Autism at Kingwood Full Application
YOUR DETAILS
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YOUR DETAILS
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Position
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*Position applied for
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*Area preferred
Berkshire
Buckinghamshire
North Oxfordshire
West Oxfordshire
South Oxfordshire
Central Oxford
Hampshire (Newbury)
Wiltshire
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*Location preferred:
Reading
Bracknell
Maidenhead
Slough
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*Location preferred:
Western Dene
High Wycombe
Aylesbury
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*Location preferred:
Banbury
Chipping Norton
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*Location preferred:
Carterton
Witney
North Leigh
Charlbury
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*Location preferred:
Didcot
Wallingford
Benson
Abingdon
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*Location preferred:
Headington
Horspath
Cumnor
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Personal Information
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*Salutation
[Select]
Mr
Mrs
Miss
Ms
Prefer not to say
Other (please detail below)
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*First name
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*Surname
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*Address
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*Postcode
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*Main contact phone number
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Secondary contact phone number
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*Email Address
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*Do you have a driving licence?
Yes
No
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*Do you have a car?
Yes
No
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*Do you have a clean licence?
Yes
No
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*If you do not have a clean licence, please give details
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AVAILABILITY
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Full time posts are 40 hours per week however, part time hours may be available. How many hours would you like to work per week:
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Mornings
Mon
Tues
Weds
Thurs
Fri
Sat
Sun
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Afternoons
Mon
Tues
Weds
Thurs
Fri
Sat
Sun
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Evenings
Mon
Tues
Weds
Thurs
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Sat
Sun
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Nights
Mon
Tues
Weds
Thurs
Fri
Sat
Sun
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*Our services operate on a rota basis which can include various shifts. Please confirm that you are available to work shifts of various lengths, including bank holidays, evenings and weekends on a rota basis which matches your availability above
Yes, I can work shifts
No, I cannot work shifts
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EDUCATION, QUALIFICATIONS AND TRAINING
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Please enter your qualifications in date order, starting with the earliest first.
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Qualification
Institute or awarding body
Start date incl. day e.g.
14 Nov, 2019
End date incl. day e.g.
14 Nov, 2019
Add Row
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If you need to add more details about your qualifications please enter them below
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PREVIOUS WORK EXPERIENCE AND EMPLOYMENT HISTORY
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Your current employment status
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*What is your current employment status?
Employed
Break in employment
Student
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*On which date did you finish full time education?
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*Please insert your full employment history starting with your earliest experience at the top.
Please finish with your current role. If you are not currently employed please enter a 'Break in Employment' starting from the first date you were without job.
If you are currently employed, please leave the
END DATE BOX BLANK
on the last line of the form.
Choose either 'employment' or 'break in employment' record type before entering your details.
The records entered
should be continuous
from month to month (ie, the start date of your employment/break should be
NO MORE THAN 30 days after the end of the previous position
.)
A full employment history is from the age of 18 or since starting full-time employment, please include all time both inside and outside the UK.
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Please select
Start date incl. day e.g.
14 Nov, 2019
End date incl. day e.g.
14 Nov, 2019
Employer name, postal address and email address
Role/achievements
Reason for leaving
Reason for break in employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
[Select]
Break in employment
Employment
Self Employment
Add Row
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*Have you ever worked with children or vulnerable adults in any other capacity not mentioned in your employment history?
Yes
No
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*If yes, please provide details
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*Have you ever worked for Kingwood through an Agency?
Yes
No
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*If yes, please provide details
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GENERAL INFORMATION
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*Are you legally entitled to work in the UK?
Yes
No
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*If No, provide details below
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*Do you have a disability for which you would need adjustments to the workplace or for the interview process?
Yes
No
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*If Yes, provide details below
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*Is there anything we should be aware of, either for interview purposes or as an employer?
Yes
No
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*If Yes, provide details below
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*How did you find out about Autism at Kingwood?
Referral
Online or Advertisement
Other (please detail below)
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*Where did you see this position?
Indeed
Google
Facebook
ARK
Indeed
DWP
Kingwood Website
OACP
Restless
Recruitment Window Stickers
Washroom Campaign
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*What is the name of the person who referred you?
