Vive Care

Vive Social Care Online Application Form

Do you hold a driving license(*)
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Do you have use of a vehicle(*)
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Due to the nature of the business, having a valid UK driving license and access to a vehicle is a mandatory requirement.

 
Vacancy(*)
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Please enter your personal details

Title
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Forename(*)
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Other name(s)
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Surname(*)
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Address(*)
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Postcode(*)
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Date of birth(*)
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National Insurance Number
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Home telephone number
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Mobile telephone number(*)
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Email address(*)
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Personal details continued

Are you fluent in any languages other than English?(*)
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Specify additional languages
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Please select your Nationality(*)
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Overseas applicants (for non-British and non-European Union Nationals only)

Date of entry into the UK
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Do you require a work permit?(*)
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If yes, when does this expire?(*)
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Emergency contact details

Name
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Address
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Postcode
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Relationship
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Home telephone number
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Mobile telephone number
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Please enter your previous 3 employers (most recent first)

Most recent employer; if you are applying directly from school, college or university, you can enter "N/A" in these fields.

Company(*)
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Address(*)
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Postcode(*)
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Start date(*)
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End date(*)
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Position held(*)
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References will not be requested until after interview

Use this employee as a reference?(*)
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Referee(*)
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Enter the next most recent employer

Company
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Address
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Postcode
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Start date
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End date
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Position held
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Use this employee as a reference?
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Referee
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Enter the next most recent employer

Company
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Address
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Postcode
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Start date
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End date
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Position held
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Use this employee as a reference?
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Referee
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Before you can proceed, you must enter details of your most recent employer and select if they can be used as a reference or not

 
Education and qualifications

Name of school / college / university
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Qualifications achieved
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Start date
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End date
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Name of school / college / university
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Qualifications achieved
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Start date
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End date
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Name of school / college / university
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Qualifications achieved
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Start date
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End date
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If you are a member of any professional bodies, please enter the details here
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If you have any additional, relevent experiences not mentioned above, please enter them here
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Please enter details of any professional training you may have

Organisation
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Training completed
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Start date
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End date
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Organisation
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Training completed
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Start date
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End date
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Organisation
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Training completed
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Start date
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End date
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Do you have any convictions that are not spent under the Rehabilitation of Offenders act?(*)
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If yes, please enter details here
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Please state the number of days sickness in the last 2 years(*)
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Please give details of any illness or hospital treatment within the last 5 years
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Have you ever been the subject of disciplinary action?(*)
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If yes, please give details
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Data Protection statement

I declare that the information given in this application form is true and complete. I understand that if I have given any misleading information on this form or made any omissions, this will be sufficient grounds for terminating my employment. I confirm that my personal details may be held and disclosed in the manner contained herein.

Please read the stementment above and select the appropriate option to respond(*)

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