Apply for a Role

Complete the form below to apply for a position with Independent Pathways Care. We look forward to hearing from you.

Please fill in all required fields marked with *. When you submit the form, a PDF copy will be downloaded for your records and your application will be sent directly to our recruitment team.

Personal Details

Title

First Name *

Last Name *

Date of Birth *

Address *

Postcode *

Phone Number *

Email Address *

Role & Availability

Role Applied For *

If "Other", please specify

Preferred Hours *

Earliest Start Date *

Do you hold a full UK driving licence? *

Do you have access to your own vehicle? *

Right to Work

Do you have the right to work in the UK? *

National Insurance Number

Qualifications & Training

Do you have an existing enhanced DBS certificate?

Relevant Qualifications

Subject / Qualification

Place of Study

Grade / Result

Year Achieved

Relevant Training Courses Attended

Please tick any courses you have completed and provide the training provider and year.

Membership of Professional Bodies

Professional Body

Membership / Registration Number

Expiry / Renewal Date

Employment History

Please record below the details of your full employment history beginning with your current or most recent first, since leaving high school.

Employer

Employer Address

Type of Business

Reporting to (Job Title)

Your Job Title

Start Date

End Date

Brief Description of Duties & Responsibilities

References

Please provide two references. At least one should be a professional/employer reference where possible.

Reference 1

Name *

Relationship to you *

Phone

Email *

Reference 2

Name *

Relationship to you *

Phone

Email *

Rehabilitation of Offenders Act 1974 (as amended)

Do you have any UNSPENT convictions as outlined in the Rehabilitation of Offenders Act 1974?

This includes any unspent convictions that may have been issued in any other country, where it would be an equivalent offence in England and Wales.

It also includes all unspent convictions or Summary Hearings that have been issued under military law while serving in the Armed Forces in the UK or any other country, where it would be an equivalent offence in England and Wales.

You are not required to disclose any information in relation to convictions that have become SPENT. In these circumstances you should select No to this question.

Do you have any unspent convictions? *

If Yes, please provide details of the cautions, reprimands or final warnings including the date and sentence administered

Declaration

I confirm that the information provided in this application is true and accurate to the best of my knowledge. I understand that providing false information may result in the withdrawal of any offer of employment. *