Job Application Form


    PART 1


    NB: If you are successful at interview, you will be required to present evidence of this prior to your appointment and may be subject to an Immigration Check.


    Please enter details of any professional membership (if applicable):

    All staff with a clean driving license will be expected to take on the responsibility of driver if applicable.

    If yes, please complete the following:



    Following interview, if you are short-listed, references will be taken from your current and most recent employer/s (a minimum of two references covering the past three years without any gaps as a combination or fully will be required). If you have never been in paid employment, academic or character references will be acceptable.


    This must be someone who knows you personally for at least 3 years who is not a direct relative.

    PART 2


    Qualifications obtained from schools/colleges/universities including any relevant professional qualifications.

    NB: We will ask you to provide original copies of your degree/professional level or other relevant qualifications.


    Please state any other relevant courses you have completed, including short courses.


    PART 3


    Rehabilitation of Offenders Act 1974

    The position for which you have applied is defined as eligible for a DBS check, taken from the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are 'protected' and are not subject to disclosure to employers, and cannot be taken into account. Guidance and criteria on the filtering of these cautions and convictions can be found on the Disclosure and Barring Service website.

    All candidates must complete the appropriate sections of this form. This section will be treated as confidential. It is emphasised that ex-offenders will only be assessed on their ability to do the job applied for, and any spent convictions and cautions will only be taken into account if relevant to the job.

    If yes, please supply details below. If no, please go straight to Part 4.

    PART 4


    This section is used for equality and diversity monitoring purposes only and will be detached from your application form. It will be treated as confidential by our Human Resources department and will not influence or determine whether you are short listed.

    The company is an equal opportunities employer and aims to ensure people are recruited, selected, trained and promoted on the basis of job requirements, skills, abilities and other objective criteria. The Company will ensure that no job applicant or employee receives less favourable treatment on the grounds of race, colour, nationality, ethnic or national origins, religious belief, sex, sexual orientation, marital status, disability, age or is disadvantaged by conditions or requirements which cannot be shown to be justified as being necessary for the safe and effective performance of the job.

    We guarantee disabled applicants an interview, should they meet the minimum requirements of the job. The company will make any reasonable adjustments to enable attendance at an interview. Please indicate whether you are likely to require any of the following at any stage of your application:


    I hereby declare that the information provided on this form is correct to the best of my knowledge. I also give my consent to have this information held and processed by the company in accordance with the Data Protection Act 1998.

    Sequence Care Group take data protection very seriously. Your privacy is of the highest importance to us. In consideration of the General Data Protection Regulations, we would like to request your permission to store the details provided on this application form for recruitment purposes only. In order for us to continue to contact you we require your permission.

    We may consider your application for opportunities that you may have not specifically applied for based on your skillset therefore, your details will be stored in a talent pool and contacted when a suitable position arises. The legal basis is our legitimate interests in finding an appropriate candidate for particular roles & vacancies.