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Home
About
Services
Facilities
Applications
- Care Worker Application Form
- International Recruitment Application Form
Contact

International Recruitment
Application Form

Personal Information

Due to the number of applications we may not always be able to respond to unsuccessful candidates. We will retain your information for 12 months should there be any opportunities in the future. If do you not want us to retain your information following an unsuccessful interview please email us at: applications@goldencare-group.co.uk

Prefix

Name

Surname

National Insurance Number

Please upload your CV

No file chosen

Position Applied For

Phone Number

Email Address

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Other Information

Do you have a full driver's licenceYesNo

If no, please specify whyExpiredNever had oneOther

How many years driving experience do you have? (Please select)

Please give details about any endorsements on your licence

Are there any restrictions on you taking up Employment in the UK?YesNo

If yes, please explain

Do you consider yourself disabled under the Disability Discrimination Act 1995?YesNo

If yes, please explain

Please list names of schools, college and universities etc you have attended

Please list qualifications and certificates you have achieved to date and upload

Upload certificates(s)

Drag and Drop (or) Choose Files

Please gives details of your preferred hobbies and interests

Have you changed addresses in the last 5 years?YesNo

Previous Address, 2nd

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Dates at above address from

Dates at the above address to

Add another address? (3rd)YesNo

Previous Address, 3rd

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Dates at above address from

Dates at above address to

Add another address (4th)YesNo

Previous Address, 4th

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Dates at above address from

Dates at the above address to

Do you have any convictions?YesNo

If yes, Please explain

Employment History

Have You Ever Been Employed?YesNo

Employment 1

Please provide details of the most recent

Employer's / Company's Name

Job Title

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Date Started

Still employed?YesNo

Date Ended

Reasons for leaving

Salary (per month)

GBP

Brief description of duties and key achievements

Employment 2

If there is, would you like to provide details of another employment period?YesNo

Employer's / Company's Name

Job Title

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Date Started

Date Ended

Reasons for leaving

Salary (per month)

GBP

Brief description of duties and key achievements

Are you a current member of any professional bodies?YesNo

If yes, please let us know

Are you going to continue any employment when you join us?YesNo

If yes, please explain

Reference 1

Provide 2 reference details below, they must be previous employers or tutors if you have not been in employment or are at college or university. Please note for professional references we accept reference emails with a company name only.

The First Reference must be a last employer and UK based, if this cannot be sourced and it is an overseas reference, they must have a professional email address and confirm they are an employer with a letter head document sent to confirm reference.

Prefix

Name(s)

Surname

Email Address

Phone Number

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Employer's / Company's Name

Occupation

How long have you known this person and in what capacity?

May we approach the above prior to interview?YesNo

Reference 2

Prefix

Name(s)

Surname

Email Address

Phone Number

Occupation

How long have you known this person and in what capacity?

May we approach the above prior to interview?YesNo

Equal Opportunity Monitoring

We are an equal opportunity employer. The aim of our policy is to ensure that no job applicant or employee receives less favourable treatment because of age,disability, gender reassignment, marriage and civil partnership, pregnancy or maternity, race, religion or belief, sex or sexual orientation. Our recruitment selection criteria and procedures(including the areas or media sources which are used in the recruitment process) are frequently reviewed to ensure that individuals are selected,promoted and treated on the basis of their relevant merits and abilities and that no applicant or employee is disadvantaged by provisions, criteria or practices which cannot be shown to be justified. To ensure that this policy is fully and fairly implemented and monitored, and for no other reason, would you please provide the following information:

I would describe my Gender a group as:MaleFemalePrefer not to say

Sexual orientation:Gay Man/HomosexualBisexualHeterosexual/ straightGay Woman/LesbianPrefer not to say

Religion or belief:No religionAtheistChristianMuslimSikhBuddhistJewishPrefer not to sayOther

Ethnic Origin

Which ethnic group would fall under?Asian or Asian BritishBlack, Black British, Caribbean or AfricanMixed or multiple ethnic groupsWhiteOther ethnic group

Please tell a little more

Prefer not to sayBangladeshiIndianPakistaniChineseAny other Asian background

Prefer not to sayCaribbeanAfricanAny other Black, Black British, or Caribbean background

Prefer not to sayWhite and Black CaribbeanWhite and Black AfricanWhite and AsianAny other Mixed or multiple ethnic background

Prefer not to sayArabAny other ethnic group

Prefer not to sayEnglish, Welsh, Scottish, Northern Irish or BritishIrishGypsy or Irish TravellerRomaAny other White background

Interview Questions

Why do you want this job?

Explain about your character that makes you a good candidate for this job?

Tell us about the most recent problem you had with a co-worker , if you have not create a scenario. How did / would you handle it?

