Work With Us – MK Executive Care Service

Care enquiries: Milton Keynes office: + 44 (0)1908 375 199 24hr Mobile: + 44 (0)7931359586; Northampton Office:+44 (0) 793 359586; Birmingham Office: +44(0) 121 356 6606 or Email: info@mkexecutivecare.co.uk

Work With Us.

MK Executive Care is an established provider of quality Tailored Care services. By joining our team, you will be part of a family of dedicated care professionals, making a difference and enabling our service users to lead independent and fulfilling lives, to be in control and achieve their desired outcomes.

Joining our team is a simple process, starting with submitting a fully completed application form. The full process involves selection, interview, induction training, enhanced DBS checks, shadowing and on the job training, followed by a build-up of your work programme.

Please note Document Required for Employment

Two forms of proof of address dated within the last 3 Months

Acceptable Proof:
• HMRC Letter
• Bank Statement
• Utility Bill
• National Insurance Letter
• Local authority letter
• Others – check with us

Proof Of National Insurance

Acceptable Proof:
• NI Card
• NI Letter
• P45/P60
• Tax Code Notification Letter
• Universal Credit Letter
• DWP Letter

Right To Work (RTW) in the UK

Acceptable Proof:
• British Passport
• EU Passport / EU ID Card with proof of settlement
• NON UK & EU Passports should be accompanied with a BRP Card

Photographic ID

Acceptable Proof:
• Passport
• Driving Licence
• ID Card
• BRP

Criminal Check

Acceptable Proof:
• Updated Enhanced DBS or DBS registered with update service covering both children and adults

Complete form below

MK Executive Care Application Form

Step 1 of 5

THE INFORMATION YOU SUPPLY ON THIS FORM WILL BE TREATED IN CONFIDENCE.
* indicated fields must be completed
SECTION 1 : Personal Details
Post Applied For:*

Title*
Name*
First Last
Have you ever been known by any other names:*
Yes
No
If Yes, enter names

Address*
Street Address City State / Province / Region ZIP / Postal Code Country

Home Telephone Number:*
Mobile Telephone Number:*
Email*

Sex:*
Date of Birth:*

Day
Month
Year

Are you aged 18 years or over:*

Yes

No
National Insurance Number (NI):*

Are you eligible to work in the UK?*

Yes

No
Disclosure and Barring Service (DBS) Certified:*

Yes

No
Do you have a current full driving license:*

Yes

No
Do you have your own transport:*

Yes

No

SECTION 2 : Rehabilitation of Offenders Act
Have you ever been convicted of a criminal offence?*

Yes

No
Have you any prosecutions pending?*

Yes

No
Details of Offence(s) and Sentence
(This information will be disclosed by the Criminal Records Bureau check which will be required if successful. Please note a criminal record will not necessarily be a bar to employment)
SECTION 3: Health
Number of days absent in the last 2 years:
Are you registered disabled?*

Yes

No
If yes please provide your disability number and details:
SECTION 4: Education
Education and Training*
Please list your qualifications in reverse order, starting with the most recent first. Also, include any training that you have received which did not lead to a qualification but which you feel is relevant to the post. If short-listed for an interview, please be prepared to bring original copies of any certificates relating to post-school qualifications or vocational qualifications.
Date Obtained: Place of study & address: Examinations taken & grades:

Other Qualifications:*
Please give details of any other qualifications obtained or relevant courses attended.
Date Obtained: Place of study & address: Examinations taken & grades:

SECTION 5: Employment Record
Please list chronologically, starting with current or last employer*
Name of Employer: Employer Address: Length of Employment: Salary:

Date From:*
DD slash MM slash YYYY

Date To:*
DD slash MM slash YYYY

Main Duties and responsibilities:
If currently employed how much notice are you required to give?

(weeks)
Reason for leaving or seeking new employment:*
5: List of Employer (Employment History): Note: Please click on the + sign to add more employment history.
Please give summary details of all your previous employment (most recent first for a minimum of 10 years if Applicable). Please ensure you include all part-time and temporary positions held, even those that are not relevant to your application. Please ensure you include any periods of unemployment or any other time that is not accounted for.
Name of Employer: Employer Address: Length of Employment: Reason for leaving:

SECTION 6: Reference
(1) Reference*
Please give the names and addresses of your two most recent employers (if applicable). If you are unable to do this, please clearly outline who your referees are.
Name of Reference: Their Position (Job Title): Work Relationship: Organisation: Telephone No: Address: Postcode: Email:
May we contact your references prior to job offer:*
Reference 1:

Yes

No
(2) Reference*
Please give the names and addresses of your two most recent employers (if applicable). If you are unable to do this, please clearly outline who your referees are.
Name of Reference: Their Position (Job Title): Work Relationship: Organisation: Telephone No: Address: Postcode: Email:
May we contact your reference prior to job offer:*
Reference 2:

Yes

No
SECTION 7: Emergency Contacts
Emergency Contacts:*
First Name : Last Name: Telephone Number: Email: Address:

SECTION 8: Personal Attributes
Please give details:
SECTION 9: Declaration
I confirm that the information provided in this application (and within my Curriculum Vitae if applicable) is both truthful and accurate. I have omitted no facts that could affect my employment. I understand that any false misleading statements could place any subsequent employment in jeopardy. I understand that any employment entered into is subject to documentary evidence of my right to work in the UK and satisfactory references. I expressly consent to personal data contained within this form being recorded for the purposes of assessing suitability for the post and may form the basis of any subsequent personnel file.
Signed:

Date:
MM slash DD slash YYYY

MK Executive Care undertakes that it will treat any personal information that you provide to us, or that we obtain from you, in accordance with the requirements of the Data Protection Act 1998. After initial assessment, MK Executive Care opportunities that may arise in the future. Please tick if you do not wish us to hold your details.
Yes
No
Upload CV & Other Document:

Drop files here or

Accepted file types: pdf, doc, docx, jpg, Max. file size: 5 MB.

Filetypes: pdf, doc, docx, jpg

SECTION 10: Recruitment Monitoring Form
This sheet will be separated from your application form upon receipt and does not form part of the selection process. It will be retained by Human Resources purely for monitoring purposes.
Application for the post of:
To help us ensure that our Equal Opportunities Policy is fully and fairly implemented please COMPLETE THIS SECTION OF THE APPLICATION FORM.
What is your Ethnic Group?
Choose ONE section from A to E, and then tick the appropriate box to indicate your cultural background.
A: White

White UK

Irish

White -non-UK

Any other white background
(please give details):
B: Black or Black British

Black Caribbean

Black African

Any other Black background
(please give details):
C: Mixed

White & Black Caribbean

White & Black African

White & Asian

Any other Mixed background
(please give details):
D: Chinese or other ethnic group

Chinese

Vietnamese

Any other ethnic background
(please give details):
E: Asian or Asian British

Indian

Pakistani

Bangladeshi

Any other Asian background
(please give details):
F: I do not wish to provide this information

Section Break
Gender:
Male
Female
Are you registered disabled?*

Yes

No
If yes please provide your disability number and details:
Age Group:*
16- 25
26 – 35
36 – 45
46 – 55
56 – 65
66 – 70
over 70
Media:

Please sate where you saw this advised.
Asylum and Immigration Act 1996:
It is now a requirement that before any offer of employment can be made, all candidates are to provide confirmation of their eligibility to work in the UK. Please bring one of the following original documents with you if invited to interview: a passport or an immigration and nationality directorate application registration card which evidence the right to work in the UK or a UK residence permit issued to an EEA national which confirms right of entry to or residence in the UK.
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