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Application Form

First Name*:
Last Name*:
National Insurance Number:
Email*:
Address:
Permanent Address: (If different from the above)
Mobile No:
Home Phone Number:

For compliance of the Working Time Directive, we would appreciate it if you could indicate which age bracket you fall into: Under 1616-1718+

Eligibility to work in the UK & Ireland: You must bring the original documentation if invited to an interview as evidence of your entitlement to work in this country. Failure to do so will invalidate your application. Please confirm which of the following you have:British Passport or UK birth certificate & letterCertificate of registration / naturalisation as a British CitizenPassport showing right to live & work in the UKEEC passport or identity card plus required work registration letterNon-European passport with relevant work visaAny other document that supports your eligibility to work in the UK

Have you got what it takes to be a part of our Elite Live In Care team?
Tell us 3 top qualities you have that will make you a great Care Worker.

Tell us 3 ways you will deliver a quality service to our customers:

How does the role you are applying for with Elite Live In Care fit into your career / future?

Outside of work, what are your hobbies and interests? (This may help us match you with a client who has similar hobbies and interests)

What have you been studying? List below your last 2 places of education / training, starting with the current or most recent.

Name & address of school or college
Qualification achieved or being studied

What have you been up to? Elite require your full working history, don’t worry if there are any gaps we just need an explanation. List below your last 3 employers, starting with the current or most recent. Don’t worry if this is your first job you will have a chance to share what else you have been involved in further down the application.
Please provide further details on a CV or the field at the end of this form, these must include; employer name, position, dates to and from and the reason for leaving.

Employer 1

Name of employer:
Type of business:
Position:
Rate of pay:
Dates of employment, from
to
What were your duties?
Reason for leaving:
Manager’s Name:
Telephone no:
Email:

Employer 2

Name of employer:
Type of business:
Position:
Rate of pay:
Dates of employment, from
to
What were your duties?
Reason for leaving:
Manager’s Name:
Telephone no:
Email:

Employer 3

Name of employer:
Type of business:
Position:
Rate of pay:
Dates of employment, from
to
What were your duties?
Reason for leaving:
Manager’s Name:
Telephone no:
Email:

What else have you been involved in...(for example Community work /sports teams/work experience)

Are you coming back to us? (If you have previously worked for us, please tell us when and your reason for leaving)

What’s missing? Were there any gaps between any of the above jobs listed? If so, how long and why?

Length of gap: Between which employers: Reason:

Any further information if necessary:

Who’ll vouch for you? Please give us the names of 2 people (not related to you), who can be contacted to provide a reference for you. If this is your first job, please give a tutor / lecturer’s name. We will require references to cover the past 5 years of employment, but we are able to take this information from your employment history.

Reference 1

Name:
Telephone:
Email:
How do you know this person?:

Reference 2

Name:
Telephone:
Email:
How do you know this person?:

Have you ever been involved in a disciplinary with a previous employer?
YesNo
If yes, please give full details.

Any supplementary information: (optional)

Upload your CV: (optional)

My printed name confirms that all the information given on this application form is true and complete. I understand that any falsification or deliberate omissions may disqualify my application or lead to my dismissal. I confirm that I am entitled to work in the UK & Ireland and can provide original documentation to confirm this. I understand that my employment is subject to references that are satisfactory to Elite Care LTD

Print Name:
Date: