Register with Entrust Social Care

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Please fill in the application form below to register with Entrust. Alternatively call 0845 126 1661, email info@entrustsocialcare.co.uk or download our application form

You can also email a CV if available to jobs@entrustsocialcare.co.uk

Personal details

Surname:
Forename:
Previous Surname(s)
Title:
Date of birth (dd/mm/yyyy):
Nationality:
National Insurance No:
GSCC Registration No:
Address:

Town/City:
County:
Postcode:
Daytime tel no:
Evening tel no:
Mobile tel no:
Email:

Education and Training

Please include: From & To dates, Name of University/College & Qualifications obtained

Professional Registrations

Please include: Professional Society/Union, Membership/Registration number, Fee paid until

Please state other languages that you are fluent in (including sign language)

Current and Previous Employment (most recent first please)

Please include: From & To dates, Name and Address of Employer, Job Title/Duties/Experience, Grades

General Information

To help us identify the most suitable positions for you please answer the following:

Preferred geographical area:
Notice period:
Do you hold a clean driving licence:
Do you have access to a car:
How did you hear about us:
When are you available from:
Do you wish to work full time:
If no, how many hours do you require:
Can you do shift work/sleep ins:
What further training are you considering:
Current rate of pay:
Expected rate of pay:

Have you experience working with/as:

	Children
	Adolescents
	Elderly
	Learning difficulties
	Mental health
	Physically disabled
	Homeless
	Sensory impairment
	Drug/Alcohol abuse
	H.I.V

	Child protection worker
	Generic/Duty field worker
	Hospital worker
	Fostering/Adoption worker
	IT/Juvenile justice worker
	Family centre worker
	Unqualified social work asst
	Educational social worker
	Senior/Manager
	Other

References

One reference must be your current or most recent employer (not agency). If you are completing/have completed a DipSW course in the last year, a practice teacher or tutor will be acceptable as one of the referees.

Please tick the box if you want us to check with you before we obtain a reference.

Please include: Name, Job title, Address, Postcode, Tel no

Additional information

This should include unemployment, voluntary work, raising a family, part time work or education.

Supporting statement

Please explain how you see your experience, skills and knowledge meeting the requirements of the type of work you would apply for.

REHABILITATION OF OFFENDERS ACT 1974

Because of the nature of the work for which you are applying, it is considered to be exempt from the provisions of the Rehabilitation of Offenders Act 1975 No. 1023. Applicants are required to give details of ALL convictions for criminal offences including those which would otherwise be considered ‘spent’ by virtue of the said Act. Failure to give details of convictions, cautions or bindovers could result in de-registration. Information given will be considered only in relation to this application.

1. Do you have any convictions, cautions or bindovers? If none write None

2. Have you ever had disciplinary action taken against you? If none write None

3. Are you at present the subject of criminal charges or disciplinary action? If none write None

4. Do you consent to Entrust requesting a police check and any appropriate references on your behalf?

5. Have you been police checked in the last 2 years?

6. If so, when and by whom

I consent to Entrust holding my details in their database
All data held will be done so in accordance with the Data Protection Act 1998

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