Working With Us

Office W19 Bletchley Business Campus, 1-9 Barton Road,

Bletchley, Milton Keynes, MK23HU

+44 1908 714459

Office Number

Mon - Fri: 9:00 - 17:30 & Sat - Sunday: 9:00 - 15:00

Office Hours

Please note Document Required for Employment

Two forms of proof of address dated within the last 3 Months

Acceptable Proof:
• HMRC Letter
• Bank Statement
• Utility Bill
• National Insurance Letter
• Local authority letter
• Others – check with us

Proof Of National Insurance

Acceptable Proof:
• NI Card
• NI Letter
• P45/P60
• Tax Code Notification Letter
• Universal Credit Letter
• DWP Letter

Right To Work (RTW) in the UK

Acceptable Proof:
• British Passport
• EU Passport / EU ID Card with proof of settlement
• NON UK & EU Passports should be accompanied with a BRP Card

Photographic ID

Acceptable Proof:
• Passport
• Driving Licence
• ID Card
• BRP

Criminal Check

Acceptable Proof:
• Updated Enhanced DBS or DBS registered with update service covering both children and adults

Recruitment Process

Assured Care Service Application Form

Step 1 of 5

SECTION 2 : Rehabilitation of Offenders Act

Have you ever been convicted of a criminal offence?(Required)

Yes

Have you any prosecutions pending?(Required)

Yes

Details of Offence(s) and Sentence

(This information will be disclosed by the Criminal Records Bureau check which will be required if successful. Please note a criminal record will not necessarily be a bar to employment)

SECTION 3: Health

Number of days absent in the last 2 years:

Are you registered disabled?(Required)

Yes

If yes please provide your disability number and details:

SECTION 4: Education

Education and Training(Required)

Please list your qualifications in reverse order, starting with the most recent first. Also, include any training that you have received which did not lead to a qualification but which you feel is relevant to the post. If short-listed for an interview, please be prepared to bring original copies of any certificates relating to post-school qualifications or vocational qualifications.

Date Obtained:

Place of study & address:

Examinations taken & grades:

Other Qualifications:(Required)

Please give details of any other qualifications obtained or relevant courses attended.

Date Obtained:

Place of study & address:

Examinations taken & grades:

SECTION 5: Employment Record

Please list chronologically, starting with current or last employer(Required)

Name of Employer:

Employer Address:

Length of Employment:

Salary:

Date From:(Required)

Date To:(Required)

Main Duties and responsibilities:

If currently employed how much notice are you required to give?

(weeks)

Reason for leaving or seeking new employment:(Required)

5: List of Employer (Employment History): Note: Please click on the + sign to add more employment history.

Please give summary details of all your previous employment (most recent first for a minimum of 10 years if Applicable). Please ensure you include all part-time and temporary positions held, even those that are not relevant to your application. Please ensure you include any periods of unemployment or any other time that is not accounted for.

Name of Employer:

Employer Address:

Length of Employment:

Reason for leaving:

SECTION 6: Reference

(1) Reference(Required)

Please give the names and addresses of your two most recent employers (if applicable). If you are unable to do this, please clearly outline who your referees are.

Name of Reference:

Their Position (Job Title):

Work Relationship:

Organisation:

Telephone No:

Address:

Postcode:

Email:

May we contact your references prior to job offer:(Required)

Reference 1:

Yes

(2) Reference(Required)

Please give the names and addresses of your two most recent employers (if applicable). If you are unable to do this, please clearly outline who your referees are.

Name of Reference:

Their Position (Job Title):

Work Relationship:

Organisation:

Telephone No:

Address:

Postcode:

Email:

May we contact your reference prior to job offer:(Required)

Reference 2:

Yes

SECTION 7: Emergency Contacts

Emergency Contacts:(Required)

First Name :

Last Name:

Telephone Number:

Email:

Address:

SECTION 8: Personal Attributes

Please give details:

SECTION 9: Declaration

I confirm that the information provided in this application (and within my Curriculum Vitae if applicable) is both truthful and accurate. I have omitted no facts that could affect my employment. I understand that any false misleading statements could place any subsequent employment in jeopardy. I understand that any employment entered into is subject to documentary evidence of my right to work in the UK and satisfactory references. I expressly consent to personal data contained within this form being recorded for the purposes of assessing suitability for the post and may form the basis of any subsequent personnel file.

Signed:

Date:

Assured Care Service undertakes that it will treat any personal information that you provide to us, or that we obtain from you, in accordance with the requirements of the Data Protection Act 1998. After initial assessment, Assured Care Service will keep your detail for any opportunities that may arise in the future. Please tick if you do not wish us to hold your details.

Yes

Upload CV & Other Document:

Drop files here or

Accepted file types: pdf, doc, docx, jpg, Max. file size: 5 MB.

Filetypes: pdf, doc, docx, jpg

We provide you with trusted in-home care services for both the elderly and young people with physical disabilities.

Our Services

• Elderly Care
• Live in Care
• Physical Disability Care
• Respite Care
• Palliative Care
• Domestic Cleaning
• Re-ablement
• Companionship
• Personal Care

Quick Links

• Home
• About Us
• Our Services
• Working with Us
• Book an Assessment
• Contact Us

Contact Us

• +44 (0) 1908714459
• info@assuredcareservice.co.uk
• Office W19 Bletchley Business Campus, 1-9 Barton Road, Bletchley, Milton Keynes, MK23HU

Website design and development by ROIS

Office W19 Bletchley Business Campus, 1-9 Barton Road,

+44 1908 714459

Mon - Fri: 9:00 - 17:30 & Sat - Sunday: 9:00 - 15:00

Working With Us

Two forms of proof of address dated within the last 3 Months

Proof Of National Insurance

Right To Work (RTW) in the UK

Photographic ID

Criminal Check

Assured Care Service Application Form

THE INFORMATION YOU SUPPLY ON THIS FORM WILL BE TREATED IN CONFIDENCE.

SECTION 1 : Personal Details

SECTION 2 : Rehabilitation of Offenders Act

SECTION 3: Health

SECTION 4: Education

SECTION 5: Employment Record

SECTION 6: Reference

SECTION 7: Emergency Contacts

SECTION 8: Personal Attributes

SECTION 9: Declaration

SECTION 10: Recruitment Monitoring Form

Application for the post of:

What is your Ethnic Group?

Section Break

Asylum and Immigration Act 1996:

Our Services

Quick Links

Contact Us