Southern Cross Healthcare Group PLC
Job Application Form

If you have seen a position you would like to apply for, or would like to make a speculative application, please use the online application form below.

Make sure all the fields are filled in and click 'Submit Form...' at the bottom of the page when you are ready to apply.

Alternatively if you want to email us your CV (in word or .rtf format) you can do so here.

Just tell us what type or role you are interested in and in what part of the country and we will get back to you. We may not have a vacancy now but if one comes up in the future which we think matches your skills and experience we will contact you.

Current VacanciesSend us your CV

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Position Applying For:

Name/Location of Home:





Bank

 

Title:

Surname:

Forename(s):

National Insurance Number:

Home Address:

Post Code:

Telephone Number:


Qualification/Training Details

Qualification

Date

Qualified Staff Only

 

UKCC PIN

Expiry Date

Qualification


Career Details (over at least five years, most recent first)

Current/Most Recent

Employer:

From:

Job Title:

To:

Leaving Salary:

Notice Period:

Previous

Employer:

From:

Job Title:

To:

Leaving Salary:

Notice Period:

Previous

Employer:

From:

Job Title:

To:

Leaving Salary:

Notice Period:

Previous

Employer:

From:

Job Title:

To:

Leaving Salary:

Notice Period:


SUPPORTING INFORMATION

What skills or experience do you have which may be relevant to the job you are applying for? Please include a summary of details of any breaks in service.


References

Please write below the name and address of two people who we can contact for references, one of whom should be your current or most recent employer. If you do not wish any reference to be sought until you have been offered a position, please tick the relevant box.

Most Recent Employer :

Name:

Address:

Post Code:

Telephone Number:

 

Don't contact: (tick to avoid contact)

Other Reference:

Name:

Address:

Post Code:

Telephone Number:

 

Don't contact: (tick to avoid contact)


Rehabilitation of Offenders Act 1974

 

The position for which you are applying is exempt from the provision of Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975. Applicants should be assured that the information they give will be kept confidential. The Data Protection Act requires that personal information is obtained and processed fairly and lawfully; is only disclosed in appropriate circumstances; is accurate, relevant and not held longer than necessary; and is kept securely. Only relevant convictions and other information will be taken into account so disclosure need not necessarily be a bar to obtaining this position.

Have you ever been convicted or cautioned of a criminal offence?

Are you aware of any police enquiries undertaken following allegations made against you, which may have a bearing on your suitability for this post?

If yes, please give details:

 


Do you have any disability which may affect your ability to perform your duties?

If so, what adjustments can you suggest we might make?

 


Declaration

 

I confirm that the information I have given on this form is correct and complete, and that misleading statements may be sufficient for canceling any agreement made. I understand that, in the event of being shortlisted for interview, I will be required to complete a confidential health check declaration in respect of my state of health. Because of the sensitive nature of the duties the postholder will be expected to undertake, I also understand that the declaration will include details of any criminal convictions, cautions, reprimands and final warnings and any other information that may have a bearing on my suitability for the post. I understand that an enhanced disclosure will be sought in the event of a successful application.

Please tick to confirm the declaration above:

If you are successful in being offered an interview, you will be required to bring a passport sized photograph with you.


 
  1. Why Join Southern Cross?
  2. Personal Development
  3. Reward and Benefits
  4. Types of Roles Available
  5. Current Vacancies
  6. Application Form

Other areas of interest:

  1. Southern Cross Group Home
  2. The care we provide
  3. About our care homes
  4. Southern Cross Healthcare
  5. Ashbourne Senior Living
  6. Active Care Partnerships

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  © Southern Cross Healthcare Group PLC
  Southgate House
  Archer Street
  Darlington
  County Durham, DL3 6AH
  Company Number: 5328138
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