Join Our Team

Get an opportunity to work with Rehovot Services to expand your future goals.

Application Form

Please complete this form clearly, alternatively post it to HR Manager, 520 Purley Way Croydon CR0 4RE England . This form is a part of the application process and must be completed to be considered for any vacancy at with Rehovot Services. If you need help with completing the form, please contact us for further guidance. Submission of a CV will not replace the application form but can be accepted as additional information. Applicants should outline clearly how their qualifications and experience meet both the essential and preferred requirements. All information given will be treated with the strictest confidence. Continuation sheets may be added if necessary.

Position Applied for

Personal Details

Title

Forename

Surname

Date Of Birth

N.I. Number

Address

Postcode

Mobile Number

Do you have the right to work in the UK?

Proof of your right to work will need to verified before an offer of employment can be made – e.g. Birth certificate, Passport or any other document that can confirm your right to work in the UK as required by the Asylum and Immigration Act 1996.

Yes No

Do you have a clean, current driving licence?

Yes No

If no, please give details

Are you in good health?

Yes No

Please give details of any ill health and any medication/medical treatment you are receiving:

Do you have any booked holiday arrangements?

Yes No

If yes, please give dates:

If your application is successful, please specify the date on which you would be able to start work?

Education

From

Name and type of school (i.e Grammar/Secondary)

Examinations taken, qualifications gained, grades, awarding body?

Further / HigherEducation

From

Name of Institution Full-time or part-time

Subjects studied, level of qualification gained, awarding body

Membership or registration with a Professional Organisation or Governing Body

Grade or type of membership

Institute/ Organisation

Date joined

Employment Record (Start with current/most recent employer)

There should not be any gaps in your employment history. Please attach a separate sheet of paper explaining any periods when you were not employed. (If additional employment room is needed, please attach a separate sheet of paper)
For each employment make sure to add Name and Address of Employer/Nature of Business: | From: | To: | Job title and final salary: | Reason for leaving/ any disciplinary action taken against you:

Please use this space to tell us a little about yourself. Your reasons for applying for this job and any relevant skills or experience you may have.

Criminal convictions/cautions/disqualified persons/investigations

Have you ever pleaded guilty, been convicted or been cautioned by a Police Officer for any criminal offence?

Yes No

Have you ever been subject to, or interviewed as a potential suspect or investigated in relation to, disciplinary matters or allegations against you in any of your previous employment?

Yes No

Have you ever been subject to, or party to, court proceedings involving any social services authority or its equivalent, here or abroad that has resulted in removal of children or adults from your care, or the imposition of a statutory supervision order?

Yes No

Have you ever been refused registration or cancelled from an official register of: - Child minders - Day care providers - Private fostering - Registered care homes or children’s homes

Yes No

If yes to any of the above, please give details:

References

Please give the details of two work related referees, including your current or most recent post. A reference from your school/ university will be accepted if you have been in education. 2 character references are also required, from colleagues or friends who have known you for a minimum of 3 years, and can comment on your character and aptitude for the job. Referees will not be contacted prior to you being offered a position with Rehovot Services Ltd. We also require details of all previous jobs working in the care industry, in order to obtain references. We will only accept one referee from each employer, which would ideally come from the HR Department or Direct Line Manager. Provide Name, Company, Position, Address, Email, Telphone for each reference

References

Please give the details of two work related referees, including your current or most recent post. A reference from your school/ university will be accepted if you have been in education. 2 character references are also required, from colleagues or friends who have known you for a minimum of 3 years, and can comment on your character and aptitude for the job. Referees will not be contacted prior to you being offered a position with Rehovot Services Ltd. We also require details of all previous jobs working in the care industry, in order to obtain references. We will only accept one referee from each employer, which would ideally come from the HR Department or Direct Line Manager. Provide Name, Company, Position, Address, Email, Telphone for each reference

We will process the personal information provided by you in the application form, and any other personal information provided by you now or in the future, in accordance with the Data Protection Act 1998, to assist us in considering your application for employment and, if you become an employee, for purposes relating to your employment. For selection purposes, your personal information will be considered by appropriate individuals within the organisation. Any appointment will be subject to satisfactory references and advanced DBS check. We keep all unsuccessful applications for 6 months just in case a suitable position does become available. However if you would prefer us NOT to retain your information please contact us by email to request that all your information held by us is deleted/destroyed – this only applies to unsuccessful applications. All other staff records are retained whilst you continue to work for us. If your application is successful, all of your personal information (including sensitive information) provided on your application form, and any information provided by you now or in the future, may form part of your personal file and will be held confidentially. Your personal information will be processed to assist in the service and administration of the Company’s employment practices e.g. payroll & pension. Your supervisor may also have access to your personal information to assist in line management duties e.g. Professional Development/Appraisal Reviews. Should you leave the Company’s employment, your personal information will be retained for a reasonable period of time in line with Personnel practice, including the purposes of providing references and dealing with queries in connection with your employment.

DECLARATION

I declare that to the best of my knowledge and belief all the statements and information given in this form are true and complete, and that I have not withheld any material fact. I understand that any appointment will be made on the basis that the information given on this form is true and correct. I understand that if I have failed to disclose information or have given incorrect information this may result in an offer of appointment being withdrawn, or in disciplinary action or summary dismissal at a later date. I have read and understood the Data Protection statement and consent to the Company processing my personal information as described above
Name

Please upload a photo of your digital signature

Date

EQUAL OPPORTUNITY AND DIVERSITY

We are committed to promoting equal opportunities and diversity in employment, in respect of our recruitment and selection procedures and in ensuring that all employees receive equal treatment in employment. We seek to employ a workforce which reflects the diverse nature of our community and value the contribution of each individual regardless of sex, age, marital status, disability, sexual orientation, race, colour, religion, ethnic or national origin. Responses will be treated in the strictest of confidence. The information you provide will be used for statistical analysis only and will assist in evaluating the Company’s progress towards improvements in its diversity strategy. We would, therefore, be grateful if you would complete the details below in line with our commitment to promoting diversity. The information will be held in compliance with the Data Protection principles as set out in the Data Protection Act 1998. Should you become an employee, we will seek periodic confirmation from you as to its accuracy.
Name

Position Applied For

Gender

Female Male Do not wish to specify

Nationality

Age Range

19 20-29 30-39 40-49 50-59 60-69 70+

ETHNIC ORIGIN

White – British/Any other white background Mixed race Asian or Asian British Caribbean Pakistani Black or black British Indian Bangladeshi Chinese Any other background not specified White Irish

DISABILITY

We are committed to ensure people with disabilities are treated fairly and well, to enable them to carry out their role effectively. The Disability Discrimination Act 1995 defines disability as ‘a physical or mental impairment that has a substantial and long-term adverse effect upon his/her ability to carry out normal day-to-day activities’.
Do you consider yourself to have a disability?

Yes No

If yes, please give details

Do you think you will require the Company to make any reasonable adjustments/special facilities to attend our offices and do your work?

Yes No

Are you registered disabled?

Yes No

Address

The Old Tithe Barn, 520 Purley Way, Croydon, London. CR0 4RE

Call Us

020 8680 8693

Email Us

admin@rehovotservices.com