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Please download and complete the form provided above and upload it here to complete your application.

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Please fill out the form below or alternatively you can download the Application form above and submit it here.

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Qualifications
Please give details of all your qualifications, including professional qualifications. Proof of professional qualifications/status will be required before an appointment is made

Details of Current or Last Employment
Briefly describe your current/most recent position, highlighting skills, duties and responsibilities, or experience relevant to the post for which you are applying and how you meet the description of the job applied for.

Details of All Previous Employment
Details of all previous employment (including voluntary, holiday, home-based, part-time work). Please provide full contact details of previous employers in the care or education sectors. Please detail any gaps in employment that are longer than two weeks in this section. and demonstrate how you meet the criteria listed in these sections.




References
Please give the names of three people who may be approached for a reference. These include the following: your present or most recent employer or school, college or university if you have not ben in employment, and a personal referee, who must be a non-family member who has known you for two years or more. Please state in what capacity you know each of the referees you give



Broomhill Care Group follows safer recruitment best practice. References may be sought if you are shortlisted, prior to an interview, unless you indicate otherwise.
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Safeguarding
Broomhill Care Group is committed to safeguarding and promoting the welfare of adults who use our services and as such, expects all staff and volunteers to share this commitment.
The Rehabilitation of Offenders Act 1974 (Exceptions Order 1975)
Please complete the section below (A or B) which is relevant to the role you are applying for.

A.
Applicants for the general post need to disclose details of unspent convictions. Please tick the appropriate answer below:
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If yes, please provide details of the unspent conviction (s) in a document and upload to this application below

B.
Applicants for positions in which they may come into contact with vulnerable adults must declare both unspent and spent convictions. Please tick the appropriate answer below:
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If yes, please provide details of the unspent conviction (s) in a document and upload to this application below If you are selected, you will be required to apply for a Disclosure from the Criminal Records Bureau/Disclosure Scotland/Access NI
E.g GSCC, NISCC, SSSC, CCW, GTC
If yes, please provide details of the unspent conviction (s) in a document and upload to this application below
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Please note: Failure to disclose information where asked for could result in subsequent dismissal or disciplinary action if you were appointed.
Having a criminal record will not necessarily be a bar to employment with Broomhill Care Group.

I confirm that the information given in this application is correct to the best of my knowledge and understand that wrongful completion will invalidate any contract of employment, which may be offered to me by Broomhill Care Group Ltd.

Monitoring
Broomhill Care Group is opposed to discrimination on any grounds. We Therefore operate recruitment and selection policies designed to ensure that all job applicants are treated equally regardless of race, religion, ethnic origin, culture, sex, sexuality, marital status, age and disability.
Bank Details

Next of Kin Details
By submitting this form you explicitly consent Broomhill Care Group to contact you in accordance to our privacy Policy however you can opt out at anytime to stop receiving any notifications.
I Confirm that I have received a job description/specification which enabled me to complete the above questionnaire for the part relating to Exposure levels.

Medical History
Have you ever suffered from any of the following?
Heart/Circulatory Illness/Hypertension
Diabetes
Bronchitis/Pneumonia/Pleurisy
Tuberclosis
Phychiatric Illness/Anxiety/Depression
Back Problems
Recurrent infections
Are you taking any prescriptions drugs
Asthma/Hayfever
Jaundice
Dermatatitis/Psoriasis/Eczema
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Have you ever been vaccinated, Immunized or tested for/against any of the following?
Varicella
Tuberculosis including BCG
Tuberculosis including BCG
Rubella (Geman Measles)
Poliomyelitis
Hepatitis B
Tetanus
Typhoid
HIV
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Declaration
I certify that the information given in this application form is correct to the best of my knowledge and I give consent to BroomHill Care to verify any information required to process this application. I understand thatBroomHill Care may terminate my employment without notice if I make a false or misleading application.

See our privacy policy.
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