Recruitment - 4-5 Healthcare

RECRUITMENTS

Professional & Expert Care Professionals

Our team of expert care professionals at 4-5 Healthcare is the backbone of our commitment to delivering exceptional care. With their clinical acumen, empathy, and genuine care for every individual, our expert care professionals ensure that the highest standards of care are consistently met, making a positive impact on the lives of those we serve.

LUCY GREEN SMITH

PROFESSIONAL

MARIA ROY JOHN

PROFESSIONAL

JAMES ANDERSON

PROFESSIONAL

LUCY GREEN SMITH

PROFESSIONAL

ANJILIYA ROY SMITH

PROFESSIONAL

At 4-5 Healthcare, we understand the importance of creating a nurturing and inclusive environment for clients. Our staff members are carefully selected based on their qualifications, experience, and passion for caring for others.

Our team consists of compassionate care professional, support workers, and administrative staff who work together to ensure the well-being and comfort of every individual under our care. They are trained in various areas, including personal care, medication management, companionship, meal preparation, and housekeeping, among others.

Our service-providing staff understands the importance of effective communication and collaboration with families, healthcare professionals, and community members. We believe in maintaining open lines of communication to ensure that everyone involved is well-informed and involved in the care process.

Contact us today to learn more about how our experts can contribute to the well-being and happiness of your community and care home clients. Let us be your trusted partner in providing exceptional care and support.

CONFIDENTIAL APPLICATION

"*" indicates required fields

Application Form

Position Applied For

Date available to take up employment

MM slash DD slash YYYY

Salary expectations

Prepared For Work

Full time

Yes

Part Time

Yes

Personal Details

Full Name

Title*

Any Previous Names

Preferred pronouns

Address

If you have been registered as living at any other address in the past 5 years please include details at the end of this form

Home Number

Mobile number

Email Address

National Insurance Number

Passport Number

Do you own a car?

Yes

Have A Current Licence?

Yes

If Yes, License Type

Provisional

Full

Driving License Number

Do You Have Any Current Driving Convictions

Yes

If Yes, Give Details Including Dates

Where Did You Hear About 4-5 Healthcare?

Secondary Education

List*

School Name, Address and Date Attended

Examinations (Subject, Result, etc.)

Further Education and Training

List*

University/College and Date Attended

Type Of Course

Subjects

Qualification or Class of Degree

Occupational Qualifications

List*

College/Institute or Other Name and Date Attended

Qualification/Level

Membership of Professional Body

List*

Name

Level

Date

Languages

Do you speak or read a foreign language?

Yes

If Yes, Give Details

Previous Employment

A full work history is required explaining any gaps in employment.

Present/Last Employer

Address

Street Address

Job Title

Duties/Responsibilities

Start Date*

MM slash DD slash YYYY

End Date*

MM slash DD slash YYYY

Reason For Leaving

List

Employers Name & Address

Job Title

From (Month & Year)

To (Month & Year)

Reason For Leaving

General

Interests/hobbies (give details of pastimes, sports, etc)

Offices Held in Social/Sports Clubs, etc.

Public Duties (Local Councilor, etc.) undertaken

If offered this position will you continue to work in any other capacity?

Yes

If yes, give details

Permission To Work In The UK

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

Yes

If you are successful in your application would you require permission to work in the UK?

Yes

Community/Volunteer Experience

Name and address of organisation

Name and Address of Organisation

Position/Title

Duties

Community/Volunteer Experience

Emergency Contact Name

Relationship To You

Contact Number

Emergency Contact Name

Relationship To You

Contact Number

4-5 Healthcare will hold this information on file for use in an emergency. We hold this data under data protection regulations for ‘Legitimate Interest’. Further information regarding the rights of NoK/ Emergency Contacts should be access here: www.4-5healthcare.co.uk. We strongly recommend that you make your NoK/ Emergency Contact aware we hold their data, and you then direct them to the above statement.

Referees

Work reference 1 (most recent employer) – not members of your own family

Name

Address

Organization

Occupation

Telephone Number

Email address

Work reference 2 – not members of your own family

Name

Address

Organization

Occupation

Telephone Number

Email address

Work, personal or educational – not members of your own family

Name

Address

Organization

Occupation

Telephone Number

Email address

GDPR and the Data Protection Act 2018:

Requires that any staff handling personal data must follow certain principles in relation to the data that they hold. Individuals have rights of access to data that is held and rights to claim for damages if various offences occur. This covers all records.

In implementing this legislation, 4-5 Healthcare adopts a simple and straightforward policy.

If you are unsuccessful in obtaining employment with 4-5 Healthcare, we would like to keep your data on file in case other suitable job vacancies arise in the Company for which we think you may wish to apply. You are free to withhold your consent to this and there will be no consequences for withholding consent.

Your details will be kept on file for 12 months. I would like for 4-5 Healthcare to keep my details on file in case other suitable roles become available: YES/NO If you choose not to have your details on file with us your application form will be held for 6 months and will only be referenced to explain our reason for not offering you a position at the relevant time.

If you would like to withdraw your consent to 4-5 Healthcare keeping your data on file please contact us on info@4-5healthcare.co.uk at any point.

Date of Previous Application

Previous Position Applied For

Did the application go through to interview

Yes

If yes, what was the outcome

Criminal Record Check

I have completed / will complete an application for a criminal record check and can further state that to the best of my knowledge and belief, there will not be any positive disclosure made that will preclude me from working with vulnerable adults or children.

I also give permission for a copy of the disclosure to which I am subject, being made available to a named authorised person upon written request, who acts on behalf of a National Government or Local Government Department for auditing purposes.

Name

Date

MM slash DD slash YYYY

Signature

Criminal Record Check

It is 4-5 Healthcare policy to employ the best qualified personnel and provide equal opportunity for the advancement of employees including promotion and training and not to discriminate against any person because of race, colour, ethnic origin, national origin, sex, sexual orientation, religion or belief, pregnancy, trans-gender status, marital or civil partnership status, age or disability.

I authorise 4-5 Healthcare to obtain references to support this application once an offer has been made and accepted and release 4-5 Healthcare 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 will be sufficient cause for rejection or, if employed, dismissal.

Name

Date

MM slash DD slash YYYY

Signature

Please complete the additional form: equal opportunities monitoring form

You are under no obligation to complete the above mentioned additional form

Thank you for completing the application form. Please return this document to:

4-5 Healthcare, First Floor Office,
54 London Road,Southend On Sea,
SS1 1NX

Alternatively you may email the completed application form to: 01702 680585

Previous registered home addresses in the last 5 years:

Address

Date from

Date to

Welcome to 4-5
Healthcare

RECRUITMENTS

Professional & Expert Care Professionals

LUCY GREEN SMITH

MARIA ROY JOHN

JAMES ANDERSON

LUCY GREEN SMITH

ANJILIYA ROY SMITH

CONFIDENTIAL APPLICATION

Application Form

Prepared For Work

Personal Details

Secondary Education

Further Education and Training

Occupational Qualifications

Membership of Professional Body

Languages

Previous Employment

General

Permission To Work In The UK

Community/Volunteer Experience

Community/Volunteer Experience

Referees

GDPR and the Data Protection Act 2018:

Criminal Record Check

Criminal Record Check

DECLARATION

Please complete the additional form: equal opportunities monitoring form

The office is open Monday to Friday 9-5pm

Copyright © 2023 4-5 Healthcare - All Rights Reserved. | DESIGN BY

Welcome to 4-5 Healthcare

RECRUITMENTS

Professional & Expert Care Professionals

LUCY GREEN SMITH

MARIA ROY JOHN

JAMES ANDERSON

LUCY GREEN SMITH

ANJILIYA ROY SMITH

CONFIDENTIAL APPLICATION

Application Form

Prepared For Work

Personal Details

Secondary Education

Further Education and Training

Occupational Qualifications

Membership of Professional Body

Languages

Previous Employment

General

Permission To Work In The UK

Community/Volunteer Experience

Community/Volunteer Experience

Referees

GDPR and the Data Protection Act 2018:

Criminal Record Check

Criminal Record Check

DECLARATION

Please complete the additional form: equal opportunities monitoring form

The office is open Monday to Friday 9-5pm

Copyright © 2023 4-5 Healthcare - All Rights Reserved. | DESIGN BY

Welcome to 4-5
Healthcare