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REFERENCES
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Referee 1
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*Referee name (from current/most recent employer)
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*Referee's Position
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*Company name and address (including postcode)
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*Referee email address
(We only accept professional email addresses for your referee’s, we do not accept them from personal webmail accounts such as Hotmail, Yahoo or Gmail)
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*Telephone
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*May we contact this person prior to interview?
Yes
No
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Referee 2
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*Second work related reference name
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*Referee's Position
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*Company name and address (including postcode)
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*Referee email address
(We only accept professional email addresses for your referee’s, we do not accept them from personal webmail accounts such as Hotmail, Yahoo or Gmail)
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*Telephone
Label
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*May we contact this person prior to interview?
Yes
No
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WORKING WITH VULNERABLE PEOPLE
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What particularly interests you about working with people with Autism?
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What skills and personal qualities do you have that will help you to work with people with Autism?
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Do you have experience of providing support or care for someone? (For example if you have cared for an elderly relative, small child or had a relevant college placement or work experience)
Yes
No
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When did you care for them?
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How often did you support/care for them?
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What did you do to support/care for them?
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PERSONAL STATEMENT
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Please tell us about the skills, knowledge, experience and attributes you possess which demonstrate that you meet the person specification. You may also want to include information here about any interests or hobbies that you feel may be relevant to Kingwood.
Please add your statement below
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REHABILITATION OF OFFENDERS ACT 1974 (Exceptions Order 1975)
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Rehabilitation of Offenders Act 1974 (Exceptions Order 1975)
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By virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975, the provisions of Section 4.2 of the Rehabilitation of Offenders Act do not apply to any employment which is concerned with the provision of health services and which is of such a kind as to enable the holder to have access to persons in receipt of such services in the course of his/her normal duties. Your answer to the following question should include any "spent" convictions.
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*Do you have any criminal convictions, cautions, bind-overs or prosecutions pending (whether spent or not under the Rehabilitation of Offenders Act?
Yes
No
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If yes, please provide details to the Chief Executive in a sealed envelope marked "Strictly Confidential" and send this to
Autism at Kingwood
2 Chalfont Court
Chalfont Close
Lower Earley
Reading, Berks RG6 5SY
55001
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You will be required to undertake a DBS disclosure.
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*In order to comply with the Care Standards Act we require successful applicants to undertake a DBS (Disclosure and Barring Service) check at Enhanced or Standard level, depending on the post. Please note that a criminal record will not necessarily preclude you from employment at Autism at Kingwood. Any information disclosed will be subject to a risk assessment and will only be a bar to employment where there is a potential risk to Kingwood or the vulnerable adults in it's care. As part of the Disclosure, the PoVA (Protection of Vulnerable Adults) list is also checked. In relation to this list please accept the following statement by checking the box below:
I have NOT BEEN INVOLVED in any incident(s) of misconduct in relation to vulnerable adults.
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DECLARATION
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Declaration
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*Autism at Kingwood can only employ those aged 18 years old or older.
Please click here to confirm that you are at least 18 years old
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*Please read carefully before sending this application. I confirm that the above information is complete and correct and that any untrue or misleading information will give the employer the right to reject my application, to withdraw any employment contract offered, or if employed, to dismiss without notice. I understand that the information I have provided in this form will be processed in accordance with the Data Protection Act and by submitting this form I consent to my data being processed. If I am subsequently employed by Autism at Kingwood, I understand this data will form the basis of my employment record; otherwise it can be destroyed 6 -12 months after the vacancy is filled, unless a dispute arises when it will be retained for longer.
Please click here to show that you accept the above statements
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Thank you for completing the initial Autism at Kingwood employment application.
Your information has been sent through to our recruitment team, who will review it and get back to you with the next step of your application process if you are successful. In the meantime if you have any questions, please contact recruitment@kingwood.org.uk.
If you need to contact us in relation to your application, our address is:
2 Chalfont Court,
Chalfont Close,
Lower Earley,
Reading
Berks,
RG6 5SY
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