Application For Employment Page 1 of 5
Personal Details
Surname: Title:
(which you like to be known by):
Previous Surname:
Home Telephone:
Mobile Telephone:
Work Telephone:

May we used this number?
Postcode: Email Address:
Which contact method / number do your prefer?
Position Applied For: Location:
Where did you hear about this vacancy: Do you any anyone who works at Rushcliffe Currenty?
Please state your professional registrations or certificate number, date of issue and expiry (where applicable) e.g. NMC / DfES / ISA Number:
Issue Date:
Expiry Date:
National Insurance Number:  
Many of the posts within Rushcliffe Care Group are exempt from the Rebhabilitation of offenders Act and you may be asked to disclose spend convictions as a result of this. At this stage however please detail any convictions that are not spend under the rehabilitation of Offenders Act:
Rushcliffe care group is able to offer employment after a CRB check and POVA/POCA 1st has been successfullly completed (Care Standards Act 2000.) Enhanced disclosure for ALL staff at ALL levels apply. I am also aware that if I listened to the POVA register it is an offence to apply for work with the vulnerable Adult / Child grop and it could necessitate referral to the local authorites and / or secoretary of state.
Signed: Date:
Do you require a work permit to work in this country?
If yes please detail any conditions attached to your work permit:
Will you be working as a dependant on another persons work permit?
Is English your first language?
Do you currently hold a full UK driving licence? Do you have any current endorsements?
If any section does not have enough room for all your details, please use the box below.
Please attach your CV here: