Application for Employment Position applied for:Position Applied For(Required)Day Support WorkerNight Support WorkerProject LeaderProject ManagerAre you entitled to enter or remain in the UK and undertake the work in question?(Required) Yes No Do we need to make any disability-related adjustments to allow you to take part in the recruitment process?(Required) No Yes Please specify the adjustments we need to make to allow you to take part in the recruitment process…(Required)Do you know anyone who works for Integra Supported Housing?(Required) Yes No Please provide this person's name(Required)Capacity in which this person is known to you(Required)Personal DetailsYour Name(Required) Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Your Address(Required) Street Address Address Line 2 City Region Post Code Your Phone Number(Required)Your Email Address(Required) Education and TrainingEducation(Required)LocationDateQualification Add RemovePrevious Employment(Required)Name & address of employerDates from – toJob title or dutiesReason for leaving Add RemovePlease cover the last 10 years employment/training, most recent first.Previous Relevant Experience(Required)Additional DetailsInterests(Required)List any criminal convictions other than “spent” convictions. If none, state “None”.(Required) Add RemoveReferencesFull postal address or email required. The reference is to be an employer or professional (i.e. doctor, police officer college lecturer etc) Your referee must not be a relative.Contact Authorisation(Required) I hereby authorise you to contact the referees below to obtain any information which, in your opinion, will attest to my suitability, qualifications and work history.Reference 1Reference #1 Name(Required) Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Reference #1 Address(Required) Street Address Address Line 2 City State / Province / Region Post Code Reference #1 Phone Number(Required)Reference #1 Email Address(Required) Reference #2Reference #2 Name(Required) Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Reference #2 Address(Required) Street Address Address Line 2 City State / Province / Region Post Code Reference #2 Phone Number(Required)Reference #2 Email Address(Required) Privacy Policy(Required) I agree to the privacy policy.We process personal data relating to those who apply for job vacancies with us or who send speculative job applications to us. We do this for employment purposes, to assist us in the selection of candidates for employment, and to assist in the running of the business. The personal data may include identifiers such as name, date of birth, personal characteristics such as gender, qualifications and previous employment history. We will not share any identifiable information about you with third parties without your consent unless the law allows or requires us to do so. The personal data provided during an application process will be retained for a period of at least six months or, if required by law, for as long as is required. This privacy notice does not form part of an employment offer or contract between us. If we make an employment offer to you, we will provide further information about our handling of your personal information in an employment context separately. If you would like to find out more about our data retention policy and how we use your personal data, you want to see a copy of the information about you that we hold or have any questions or issues regarding data protection, please email us with the Subject “Data Protection Request”.Shift Patterns(Required) Days = 8am – 6pm Evenings = 6pm – 9pm Nights = 9pm – 8am Please select your availability. Please note shifts are over 7 days per week Monday to Sunday.