General Enquiries: 01926 776920

New Application Form

    About you

    Are you Legally entitled to work in the UK?



    What is your general state of health?


    Complete as necessary.

    Previous work experience /Employment Details

    Starting with your current or most recent employer please list your employment history. Complete as necessary.

    Further Education / Professional Qualifications gained

    Complete as necessary.

    Upload your C.V

    Acceptable formats are: PDF, Word .doc, Word .docx. File size limit: 2MB

    General Interests & Hobbies


    Please supply the names of two people, (one must be your current or most recent employer who is not related to you) who are willing to provide you with a reference.

    Due to the nature of the position it is necessary for all applicants to provide a DBS (Disclosure and Barring Service) form, (this will be explained fully at your interview). However in addition to the DBS disclosure all applicants must sign the declaration below:

    Complete as necessary.

    *Convictions include: Custodial sentences, fines, detention, probation, conditional discharges, binding over, care or supervision order, restraining order, anti-social behaviour order, disqualification from and absolute discharge.

    If you do not have any of the above please sign the following statement;

    I the undersigned understand the Rehabilitation of Offenders ACT (1974) and related Orders that it is necessary to declare ANY and ALL criminal convictions spent or current and as such declare that I have no such convictions:

    (If you are using a desktop computer use your mouse or stylus to write your signature. If you are using a smart device you can write with your finger).

    Hours of Work

    Guys Cross provides a 24 hour service and our normal full time working hours are as follows;

    Care Assistants (Days): 7.30am-7.30pm, 3 days a week (alternate weekends) and a half day on a Wednesday, either 7.30am till 2pm or 1pm till 7.30pm.

    Care Assistants (Nights): 7.30pm – 7.30am, 7 Nights over a two week period

    Qualified Nurses (Days): 7.15am-7.30pm, 7 days over a two week period.

    Qualified Nurses (Nights): 7.15pm -7.30am, 7 Nights over a two week period.

    Part time workers will be expected to work the same shift pattern as above but with reduced total hours.

    Please note: In completing this application you are stating you are in acceptance of the above hours and shift pattern and will be able to work them accordingly. In special circumstances other hours may considered

    Data Protection

    The Data Protection Act 1998 (“the Act”) sets out certain requirements for the protection of your personal information against unauthorised use or disclosure. The Act also gives you certain rights. Except to the extent we are required or permitted by law, the information which you provide in this application form and any other information obtained or provided during the course of your application (“the information”) will be used solely for the purposes of assessing your application.

    If your application is unsuccessful or you choose not to accept any offer of employment we make, the information will not be held for longer than is necessary, after which time it will be destroyed, although relevant information will be retained in the longer term to facilitate our equal opportunity monitoring. If your application is successful, the information will form part of your employment file and we will be entitled to process it for all purposes in connection with your employment.

    So that we may use the information for the above purposes and on the above terms, we are required under the Act to obtain your explicit consent. Accordingly, we would be grateful if you would sign the consent section below.

    I consent to the use of my personal information for these purposes and on the terms set out above:

    Further information


    I confirm that the information supplied in this document is to the best of my knowledge correct. I understand that if either the information I have given or any reference provided is untrue is not received or is unsatisfactory then any offer of employment may be withdrawn or my employment terminated.