Apply to Join

Jannat Homecare Services Ltd aims to provide and deliver 24 - hour person- centred care and support services to adults with, complex needs, mental health.

Application Form

Please complete the form and upload all the necessary files.

Get in Touch

Applicant's Name:

Position Applied For:

Personal Information

Address:

Home Telephone:

Mobile Telephone:

Email Address:

Date of Birth:

National Insurance Number:

Do you require a Work Permit to work in the UK?

Use of vehicles

Do you hold a Full UK Driving License?

Do you have use of a motor vehicle?

If Yes, do you have Business Insurance?

Please give details of any driving convictions or current penalty points:

Other Information

How did you hear about this position?

Have you applied for a position with us before?

If Yes, please give details:

Education

	Dates - From / To	Name of School, College or University	Subjects or Qualifications achieved	Grade
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Professional Details

	Professional Qualifications and/or Memberships	Date
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	Current Relevant Training and / or Studies	Date
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ㅤ	ㅤ, Current Relevant Training and / or Studies:	ㅤ, Date:
ㅤ	ㅤ, Current Relevant Training and / or Studies:	ㅤ, Date:

Other Interests

Fill in below:

Employment History

	Dates From/To	Name and Address of Employer	Position Held	Reason for Leaving
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Please include FULL employment history, from leaving school, including any gaps, giving reason (e.g. College, left to have children). If you have ever been dismissed from employment, please give reasons.

Current Employment

Name and Address of Employer:

Date From:

Date To:

Position Held:

Current Duties and Responsibilities:

Reason for Leaving (if applicable):

Notice Period:

References

	Reference 1	Reference 2
Name	Name, Reference 1:	Name, Reference 2:
Address	Address, Reference 1:	Address, Reference 2:
Position	Position, Reference 1:	Position, Reference 2:
Telephone	Telephone, Reference 1:	Telephone, Reference 2:

Please give details of TWO Referees. The first MUST be a present or past employer, or if you have recently left full-time education, your school or college. The second may be a personal reference.

Criminal Convictions

All positions within the Organisation will involve contact with vulnerable individuals; you are required to declare all convictions, whether or not they are regarded as spent under the Rehabilitation of Offenders Act 1974.

Do you have any criminal convictions?

Are there any current convictions/proceedings against you?

Are you prohibited from working with vulnerable people?

If you have answered YES to any of the above questions, please give full details below.

Details:

Enhanced DBS Check

All Employees are required to have an Enhanced Disclosure and Barring Service (DBS) Check to meet the definition of regulated activity. Therefore, you are required to sign the Declaration below, before your application can progress.

I give permission for application to be made for an Enhanced DBS Check in my name, and understand that an application will only be made for these checks if my application is successful.

Should the checks reveal anything that is of real concern for the protection of the individuals with whom the organisation works, I understand that the offer of employment will be withdrawn.

I am willing to pay the fee of £74.00 should I leave employment within the first 12 months.

DBS

Applicant's Name:

	Names Used	From (mm/yy)	To (mm/yy)
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Mother's Maiden Name:

Date:

	Address History (5 Yrs)	From (mm/yy)	To (mm/yy)
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Proof of Identity:

Please upload a photo for your ID badge – Head Shot on White Background

Proof of Address:

Supporting Information

Please give reasons for applying for this position, and any additional information to support your application.

I can confirm that all information provided is true and correct and that there are no medical or other reasons that I know of which may prevent me undertaking the required duties of the position. I understand that any misrepresentation will invalidate my application, and if appointed, will result in instant dismissal.

Signature

Sign Name:

Date: