Any other (please specify)
6 Any other Mixed background (please specify)
C Asian or Asian British
7 Indian
8 Pakistani
9 Bangladeshi
10 Other Asian Background (please specify)

	
  		


			
  A Disability is defined by the The Disability Discrimination Act (DDA) defines a disabled person as someone who has a physical or mental impairment that has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities.
			
			
 
  Do you have a disability? 	
  —Please choose an option—YesNo
			

  Section 8:  Serenity Always Healthcare Next of Kin and Doctors
  Emergency Contact Details



  Can you please fill in this section so we have a point of contact for you as an emergency contact number


Name 
Relationship 
Telephone 	
 Address  

Doctor's Details 
Name* 
Surgery* 
Contact Number* 
If these details change can you, please ensure the office is aware. These contacts will only be used in an emergency.