Join Our Team

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Vacancy Title:

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Address:

Do You Hold A Full Driving Licence Valid In The UK ?

Yes

No

Preferred Hours:

Day

Night

Education / Qualifications:

College / University:

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Employment History:

Previous Employment: Please include any previous experience (paid or unpaid), starting with the most recent first. Current or most recent employer.

Training and Development:

Please use the space below to give details of any training or non-qualification based development which is relevant to the post and supports your application.

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Convictions / Disqualifications:

To ensure the safety and well-being of our clients, Oasis Manor Ltd requires all individuals seeking self-employment opportunities or positions within our organisation to undergo an Enhanced DBS (formerly CRB) check. We understand that having a criminal record does not automatically disqualify someone from working with us. If the check returns any information, we will have a confidential discussion with the individual. The final decision regarding engagement or employment will be made by the Director(s) based on the circumstances and nature of the disclosed information.
Please note that the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 and the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Order 1986 apply to both self-employed individuals and individuals seeking positions within our organisation. Therefore, applicants are obliged to disclose information about any convictions which, for other purposes, would be considered ‘spent’ under the provisions of the Act. Failure to disclose such convictions could result in termination of the engagement or employment or other appropriate action. Any information provided will be treated confidentially and will be considered solely in relation to the specific engagement or position for which the conviction applies.
Have you at any time received or had pending, a court conviction in the UK or overseas? If yes please give details.

Yes

No

Are you aware of any Police enquiries undertaken following allegations made against you, in the UK or Overseas? If yes please give details.

Yes

No

Are you subject to any fitness to practice conditions or have you been suspended or dismissed from any job?

Yes

No

If appointed when could you start? Give period of notice if applicable.

References:

Please give the detail of two references. We will take up professional references once you have been interviewed and provisionally offered a post. Please make sure that you have given the full contact details of your referees so that this does not delay processing reference requests. If you have no employer references, we will take up references with named individuals at colleges where you have studied, or people who know you in a professional capacity. Please do not put down family members or people you live with as referees.

Name of 2nd Referee and relationship to you:

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Equal Employment Opportunities Monitoring Questionnaire:

Sex:

Male

Female

Date of birth:

Marital status:

Married

Unmarried

Other

* E.g. Individuals who are widowed but have not remarried, individuals who are separated, individuals who are living with a partner etc.
Disability It is recognised that disabled people are not only those whose disability is immediately apparent (eg blind people or those in wheelchairs) but also those whose disability is not immediately obvious (eg heart trouble, mental illness or diabetes)
Do you consider yourself as having a disability?

Yes

No

Ethnic origin Individuals should identify with which one of the undernoted categories they most closely associate themselves, having regard to their ethnic or cultural background.
Ethnic origin:

Health Self Declaration Form:

Do you have any illness/impairment/disability (physical or psychological) which may affect your work, your own health, safety and welfare, or that of others?

Yes

No

Have you ever had any illness/impairment/disability which may have been caused or made worse by your work?

Yes

No

Are you having, or waiting for treatment (including medication) or medical investigation at present?

Yes

No

Do you think you may need any adjustments or assistance to help you to do the job?

Yes

No

Do you have any of the following?

(a) A cough which has lasted for more than 3 weeks?

Yes

No

(b) Unexplained weight loss?

Yes

No

(c) Unexplained fever?

Yes

No

Have you had tuberculosis (TB) or been in recent contact with open TB?

Yes

No

Health and Safety

Have you ever had chickenpox/varicella?

Yes

No

Can you provide documented evidence of immunity to measles, mumps and rubella?

Yes

No

Have you had a BCG vaccination in relation to Tuberculosis?

Yes

No

Have you ever had a Hepatitis B test in the last 5 years?

Yes

No

Please provide the following details of your immunisation record:

Tetanus

Yes

No

Diptheria

Yes

No

Hepatitis A

Yes

No

Hepatitis B (showing titre levels > 100miu/ml)

Yes

No

Rubella (German Measles)

Yes

No

Varicella

Yes

No

BCG (Tuberculosis vaccination)

Yes

No

Covid

Yes

No

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