Application for employment – guidance notes for applicants

  • The information you supply on the following application form and any supplementary material you include, is what will be used to compile a shortlist of candidates to invite to attend an interview.
  • Make an entry in every box. If you have nothing to put in the space, please write ‘N/A’, rather than leave it blank.
  • You may wish to include a CV with your application.
  • The ‘Supporting information’ section is very important and will be used to help decide whether to invite you to an interview.
  • Explain how you meet the selection criteria, why you wish to be considered for the position and what qualities you can bring to the role.
  • Please complete the ‘Equal opportunities in employment’ form. The information you supply will not be used as part of the selection process.
  • Please supply contact details for two referees. At least one should be your current or most recent former employer. If you have not held a position of paid employment, you may give details of someone connected with you in any un-paid/voluntary work you have undertaken or any period of study.
  • All employees will come into contact with our service users in the course of their duties. Staff will be required to obtain Enhanced Disclosure from the Criminal Records Bureau.
  • Please return your application in good time as we cannot guarantee to consider any received after the closing date.
    Receipt of applications will not be automatically acknowledged.
  • If you are offered employment, you will be required to complete a pre-employment health questionnaire.
  • The short-listing team will not see the information you supply, nor will it be used as part of the selection process.
  • Please remember to sign and date the application form before returning it.
  • You may wish to print off a copy of your application form so that you may refer to it later, if you are invited to attend an interview.
  • We look forward to receiving your completed application form.

Application for employment

Please read the guidance notes above before completing any sections of this form.

Part 1 - Personal details

Asylum & Immigration Act 1996

Under section 8 of the above act, it is a criminal offence to employ anyone who does not have permission to work in the U.K. All applicants invited to interview will be required to provide documentary evidence of their right to work in the U.K.

Part 2 - Professional qualifications, education and training

As you complete one qualification, education or training, another line becomes available for you enter (up to 10)

Membership of professional bodies

As you complete one professional membership, another line becomes available for you enter (up to 10)

Part 3 - Current or most recent employer

(employer will not be contacted without your permission)

Part 4 - Previous employment history

As you complete one employer, another line becomes available for you enter (up to 3)

Part 5 - Other details

Part 6 - Health details

If the answer is yes to any of the questions in this section, please give full details in the space provided of the dates, duration and outcome of the illness or condition. If we have any concerns about your fitness for work, employment will be subject to satisfactory medical reports.

Part 7 - References

Please provide details of two referees who can comment on your suitability for the job you are applying for, one of these must be your present or last employer.

First reference

Second reference

Part 8 - Rehabilitation of offenders act 1974 (exemptions) order 1975

Because of the nature of the work, posts within Innova House are exempt from the provisions of Section 4 (2) of the Act. Having a conviction will not prevent applications from being considered for posts. Applicants are therefore not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of the Act. If you are employed by Innova House, any information given will be completely confidential. Any failure to disclose such convictions will result in disciplinary action or dismissal.


If yes, please give details on a separate sheet and send to Innova House in an envelope marked ‘Personal and Confidential’
If yes, please give details on a separate sheet and send to Innova House in an envelope marked ‘Personal and Confidential’
I hereby declare that the information given in this application is, to the best of my knowledge, correct, and I understand that any information I have knowingly given which proves to be false could lead to disciplinary action being taken against me which could lead to my dismissal.
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The following information is being gathered to achieve improvements in Innova House Healthcare Limited’s equal opportunities policies. We hope you will help us by completing the form. The data will be used only for monitoring purposes and will not be taken into account in assessing information on your application form. The data will be treated in the strictest confidence.

Part 9 - Equal opportunities monitoring self classification form

What is your ethnic group?

choose one section from A to F, then further specify to indicate your cultural background.


Important note: The information in this section will be disclosed to the recruiting manager if you are short listed for an interview. Under the Disability Discrimination Act 1995, a person has a disability if he or she has a physical or mental health impairment which has a substantial and long-term adverse effect on the ability to carry out normal day-to-day activities.
Insert your full name in block capital letters