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Application Form

Personal Details

Right to Work

Driving Licence*
(*Only answer if relevent for post applied for)


(If yes, Please be aware that we may need to discuss these with you at your interview)

Present Employment
(If you are currently unemployed, please give details of your last employer).

Full Employment History
Gaps since completion of full time education

Previous Employment/Gap History (please give your most recent employer/gap first).

Please cover full period since you have left full time education and state the nature of the employer’s business. Where there are gaps between jobs please indicate why, for example continuing education, family, child care, unemployment or traveling. Please continue on a separate sheet if necessary.

Qualifications obtained from schools, colleges and universities. Please list highest qualification first

Qualification Date Grade

If you have undertaken any relevant training to this post please give details:-

Course Location Grade

Criminal Record

This post is offered subject to a satisfactory enhanced Disclosure & Barring Service (DBS) check, which will disclose any unspent convictions as well as any spent convictions and cautions that are not “protected”*. Information given will be completely confidential.

If you have any unspent convictions or cautions or any spent convictions or cautions that are not “protected”, please give details in the box below.


Declaration for applicants into Regulated Activity with Vulnerable Adults/Children: I confirm that I have not been barred from working with vulnerable adults/children by the Independent Safeguarding Authority (ISA) or any other regulatory organisations.


We will normally request references from your two most recent employers. If this is not possible, please give details below of your alternative referees preferably from a professional such as your doctor, a teacher or lecturer, lawyer etc.

Referee 1

Referee 2

Working Time Regulations Opt-out Agreement

I understand that I am entitled to have my average weekly working time limited to 48 hours per week. I agree that the 48-hour weekly limit shall not apply in my case.


Please complete the following declaration and sign it in the appropriate place below. If this declaration is not completed and signed, your application will not be considered.

Please read the Declaration carefully before signing

I hereby declare that the information I have provided in this form is true and accurate and that a failure to disclose any matter may call into question my honesty and integrity. I understand that to knowingly make a false or misleading statement could lead to the rejection of this application, the withdrawal of any offer or the termination of my employment if the false or misleading statement becomes apparent after I have been hired.

I understand that it is my responsibility to inform Whispers Care Solutions Limited of any information that is relevant to my application and to notify Whispers Care Solutions Limited of any updates to this information should my circumstances change.

By submitting this application, I agree that the information contained in this form may become conditions of employment.

I declare that I approached Whispers Care Solutions Limited for the position of

Whispers Care Solutions is perfect for you.
Whispers Care Solutions offer:- Competitive rates of pay, Contracted hours **, Flexible working hours, Full paid training, Free uniforms.