Application Form

Complete the application form below to apply to work for EveryDay.

Which location are you applying for?

Which role are you applying for?

When would you be able to start?

Available to work
Full TimePart TimeDaysNights


Surname

Previous Surname

Forname(s)

Date of birth

Home phone

Mobile

Email

Address

Can we make contact with you using the email address provided for organisational communication, updates and employment related matters?


Are you legally entitled to work in the UK?
YesNo
What is your National Insurance number?

Do you hold a valid full license to drive a car?
YesNo
Do you own a car?
YesNo
Are you related to anyone working for Age UK North Tyneside or EveryDay Care? If so, provide name and job title:

How did you hear about this vacancy? (If this is a staff referral please give the name of the staff member)


Professional, Academic or Other Qualifications

Including Educational Qualifications

School/College/University From Date To Date Qualification Qualification Obtained

(Continue on separate sheet if necessary)


Full Employment History

(Please give details of all previous posts, the most recent shown first)

(If offered employment with EveryDay Care your last two employers will be contacted for a reference)

Name of previous employer(s) stating with most recent From (Month and Year) To (Month and Year) Position held and salary/hourly rate of pay Reason of leaving

(Continue on separate sheet if necessary)


Are there any gaps in your employment record?
YesNo
If YES explain below


References

1st Referee
Name
Professional Position
Company Address
Landline Phone*
Mobile
Work Email*

2nd Referee
Name
Professional Position
Company Address
Landline Phone*
Mobile
Work Email*
  • We will verify references received before confirming any job offer.
  • Referees will only be contacted if EveryDay Care is making an employment offer.
  • Please indicate to us if there is any reason why we shouldn’t contact your referees.


Disclosure of criminal convictions

Have you a prosecution pending: YesNo
Have you ever been convicted at a court or been cautioned by the police for any offence: YesNo
Have you ever received a reprimand or warning for any offence: YesNo
Have you been referred to the DBS Barred list: YesNo

If you answered YES to any of the above, please provide details below

Details of the offence/caution Penalty/sanction imposed Date

Protection of vulnerable adults

Are you included on the SOVA (Safeguarding of Vulnerable Adults) or similar list? YesNo

Misconduct

Have you ever been found guilty of misconduct by an employer or professional body: YesNo
Are you currently under investigation for misconduct: YesNo

If you answered YES to any of the above, please provide details below

Details Penalty/sanction imposed Date

Personal Statement


EveryDay is a values-based organisation – meaning that we expect all of our staff to be Optimistic, Inclusive, Dedicated, Enabling, Responsive and Realistic. Using your understanding of what it means to be a Home Care Assistant, please use the space below to tell us what these values mean to you and how they would help you were you successfully appointed to EveryDay Home Care.


EveryDay is committed to interviewing all candidates with a disability who meet the minimum criteria for selection.

Do you have a disability which has a substantial and/or long-term effect on your ability to carry out day-to-day activities?

YesNo

If you wish, please use the space below to provide further information on your disability:


EveryDay Home Care offers guaranteed minimum 16 hour contracts to all employees from day one of their employment While we always try to provide employees with work in their preferred locations, occasionally we have to ask our Home Care Assistants to be flexible and work with customers in other locations in order to make up their contractual obligations to us. Please note that we do pay travel time and mileage.

Indicate below which areas are your preferred locations to work in, keeping in mind that we may from time-to-time require you to work in other locations when the need arises. (tick each which applies)

North Tyneside - Longbenton/Forrest Hall/WideopenNorth Tyneside - North Shields/Tynemouth/Whitley Bay/ Shiremoor North TynesideWallsend/HowdonNewcastle – Gosforth / Byker/ Walker


In order to plan rotas and map your availability to our existing contracts, please complete each of the following three sections to indicate your core hours (those hours you would prefer to work), your optional hours (those additional times you may be available to work) and your no-go hours (when you would not be available for work). Please note that while we will always try to be flexible, our standard working requirements are for five days each week to include a minimum
of one weekend day (tick each which applies)

Core Hours (your preferred hours of work)
Day Mornings 07.00am - 2.00pm) Evening (3:30pm – 11:00pm) Overnight (22:00 – 08:00)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

No-Go Hours (times you would not be available for work)
Day Mornings 07.00am - 2.00pm) Evening (3:30pm – 11:00pm) Overnight (22:00 – 08:00)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Declaration

I confirm that the information provided is a true account. I also confirm that I am physically and mentally fit to fulfil the job for which I have applied. I consent to the Company checking any information provided on this application form, and I understand that giving false information may lead to any job offer being withdrawn, or to formal action up to and including termination of my employment.


Speak to our Co-ordination Team today

If you’re thinking about accessing support for yourself or a loved one, we’re here to help whether you’d like more information, need some advice or want to discuss the support available.

Contact EveryDay
  0191 287 7028