Employment Application - Alexandra Lodge Care Home

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Interested in working at Alexandra Lodge Care Home? Fill out our application form below to be considered for current vacancies or any future positions that become available.

What position are you applying for? *

Name *

Email Address *

Phone *

Street Address *

Town / City *

Post code *

National Insurance Number *

Your EducationSecondary, further and higher education / vocational training and qualifications. Click "Add item" to add more than one.

School / College / University Attended *

Levels / Qualifications / Grades Achieved *

Graduation Year *

Professional Membership / RegistrationWe are interested to know all or any of your professional memberships and registrations - regardless of apparent relevance. Click "Add item" to add more than one.

Name of Professional Body

Membership No. / Ref

Category of Membership

Validity Date

Employment HistoryListing your current position first, give details of your employment history, please do not omit any places of employment however short, and explain any gaps in employment in the next section.

Employer *

Position Held *

Start Date *

End Date *

Reason For Leaving *

Gaps In EmploymentIf there are any GAPS in your Employment History please list the reason/s here. Click "Add item" to add more than one.

From

Until

Reason For Gap

Do you require sponsorship for this role? *YesNo

What are the qualities, skills, expertise you have gained that would be of benefit to the Alexandra Lodge Care Home? *

What are your hobbies / interests?

What are your career plans?

References

Please supply the names of two persons willing to provide a reference - one to be your present employer and one past employer, current employers will not be contacted until a firm offer of employment has been made and accepted.

Where the above request is not appropriate, please supply two-character references e.g.; Doctor, Solicitor, Teacher etc. (not a relative or friend)

Reference #1

Name *

Phone *

Professional Email Address *

Company / Organisation *

Job Title *

Reference #2

Name *

Phone *

Email Address *

Company / Organisation *

Job Title *

Criminal Record Declaration

Certain posts at Alexandra Lodge Care Home are subject to an appropriate Disclosure and Barring Service (DBS) check.

Where the post you are applying for is eligible for a Standard or Enhanced DBS check, you must disclose criminal convictions and cautions that you are legally required to disclose.

You do not need to disclose convictions or cautions that are protected under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975, as amended.

Is your DBS on the Update Service? *YesNoNot Sure

Do you have any unspent conditional cautions or convictions under the Rehabilitation of Offenders Act 1974? *NoYes

Do you have any adult cautions (simple or conditional) or spent convictions that are not protected under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975, as amended? *NoYes

Disclosure of a conviction or caution will not automatically prevent you from being considered for employment. Any information disclosed will be considered fairly and in relation to the requirements and responsibilities of the post.

Any offer of employment may be conditional upon satisfactory pre-employment checks, including an appropriate DBS check where the role is eligible for one.

Is there any other information you would like to give in support of your application? (optional)

Are you related to any staff member at Alexandra Lodge Care Home?

I Consent & Confirm *

I confirm that all the information in this application is correct to the best of my knowledge. I realise that should any information prove to be false later, this could constitute grounds for withdrawal of any job offer. I also acknowledge the privacy policy and give consent for my data to be shared with those involved in the application process.

Signed *Please type your full name.

Dated

18/09/2026

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