Job Application Form


Please complete all sections as fully as possible and return to:
Telephone: 024 7610 2333
Head Office: Eliot Park Innovation Centre, 4 Barling Way, Nuneaton CV10 7RH


Application Details

Personal Details

Driver Information


Do you hold any of the following qualifications?

Working Practices

Please complete as appropriate (only complete if you are applying to work in our residential care homes)

Education, Qualifications and Training

Please list in chronological order

Employment History

Please begin with most recent, giving details of any gaps in employment and the reasons for these. Full history is required - from leaving secondary education to the present. Please include months and years for all appointments.

Reasons For Applying

Leisure Interests


Please include below the name, status, address and telephone number of two referees, one of whom must be your current or most recent employer. If you are applying for a post which requires unsupervised access to children, the company reserves the right to approach any past employer for a reference. Information requested will include details of your past performance, absences, disciplinary records, reason for leaving and suitability to work with children and young people.

Current / Most Recent Employer and Name of Line Manager

Previous Employer and Name of Line Manager

Additional Information

Before completing this section please read this:

The post for which you are applying is exempt under the provision of the Rehabilitation of Offenders Act 1974 by virtue of the Exceptions Order 1975 (Amendment) (England and Wales) Order 2013.

This means you must give full details of any criminal conviction, including any spent convictions, or pending circumstances that might lead to prosecution, conviction, bind-over or caution. The disclosure of a criminal record, or other information, will not necessarily debar you from appointment. In making this decision Almond Care Children’s Services will consider the nature of the offence, how long ago and what age you were when it was committed. Also any other factors, which may be relevant can be given consideration, including considerations in relation to the company's equality policies. Any information you give will be treated in confidence.

Applicants need to be aware that Almond Care Children’s Services carries out a disclosure on all people we decide to appoint. Information received from the DBS will be kept in strict confidence.

Failure to declare a conviction, caution or bind-over may, however, disqualify you from appointment, or result in summary dismissal if the discrepancy comes to light.

“I take notice that if I have any convictions and do not declare them, or withhold information which is relevant to my application, or if information provided in my application is untrue, I understand I will be instantly dismissed. I confirm that I have read, understood and have truthfully answered the above questions and that everything else in this application (including any additional pages) is, to the best of my knowledge, accurate and correct.”

Equality and Diversity


Almond Care Childrens Services is an equal opportunity employer. The aim of the policy is to ensure no job applicant, employee or worker is discriminated against either directly or indirectly on the grounds of race, colour, ethnic or national origin, religious belief, political opinion or affiliation, sex, marital status, sexual orientation, gender re-assignment, age or disability. Our recruitment criteria and procedures are frequently reviewed to ensure that individuals are selected, promoted and treated on the bases of their relevant merits and abilities. All employees are given equal opportunity and are encouraged to progress within the organisation. We are committed to an on-going programme of action to make this policy fully effective. You ensure that this policy is fully and fairly implemented and monitored, and for no other reason, would you please provide the following information which will be detached from the rest of your application and retained by the H.R. Department before shortlisting.


Under the Equality Act 2010 (Disability) Regulations 2010 a person is considered to have a disability if he/she has a physical or mental impairment which has a sustained and long-term adverse effect on his/her ability to carry out normal day-to-day activities. Do you consider yourself to be a disabled person?


How would you describe your sexual orientation?


What is your religious belief?


How would you describe your status?

Data Protection Act 1998

This form will be detached and will not be seen by the selection panel. Information in this application will be kept confidentially by Almond Care Children’s Services and used for the exclusive purposes of recruitment and employment. Once the recruitment and selection process is complete, the data will be stored and used for your personnel records.

Please indicate your consent for the information to be used this purpose.

Job Title / Job Applied For

Before you submit...

At Almond Care Children's Services we are all about recruiting safe, nurturing and compassionate people to support the children and young people in our care. To get it right, we need to conduct thorough safer recruitment checks against your application form. So, before you click submit, please be sure that you have:
  • Given us your personal details to match your identification
  • Told us your date of birth (working with children and young people is an age restricted role)
  • Been honest about any convictions or penalties, even if these were a long time ago
  •  Told us about any overlaps in your employment
  • Told us about any gaps in your employment, even if these were only short gaps
  • Been honest about your reasons for leaving previous roles
  • Told us about your full working life, no matter how long or short that has been, including any volunteering or temporary roles
  • Told us about any time you have spent abroad
If you have missed any of the above, please follow the link to return to that page to complete it. If there is anything else we should know, which may show up when we conduct enhanced checks through DBS or referencing, please use the space below.
We will contact you following receipt of your application within 14 days if you have been successful and/or to follow up with any safer recruitment checks.

Thank you for your application and interest in Almond Care Children's Services.