Apply - Careers - NSL Care Services

Application Form

Personal Information

Position Applied For

Reference Number

Geographical area you are prepared to work in

Surname
Address
Emergency Contact Name

Forenames
National Insurance Number
Home Telephone Number
Mobile Telephone Number
Email Address
Emergency Contact Number

The prevention of illegal migrant working in the UK is currently governed by Sections 15 - 26 of the Immigration, Asylum and Nationality Act 2006, which came into force on 30th March 2008. Under this law, it is a criminal offence to employ a person aged 16 or over who is subject to immigration control and who has no permission to work in the UK, or who works for you in breach of their conditions of stay in the UK.

Under this Act, all employers have an obligation to ensure all people applying for position within their company are legally allowed to work in the UK. We therefore ask all potential employees to provide us with proof of their eligibility to work in the UK as part of the recruitment process.

Are you eligible to work in the UK	YES NO
Do you need a permit to work in the UK?	YES NO
Do you have a work permit?	YES NO N/A
If yes, when does it expire?	Date
Do you have a driving licence? (please tick as appropriate)	Car PCV LGV None
Have you ever been refused an SIA License?	YES NO
Do you have any relatives currently employed by NSL Ltd?	YES NO
Have you previously worked for / applied to NSL Ltd for employment?	YES NO

If yes, please state when and where:

Are you available to work shifts (including nights and weekends)?

YES NO

When are you available to start work?

Employment History

Name and address of present / last employer Employed from to

Position Held, main responsibilities Reason for leaving

Name and address of previous employer Employed from to

Position Held, main responsibilities Reason for leaving

Name and address of previous employer Employed from to

Position Held, main responsibilities Reason for leaving

Name and address of previous employer Employed from to

Position Held, main responsibilities Reason for leaving

Why do you want to work for NSL Ltd?
Please specify any skills, qualifications or experience which you think would be particularly relevant to the job for which you are applying
As a customer, what key service standards would you expect to see?

Education(Most recent to be provided first)

Please provide details of your education.

Name of School, university or college of further education	Qualifications including GCSE / A Level / degree	Dates from	to

Are you presently in, or going to return to, full or part time education?

YES NO

If so, please give details

Recruitment Monitoring

In order to monitor the effectiveness of our recruitment activities we would appreciate your time in answering the following.

How did you hear about this vacancy?

Disabled Employment advisor

Internal vacancy list

Job Centre (please specify which one)
Newspaper (please specify which one)
Internet (please specify which site)
Personal Contact (please specify who)
Other, please state

Northern Ireland

Are you applying for a vacancy in Northern Ireland?

YES NO

If you answer yes, please complete the following:

Religious Affiliation/Community Background: Treatment (NI) Order 1998 to monitor the perceived religious affiliation/community background of its employees and applicants. In accordance with the Monitoring Regulations 1999, we are asking you to indicate the community to which you belong by ticking the appropriate box below:

I AM A MEMBER OF THE PROTESTANT COMMUNITY

I AM A MEMBER OF THE CATHOLIC COMMUNITY

I AM A MEMBER OF NEITHER THE PROTESTANT NOR THE CATHOLIC COMMUNITY

Equal Opportunities monitoring form

As an organisation, NSL Ltd is committed to the equality of opportunity and fair treatment for all employees, job applicants and members of the public.

It is NSL Ltd policy that no person receives less or more favourable treatment on whatever grounds, or is disadvantaged by conditions that cannot be justified by specific reference or a job or situation.

It is important that we know if our procedures are in keeping with this policy. Could you therefore please provide the following information. This will remain strictly confidential and will in no way form part of the selection process.

Position applied for
Marital Status

Date of Birth
Sex	Male Female
Do you consider yourself to have a disability?	YES NO

If you answer yes, please describe the nature of your disability

Below, we have listed descriptions of race or ethnic origin. Please tick one that most accurately describes your race or ethnic origin.

Ethnic Group

Please select your Ethnic Group from the choices below.

Reference Details

References will only be taken up if your application is progressed. We will seek references from your two most recent employers. If you are a student, your reference should be from a senior member of an educational establishment and someone who knows you, which should not be a friend or relative.

Name / position
Address
Telephone number

Have you been convicted of any criminal offences in the UK, or any EU or EEA counties which are not yet spent under the Rehabilitation of Offenders Act 1974, or are you facing any criminal convictions? If yes, please specify. If you have previous convictions and you are unsure as to whether they are spent or not, please refer to the Rehabilitation of Offenders Act table attached. If you are still unsure, please speak with your recruiter.

YES NO

If yes, please give details

Validity

I declare that the information given on the application form is to my knowledge true. I understand that if it is subsequently discovered that any statement is false or misleading, an offer of employment may be withdrawn or I may be summarily dismissed from employment by the company without compensation.

Tick to Accept Conditions

Date

White British		Indian
White Irish		Pakistani
Other White		Bangladeshi
		Other Asian

White and Black Caribbean		Caribbean
White and Black African		African
White and Asian		Other Black
Other Mixed

Chinese		Other Ethnic Group