Application form

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First name *

Surname *

Position applied for *

Closing date

GDPR Agreement *

• I consent to having this website store my submitted information so they can process my application. If you do not consent, please contact admin@bethanyhouse.org.uk to request an email or paper copy of the application form. Privacy information is at https://bethanyhouse.org.uk/privacy.

Address including postcode

Home telephone

Mobile telephone *

Email *

National Insurance number *

EDUCATION AND PROFESSIONAL QUALIFICATIONS *

Please give details of schools, colleges and universities attended in date order. State name of establishment, dates attended and subjects/diplomas/certificates/degrees obtained. Please leave a line between each establishment.

Hobbies and interests

Do you hold a current driving licence?

• Yes
• No

CURRENT EMPLOYMENT: Present post

Name and address of current employer

Brief description of duties undertaken

Starting date of current employment

Current grade and salary

If appointed, when could you start?

Are there any restrictions to your residence in the UK that might affect your right to take up employment in the UK? *

• Yes
• No

If you are successful in your application, would you require a work permit to work in the UK? *

• Yes
• No

***Do you have any unspent conditional cautions or convictions under the Rehabilitation of Offenders Act 1974? *

• Yes
• No

***Do you have any adult cautions (simple or conditional) or spent convictions that are not protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020? *

• Yes
• No

If you answered YES to either of the previous two questions marked ***, please give details.

Note: The amendments to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020) provides that when applying for certain jobs and activities, certain convictions and cautions are considered ‘protected’. This means that they do not need to be disclosed to employers, and if they are disclosed, employers cannot take them into account. Guidance about whether a conviction or caution should be disclosed can be found in the DBS filtering guidance or on the Ministry of Justice website. We fully comply with the DBS code of practice and a copy of our policy on the recruitment of ex-offenders is available on request. Failure to reveal information that is directly relevant to the position sought could lead to withdrawal of an offer of employment. The post will be subject to a criminal records disclosure. (A fee is required for this service, which Preston Bethany Care will fund, but should your employment terminate within four weeks of your appointment, the fee will be subject to repayment.)

PREVIOUS EMPLOYMENT

Please include all your previous employments in date order. State name of employer, position held, whether full or part time, and dates of employment. Please leave a line between each employment.

Statement in support of application

Please use this section if you wish to give any additional information or comment that you feel is relevant to your application.

REFERENCE 1 (EMPLOYER)

This should normally be your current employer. (References should confirm a minimum of three consecutive years of continuous employment or training.) Please give the name, address and relationship to you. If your current employer is a referee, please indicate whether you are agreeable to him/her being approached for a reference, in the event of your being short-listed.

REFERENCE 2

This could be a character reference from someone who knows you well, or if your employer reference doesn’t cover three consecutive years, one or more additional employers can be noted here. Please give the name, address and relationship to you.

REFERENCE 3

This could be a character reference from someone who knows you well, or if your employer reference doesn’t cover three consecutive years, one or more additional employers can be noted here. Please give the name, address and relationship to you.

Are you related to any of the trustees of Preston Bethany Care? *

• Yes
• No

Where did you see the advertisement for the post? *

Authorisation *

• I authorise the organisation to obtain references to support this application once an offer has been made and accepted and release the organisation and referees from any liability caused by giving and receiving information.

Declaration *

• I confirm that the information given on this form is, to the best of my knowledge, true and complete. Any false statement may be sufficient cause for rejection or, if employed, dismissal.

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Preston Bethany Care and Bethany House have a Christian ethos

You can find out more in our Christian ethos statement. It is important that all staff work within and support our Christian ethos and values, even where the job role doesn’t state the requirement to be a practising Christian.

Equal Opportunities

It is Preston Bethany Care’s policy as an employer to treat all job applicants and employees fairly and equally with regard to protected characteristics including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation, subject to the position regarding occupational requirements.

Data protection

Preston Bethany Care processes recruitment information in the legitimate interest of selecting the best candidate for the post and to fulfil our legal obligations under employment, safeguarding and equality law. All information supplied will be treated confidentially in accordance with our data protection policy and procedures. Failure to supply the required information may mean that we cannot consider your application. Further details, including your data rights, are available in our privacy notice.