Apply at Milford Care Page 1 of 2 Further information about how Milford Care processes an individual’s personal data is provided within the Privacy Policy. I confirm I have read and understood how my personal data will be processed. Milford Care must satisfy any requirements as a result of the Immigration Asylum and Nationality Act, 2006. We have a responsibility to ensure that you (and every other individual) provide the relevant Right to Work in the UK documents. Personal details Title Please select...MrMrsMissDrMs Forename Surname Address Postcode Email address Retype email address Mobile number Do you have the right to work in the UK? Please Select...YesNo If yes, please confirm which option your eligibility to work in the UK is based upon? Please Select...UK citizenEEA / European Union NationalIndefinite leave to remainTier 1 VisaTier 2 VisaOther If other visa, please provide information below Please upload your CV Do you have care sector experience? Please Select...YesNo Are you related to anyone currently working for Milford Care? Please Select...YesNo If yes, please state the name of the person and the relationship to them References In order for us to process your application further, we need two references – one of these must be from your most recent employer. Please tick this box if you are happy for us to contact your referees immediately. Name of referee #1 (most recent employer) Relationship to referee #1 Email address of referee #1 Contact number of referee #1 Name of referee #2 Relationship to referee #2 Email address of referee #2 Contact number of referee #2 Data Protection Statement The personal data you provide for this application and otherwise as part of the recruitment process will be held and processed for the purpose of the selection processes of Milford Care and in connection with any subsequent employment or placement, unless otherwise indicated. The personal data will be initially controlled by or on behalf of Milford Care and will be retained only for as long as 3 years and then destroyed. I have read and accepted the above statement and confirm that the details which I have provided in all sections of the application form are, to the best of my knowledge, true and correct. Where did you hear about this job? Please Select...AdzunaCareer BuilderCarehome.co.ukCaterer.comCentral Marketing Leaflet DropCharity JobCollege/ UniversityCV Lib E ShotCV Library (Advert)CV Library SearchDoor dropEmployeeFacebookFacebook BoostFacebook LeadsFindaJob.gov.ukGlassdoorGoogle sponsored adsGumtreeHarri.comHealthjobsukIndeedIndeed PPCIndeed TargetJob CentreJob FairLeaflet/FlyerLinkedIn AdvertNurses.co.ukOnlinejobhunt.co.ukRecruitment BannerReed E ShotReed.co.uk advertReferred by a friendSearch Engine (e.g. Google/Bing/Yahoo etc)Staff NurseTalent.comText CampaignThe GuardianTotalJobs.comTwitterUniversal Job MatchWorkinsocialcare.com Page 2 of 2 Diversity Monitoring Milford Care is committed to Equal Opportunities for all candidates and shall adhere to such a policy at all times. We aim to select and promote all staff solely on merit. In order to monitor the effectiveness of our Equal Opportunities Policy, we ask all applicants to complete these questions. The information you provide is for monitoring purposes only and will be kept separate from your application form. It will not be used regarding any decision making of employment and will be treated in the strictest confidence. Please indicate your gender Please Select...MaleFemaleNon-binary Please identify which age group you belong to: Please Select...25-3435-4445-5455-6465+ Do you consider yourself to have a disability?The Equality Act 2010 defines disability as 'a physical or mental impairment which has substantial long-term effect on a person's ability to carry out normal day to day activities' Yes No Please indicate your ethnic originEthnic origin categories are not about nationality, birthplace or citizenship. They are about the group to whom you see yourself as belonging to. Please indicate your ethnic origin by selecting the appropriate box: Please Select...Asian or Asian British - ChineseAsian or Asian British - Indian Asian or Asian British - PakistaniAsian or Asian British - Other Asian backgroundBlack or Black British - AfricanBlack or Black British - CaribbeanBlack or Black British - Other Black backgroundMixed - White and AsianMixed - White and Black AfricanMixed - White and Black CaribbeanMixed - Other mixed backgroundWhite - BritishWhite - EnglishWhite - IrishWhite - ScottishWhite - Other White backgroundother Black backgroundother Ethnic backgroundPrefer not to disclose Please indicate your religion or belief Please Select...AtheistBuddhistCatholicChristianChurch of EnglandChurch of ScotlandConfucianismHinduIslamJewishMethodistMuslimNo ReligionOtherPrefer not to discloseProtestantShintoismSikhSikhismTaosimUnknown Send