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... Mr Mrs Miss Dr Ms Forename Surname Address Postcode Email address Retype email address Mobile number Do you have the right to work in the UK? Please Select... Yes No If yes, please confirm which option your eligibility to work in the UK is based upon? Please Select... UK citizen EEA / European Union National Indefinite leave to remain Tier 1 Visa Tier 2 Visa Other If other visa, please provide information below Please upload your CV Do you have care sector experience? Please Select... Yes No Are you related to anyone currently working for Milford Care? Please Select... Yes No 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... Adzuna Career Builder Carehome.co.uk Caterer.com Central Marketing Leaflet Drop Charity Job College/ University CV Lib E Shot CV Library (Advert) CV Library Search Door drop Employee Facebook Facebook Boost Facebook Leads FindaJob.gov.uk Glassdoor Google sponsored ads Gumtree Harri.com Healthjobsuk Indeed Indeed PPC Indeed Target Job Centre Job Fair Leaflet/Flyer LinkedIn Advert Nurses.co.uk Onlinejobhunt.co.uk Recruitment Banner Reed E Shot Reed.co.uk advert Referred by a friend Search Engine (e.g. Google/Bing/Yahoo etc) Staff Nurse Talent.com Text Campaign The Guardian TotalJobs.com Twitter Universal Job Match Workinsocialcare.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... Male Female Non-binary Please identify which age group you belong to: Please Select... 25-34 35-44 45-54 55-64 65+ 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 - Chinese Asian or Asian British - Indian Asian or Asian British - Pakistani Asian or Asian British - Other Asian background Black or Black British - African Black or Black British - Caribbean Black or Black British - Other Black background Mixed - White and Asian Mixed - White and Black African Mixed - White and Black Caribbean Mixed - Other mixed background White - British White - English White - Irish White - Scottish White - Other White background other Black background other Ethnic background Prefer not to disclose Please indicate your religion or belief Please Select... Atheist Buddhist Catholic Christian Church of England Church of Scotland Confucianism Hindu Islam Jewish Methodist Muslim No Religion Other Prefer not to disclose Protestant Shintoism Sikh Sikhism Taosim Unknown Send