Register Now!

Please complete each section carefully.

Role Applied:(Required)

For example: Administrative Assistant or Porter. If you would like to register for general opportunities or specific roles, please provide details in the box below.

I am interested in roles in the following areas:(Required)

Please list any specific job types or departments you would like to be considered for (e.g., Administration, Estates, IT, HR, or General Support).

Location (s) Applied For:

For example Belfast or Lisburn.

Date Available to Start:(Required)

Please provide subject to registration checks the date you wish to start.

Hours Preference:(Required)

FULL TIME

PART TIME

CASUAL

Would you like full time, part time or casual hours.

Referral Details:

Were you referred to us by a friend?

Yes

No

We operate refer a friend scheme’s for certain roles (subject to T&CS)

Please state your friend's full name:

Personal Details:

Title:(Required)

Forenames in full:(Required)

Surname:(Required)

Previous Surname (if any):

Address(Required)

You must be from Northern Ireland to apply to work for Lydian Care and have a registered Northern Ireland address.

Address Line 1: Address Line 2: Town/City: Postcode:

Telephone Number:

Home:(Required)

Mobile:(Required)

Email Address:(Required)

National Insurance Number:(Required)

Are you 18 years of age or over:(Required)

Yes

No

Do you hold a current driving licence & have access to your own car?(Required)

Yes

No

Without a drivers licence and access to your own car we will be limited as to the work we can offer you, You may still apply but we may be unable to offer work in the area you have applied.

Please complete this section if you are not a British Citizen

Are you a citizen or do you otherwise have the legal right to work in Northern Ireland?

Do you have a UK Residence Permit ?

Yes

No

Do you have a work permit ?

Yes

No

Are there any UK immigration control restrictions limiting your length of stay, conditions of stay or freedom to work in the UK ?

Yes

No

If Yes please explain

Have you ever been subject to disciplinary or misconduct issues in any previous role?(Required)

Yes

No

If yes, please give brief detail

Present Health

Do you have any health problem which is relevant to your application ?(Required)

Yes

No

If yes, please give brief detail

Do you have or have you ever suffered from back problems?(Required)

Yes

No

If yes, please give brief detail

Rehabilitation of Offenders Order 1979

Do you have any convictions that are not “protected” as defined by the Rehabilitation of Offenders (Exceptions) (Northern Ireland) Order 1979, as amended in 2014? (a criminal record will not necessarily disqualify you from obtaining a position, Lydian Care has a policy on the recruitment of ex-offenders and made available upon request)

Please write your answer

ACCESS NI DISCLOSURE AT THE APPROPRIATE LEVEL FOR THE ROLE TYPE YOU HAVE APPLIED

As part of your enhanced disclosure check this may include a search of the barred checklist are you on any barred checklist?(Required)

Yes

No

Is there any reason why you may not be able to work in regulated activity?(Required)

Yes

No

Lydian Care complies and follows the Access NI code of practice in relation to the requirements, submission, processing and handling of all candidate disclosure requests. All disclosure requests will be at the appropriate level for the role applied. A copy of the Access NI Code Of Practice which can be found –https://www.nidirect.gov.uk/publications/accessni-code-practice and made available upon request.

If you answer to either of the above questions is YES, please give details below:

Date

Nature of conviction, caution, charge allegation or investigation

Court

Result

Access NI operates under the provisions of Part V of the Police Act 1997. All nurses and care staff will be asked to apply for an Access NI Enhanced Disclosure as part of the recruitment and selection process. Any additional information relevant after commencement of employment must correspond to Lydian Care:

I agree to the above:

Signed

Date

Professional Registration

Do you hold a valid registration or membership with the relevant professional or regulatory body required for your job role? (e.g., AccessNI, NISCC, CIPD, etc. depending on the role)(Required)

Yes

No

If YES please provide details below: If NO if your role does not require a professional registration please leave this field blank.

Registrant Name:

Expiry date (if applicable)

NOTE: IF YOU HAVE A CURRENT CV DETAILING YOUR EDUCATION AND FULL EMPLOYMENT HISTORY PLEASE ATTACH AND CONTINUE TO PAGE 7.(Required)

Yes

No

File(Required)

Max. file size: 496 MB.

University / Higher Education

From

To

University / College

Title of Degree / Diploma

Results

Secondary / Further Education

From

To

Type of School (e.g. Grammar)

Subjects

Results

Details of any other Training Courses taken

Date

Organising Body

Name of Course

Results

Employment History

Please complete details of all your employment history in chronological order, starting with your present and most recent position. (Any gaps in employment must also be listed, and reasons why noted)

To add new entries or delete please click on +/- within the form.(Required)

Employer Name

Address

Position Held

Date From

Date To

Reason For Leaving

References

Please provide the names and contact details of two referees. One must be your current or most recent employer, whom we may contact for a reference.

Referee 1. Can we contact your referee before your interview?(Required)

Yes

No

Referee 1(Required)

First Last

Company Name or Personal Address if Character Reference:(Required)

Either provide the company name or personal address for your referee if no longer with the company OR is a character reference.

Position/Job Title:(Required)

Phone(Required)

Email(Required)

What is your relationship to this referee? (e.g., Line Manager, Supervisor, Colleague, Tutor)(Required)

Referee 2. Can we contact your referee before your interview?(Required)

Yes

No

Referee 2(Required)

First Last

Company Name or Personal Address if Character Reference:(Required)

Either provide the company name or personal address for your referee if no longer with the company OR is a character reference.

Position/Job Title:(Required)

Phone(Required)

Email(Required)

What is your relationship to this referee? (e.g., Line Manager, Supervisor, Colleague, Tutor)(Required)

Call us: 028 43 725 385

Agency Registration Form

Referral Details:

Personal Details:

Employment History

Useful Links

Our Offices

Phone

Email

Address / Location

Register Now!

Agency Registration Form

Referral Details:

Personal Details:

Employment History

Login to your account

Reset Password

Signup to your Account

Address / Location

Job Alerts

Account Activation