Priorities often change suddenly throughout the day. If you are asked to quickly do another task, how does that affect your mood? What if it's the third time before noon?

How would you respond when you find another employee stealing or being abusive to client or colleague?

Do you have care work experience?YesNo

If you have answered "Yes" Can you give examples of 2 different health conditions that clients you have looked after before had and explain how you supported the person

Can you explain how you would react to the following scenarios? You arrive at a client's home and you notice that the door is wide open and you can not see the client where they normally are whenever you visit, what would your plan of action be?

In this job role you would be required to administer medication. If you visit a client and you cant find one or all of their medicines what steps would you take to ensure you do not leave the client's home without administering their medications?

Please explain your understanding of safeguarding vulnerable individuals and give examples of different types of abuse?

Do you have reasons that affect your flexibility to work?YesNo

If "Yes" please explain and times you are unable to work?

What are your career prospects?

Over the last 3 years how many jobs have you had? And why?

The job requires a lot of continuous development, when requested to do this will you be willing to do so?YesNo

Do you own a car?YesNo

If you don’t, are you able to use public transport to get to and from clients?YesNo

What are the days that you can work? You will be required to work one weekend in one weekend out.MondayTuesdayWednesdayThursdayFridaySaturdaySundayBank HolidayOne weekend in one weekend outEvery weekend

Which of the following describes you?Sense of humour / SociableNiceEffectiveCaringAttitude (Positive attitude)ResponsibleEfficient

Healthcare Trainings

Do you have any healthcare training certification?YesNo

Please provide information about training attended plus certificates

Health & SafetyBasic First AidMoving & HandlingPrevention & Infection ControlFood HygieneMedicationBasic Life Support

Upload certificate(s)

Drag and Drop (or) Choose Files

Own Illnesses

Do you have or have you ever suffered from any of the following?Dermatitis/skin disorders/psoriasis/eczemaTuberculosis/bronchitis/pneumonia/pleurisyEyesight/hearing/wear glasses or hearing aidAsthma/hay feverHeadaches/migraines/dizzinessDiabetes/epilepsyBack injury/recurrent infectionHepatitis/jaundice/kidney problemsVaricose veins/foot problems

Rehabilitation of Offenders Act, 1974

Have you ever been convicted of a criminal offence?YesNoYou are advised that you are not entitled to withhold information about convictions which are regarded as SPENT UNDER THE ACT . this is due to the nature of the work involved which renders the post exempt from sec.4 (2) of the Act in accordance with the rehabilitation of Offenders Act 1974 (exceptions) order 1975

Please give details of all convictions including spent convictions and cautions

DBS Information

Date of Birth

Town and Country of Birth

Do you have a full driver's licenceYesNo

Full Driver's Licence number

When does your Driver's Licence expire?

Do you hold a valid passport?YesNo

Passport Number

When does your Passport expire?

Country of Issue

Nationality

Have you been known by any other names?YesNo

Name

Surname

Dates known by other name from

Dates known by other name to

Documents

Please send photos or attached your identification documents below, at least 4 of any of the following that is birth certificate, passport ,driver's licence or provisional licence, council tax letter, utility bill gas or water or electric,bank statement front page with address only. If you are applying as TIER 2 skilled worker also attach the following documents: English IELTS, TB test, Police clearance, Covid-19 vaccination certificate

Birth Certificate

No file chosen

Passport

No file chosen

Driver's Licence

No file chosen

Proof of address (Utility Bill / Bank Statement)

No file chosen

DBS / Police Clearance

No file chosen

Must be within 3years

IELTS / ECTIS certificate

No file chosen

COVID-19 Vaccination Card / Certificate

No file chosen

TB Test Certificate

No file chosen

University Letter (If Applicable)

No file chosen

Healthcare Declaration

I confirm that the information provided in this application is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered.I doI don't

Should we require further information and wish to contact your doctor with a view to obtaining a medical report, the law requires us to inform you of our intention and obtain your permission prior to contacting your doctor. I agree that the organisation reserves the right to require me to undergo a medical examination. In addition, I agree that this information will be retained in my personnel file during employment and for up to six years there after and understand that information will be processed in accordance with the Data Protection Act.I doI don't

I agree that should I be successful in this application, I will, if required, apply to the Disclosure & Barring Service/Disclosure Scotland for a Disclosure & Barring Certificate. I understand that should I fail to do so, or should the disclosure not be to the satisfaction of the company any offer of employment may be withdrawn or my employment terminated.I doI don't

Signature (upload a picture of your signature)

No file chosen

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International RecruitmentApplication Form

Personal Information

Other Information

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International Recruitment
Application Form