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The completion of this application form is mandatory. If you are offered a position with Cornerstone Healthcare Group, we will use this information to conduct background checks inline with regulations and guidance provided by CQC.
Please complete this application in FULL as we are unable to proceed where answers are in part or not completed. If completing in writing please use capitals. You can use the symbol X instead of a tick if completing online.
Any listed will need to have certificate evidence
Current/most recent first. Information must cover the whole of your employment to date. Please state the reasons for any breaks in employment in the section below.
It is essential to check the continuity of employment, as stated in the application form, and to note and investigate any gaps in employment. Failure to carry through such checks has been identified as a significant factor in several recent abuse cases.
Please use the table below to account for any gaps in employment. The period considered must be the whole working life of the applicant, to date. Please see the appendix if you need to complete any further gaps.
Please explain why you have applied for this role and expand on your skills and knowledge to say why you feel you are suited to the position providing details of of relevant experience. This may be taken from the work situation, voluntary work, charity or your own home.
Please inform the interviewer if you are under the age of 18 years as some positions due to personal care for example have a age limit attached.
You must provide references from your two most recent employers. Please provide an additional character referee. All will be contacted, therefore please inform the referees of the fact that you have used their name. If you are unable to provide the required references, please discuss the matter with us.
Please note, this must be someone who has known you 2 or more years, and cannot be a relative/ family member.
Workers and employees are subject to the Health and Social Care Act 2008, and will be subject to a Police Record Check through the DBS. Please declare all criminal convictions, whether spent or not, charges, whether proceeded with or not, and warnings and cautions.
You will not be eligible for work in a care setting if you are on the DBS Register(s).