Home > Careers > Vacancy Application Form Vacancy Application FormDo you have any previous care experience? *YesNoRight to workIn accordance with the Asylum and Immigration Act 2006 you will need to demonstrate your eligibility for employment in the United Kingdom. If your application is successful you will need to provide evidence, in its original format for verification.Do you have the right to live and work in the United Kingdom? *YesNoDo you require sponsorship for a UK work visa? *YesNoWe are sorry to inform you that we will not be taking your application any further on this occasion.We would like to thank you for your interest you have shown in Southend Care Ltd & wish you every success.Kind RegardsSubmitPersonal DetailsForename *Surname *AddressAddress 1 *Town/City *County *Postcode *CountrySelect an optionAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta & MelillaChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCôte d’IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDiego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSamoaSan MarinoSão Tomé & PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. HelenaSt. Kitts & NevisSt. LuciaSt. MartinSt. Pierre & MiquelonSt. Vincent & GrenadinesSudanSurinameSvalbard & Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTristan da CunhaTunisiaTürkiyeTurkmenistanTurks & Caicos IslandsTuvaluU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis & FutunaWestern SaharaYemenZambiaZimbabweMobile phone number *Home phone numberEmail address *Attach CV *Adjustments Are there any adjustments to the recruitment process you would like to request to allow you to be considered for the post?MessageSubmitBackCriminal Record CheckBecause of the nature of the work for which you are applying, this post is exempt from the provisions of the Rehabilitation of offenders Act (1974) and is a condition of appointment that all cautions and convictions are disclosed in advance by the applicant. You are therefore required to set out below of any cautions and convictions you may have, regardless of the date of conviction or any subsequent penalty (N.B both spent and unspent convictions must be included).Failure to disclose such information could result, if you were appointed, in dismissal or disciplinary action.Southend Care Ltd will verify this by arranging a DBS, and where applicable, Adult Barred List check to be undertaken through the Disclosure & Barring Service, in line with current legislation.Do you have any cautions or convictions to declare? *YesNoPlease provide us with details of your cautions or convictions. *Any information given will be received in strictest confidence and disclosure of cautions or convictions will not necessarily bar you from employment.SubmitBackPersonal DataI consent to Southend Care Ltd using and keeping information I have provided on this application or elsewhere as part of the recruitment process and/or personal information supplied by third parties, such as Referees, relating to my application or future employment. I understand that the information provided will be used to make a decision regarding my suitability for employment and, if successful, the information will be used to form my personal record and will be retained for the duration of my employment and as long as is deemed necessary thereafter. If I am not successful, I understand that Southend Care Ltd will retain the form for as long as is deemed necessary for the purpose of recruitment and that the Company may use it to contact me in the event of there being any other vacancies for which I may be suitable.DeclarationI confirm that the information provided is correct and understand that any false information or deliberate omissions will disqualify me from employment or may render me liable for dismissal in conjunction with the Company's Disciplinary Procedure.I agreed to detailed checks and references being taken up by Southend Care in order to support my application and understand that any offer of employment is subject to the Company being satisfied with the results of the relevant checks including reference checks, Disclosure & Barring Checks (DBS) and Eligibility to work in the UK.Signed *Your browser does not support the Signature fieldClearDate *Date *Leave this field blankSubmitBackThis site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.