Vacancies

How did you hear of the vacancy?

Were you recommended by a Capstone staff member and if so, who?

Title Please select... Mr Mrs Ms Miss

First Name*

Surname*

Maiden Name

Please include any other name by which you have been known since the age of 18

Present address*

Previous address(es) within last 3 years

Home telephone number*

Mobile telephone number

Your Email Address*

Date of birth*

National Insurance Number

Do you hold a current driving licence? Please select... Yes No

Names of friends or relatives employed by Capstone Care

Current or last employer

Position held and nature of employment

Date last employment commenced

Current or last salary

Notice required by current employer

Please list details of all employment, including the names and addresses of employers, dates employed, positions held, full or part-time working and reasons for leaving, commencing with your current or last position. All times since leaving full time education should be accounted for and any time not spent in employment or education (listed previously) should be listed, including times spent in unemployment, voluntary work, raising a family, or part-time work

Full employment history

Please list position(s) held and applicable dates

Other experience

Schools, Colleges and Universities attended should be listed, with dates, awards and qualifications obtained and levels and grades achieved, commencing with most recent

Education, training and qualifications

Please give reasons for your application, any career hopes that relate to the applications and any qualities you have to offer to the post

Supporting statement

Monitoring Information

Capstone Care Provider has adopted an equal opportunities policy and is keen to ensure that it is operating within these guidelines. As part of this policy, all job applicants are asked to complete this section.

(Please note that this section is primarily about colour and race origin and not naturalization or citizenship).

Select the option that most closely matches how you would describe your ethnic origin

Ethnic Origin Please select... White Black Caribbean Black African Black Other (Please Specify) Indian Pakistani Bangladeshi Chinese Irish Other (please specify)

If "Please Specify" shown above:

Do you consider yourself disabled? Please select... Yes No

Are you registered disabled? Please select... Yes No

Rehabilitation of Offenders Act 1974. Because of the nature of the work for which you are applying, this post is exempt from the provision of the above Act. Applicants are therefore not entitled to withhold information about convictions, which for the other purposes would be regarded as ‘spent’, and in the event of employment, any failure to disclose information about convictions will result in dismissal. If you have been convicted of a criminal offence, please give details including all relevant dates. (Information given will be treated in the strictest confidence). If you have not been convicted of a criminal offence, please indicate by stating "None" in the space provided.

Criminal Offences? Please select... NONE Yes (please provide details)

Details

Have you been involved with any local authority or the Probation department as a service user? Please select... Yes No

If so, please give details

You are required to give details of two references to support your application. Please note that one of your references must be your present or most recent employer if unemployed. (Please include job title, address and postcode)

First reference name

First reference address (including postcode)

First reference telephone

First reference email

Second reference name

Second reference address (including postcode)

Second reference telephone

Second reference email

I declare that the above information is complete and correct. I understand that any false information or deliberate ommission will disqualify me from employment or may render me liable for dismissal or criminal prosecution.*

Send Application