Application Form | Hilton Care

Position*

Service Ref.

Personal Details

First Names*

Surname*

Known As

Previous Names

Address*

Postcode*

Age*

Date of Birth*

Mobile Telephone No.*

National Insurance Number*

Do you know any Hilton staff? If yes, state their name & the capacity in which you know them below e.g. wife/husband, friend etc.

Home Telephone No.*

Name of Staff

Email*

Capacity

Attach Your Latest CV

Attach Your Latest Photo

Education

Studies

Tell us about your studies (place of study, the dates - from and to - you studied there, the subjects and grades)

Other Courses

Tell us about other courses you have taken (name of the course/subject, and the dates you were studying it/them)

Employment Details

Name and Address of Present or Last Employer

Leave Date

Start Date

Reason for Leaving

Present Employer?

Yes

Job Title

Notice Required

Salary / Rate of Pay per Hour*

Nature of Business

Other Benefits

Details of Your Main Responsibilities

Previous Employment - Please give your full employment history and explain any gaps or attach a separate document

Employment History*

Tell us about your previous employers (name of the employer, their full address, your starting and leaving dates, and reason for leaving)

Additional Employment History Document

Supporting Information

Please explain why you are interested in this position. Include your skills, hobbies, and interests that you feel are relevant to your application*

Other Information

Do You Hold a Full & Clean Driving Licence?*

Yes
No

Do You Require a Student Visa?*

Yes
No

In which country did you get this Driving Licence?

Do You Require a Work Permit?*

Yes
No

Do You Have Access to a Motor Vehicle for Work Purposes?*

Yes
No

Do You Have a Current Work Permit?

Yes
No

How many points do you have on you Driving Licence?

If You Require a Work Permit Please Attach Copy

Are You Currently Studying?*

Yes
No

Hilton is a provider of a Regulated Activity and as such is required to obtain Enhanced Disclosures that include a Barred List check. Under the Exceptions Order to the Rehabilitation of Offenders Act (ROA) 1974, given that we deliver a Regulated Activity, staff and potential staff must declare specific offences and all offences that resulted in a custodial sentence. Failure to disclose such information could lead to dismissal or disciplinary action. Any information given will be confidential and will be considered only in relation to this application.

Have you ever been convicted of criminal offences by a Court and/or received Police cautions?*

Yes
No

If yes, please give details of all criminal convictions and Police cautions

I declare that the above information is true*

Yes

References

Please give details of TWO people, your most recent employer and one previous employer. If you have been in full time education your referee may be a member of your tutorial staff.

Reference 1

Full Name of Your Referee*

Full Address Including Post Code*

Position / Capacity Known to You*

Company Name*

Telephone Number*

Fax Number

Email Address

Reference 2

Full Name of Your Referee*

Full Address Including Post Code*

Position / Capacity Known to You*

Company Name*

Telephone Number*

Fax Number

Email Address

Health

Number of Days Absence Through Ill Health in the Last 24 Months*

Number of Separate Occurrences of Absence in the Last 24 Months*

Hours Availability

Are You Available to Work Flexibly During the Week (Monday to Sunday)?*

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

I am Interested in Day Shifts 7am to 2.30pm and 2.30pm to 10pm*

7am to 2.30pm
2.30pm to 10pm

I am Interested in Waking Shifts 10pm to 7am*

Yes
No

I am Available for Sleep-in Shifts as and When Required*

Yes
No

Do You Have Any Restrictions?*

Yes
No

If Yes, Please provide Details of Your Restrictions

Holidays Booked

Please Provide Exact Dates of Holidays Already Booked

Declaration

I declare that the information given on this form is true and complete. I confirm that I have completed this form myself. I understand that any false information could lead to disciplinary action, which may result in dismissal. I also understand that the appointment will be subject to satisfactory references and medical examination, Disclosure and Barring Service (DBS) check, and if appropriate, evidence of qualifications and/or statutory registration.

I Declare that the Information Above is True*

Yes

Once you have checked that you have fully completed all parts of your application please press SEND if completing online and include the Medical Questionnaire below and the Equal Opportunities Monitoring Form, or return your application to:

Hilton Community Services Ltd Hampton House, 1st Floor 100 Crossbrook Street, Cheshunt, Hert, EN8 8JJ

Confidential Medical Questionnaire

Please complete this confidential medical questionnaire. As a result of the information you provide you may be referred to a doctor appointed by the Company so that a medical examination can be carried out. Any information you give us will not necessarily debar you from employment.