Apply

Please complete each section carefully.

Role Applied For:(Required)

Area Applied For:

For example Belfast or Newcastle.

Date Available to Start:(Required)

FULL TIME

PART TIME

CASUAL

Shift Preference:(Required)

DAYS

NIGHTS

VARIOUS

Please select if you prefer days/nights or various.

Referral Details:

Were you referred to us by a friend?

Yes

No

We operate refer a friend scheme's in order for your friend to be eligible you must put their name here.

Please state your friend's full name:

Personal Details:

Title:(Required)

Surname:(Required)

Previous Surname (if any):

Maiden Name:

Forenames in full:(Required)

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

You MUST have a drivers licence to work as a Home Care Worker as requires you to drive from client to client.

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

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 worked in care services before?(Required)

Yes

No

How many months/years of experience do you have within the care sector?(Required)

Have you ever been subject to disciplinary or misconduct issues while working in care?(Required)

Yes

No

If yes, please give brief detail

ALL Applicants

Tell us about your experience and or transferable skills in care, skills & knowledge gained in employment, voluntary work, caring for a family member or elsewhere

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 ENHANCED DISCLOSURE WITH BARRED CHECKLIST

As part of your enhanced disclosure check this will 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

*please note it is a criminal offence to apply to work in this sector if you are listed on the barred checklist.

Working with children and vulnerable adults in ‘regulated’ activity, as defined by the Safeguarding Vulnerable Groups (NI) Order 2007, is regarded as exempt from the Rehabilitation of Offenders (NI) Order 1978.

This means all convictions must be declared and will be recorded on your disclosure certificate from Access NI - failure to disclose any cautions or convictions will result in your application being disqualified to work for Lydian Care.

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

NISCC Registration

Do you have a valid registration with the Northern Ireland Social Care Council (NISCC) ?(Required)

Yes

No

If YES please provide details below: If NO all carers working in home care require a valid NISCC registration and our HR team will be happy to guide you through the process.

Registrant Name:

NMC Number:

Registrant Name:

NISCC Number:

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

Call us: 028 43 725 385

Lydian Care

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Referral Details:

Personal Details:

Employment History

Useful Information

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Our Offices

Phone

Email

Lydian Care

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