EARLYBIRD – Personnel: Application Form

Employee Evaluation Form

Application Form

You are filling this form, to apply for Work Application, under the EarlyBird Care Resources LTD
We are GDPR Data Compliant.
Please remember that, the form will be confidential and will be used for only internally.

Personal Information

Your personal details.


Next of Kin Details

Work Information

Some description about this section

REHABILITATION OF OFFENDERS ACT 1974 - NOTICE TO OFFENDERS


Because of the nature of the work involved, the post for which you are applying is exempt from Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation Offenders Act (Exemption Order 1975). This means that you are not entitled to withhold information relating to any convictions you may have had.

Job References

Please give the name, company position, company name, address of two referees one of whom must be your present employer, or your previous employer.


Work Culture

This organisation seeks to work in a flexible and family friendly manner with its staff, however unusual hours are part and parcel of a quality care service. Weekend working is a requirement for all staff, the frequency of which will be determined at interview.


COPIES OF PARTICULARS FOR REGISTRATION

We require copies of the following documents for your Application.

For DBS checks we also need the address of where you lived in the past five years. If you have any queries, please do not hesitate to contact the office. I look forward to speaking with you soon.

[email protected]


Bank Payment Details

Authorisation For Payment Directly Into Your Bank Account - Please Write Clearly As Any Errors May Result In Payment Being Sent To Wrong Account


Casual Worker Agreement

Following your interest, we are delighted to be able to offer you casual work with the Company under the following terms and conditions.


1. Status of this Agreement

This contract governs your engagement from time to time by Early Bird Resources Limited as a Casual Worker. This is not an employment contract and does not confer any employment rights on you (other than those to which workers are entitled). In particular, it does not create any obligation on you to perform work for the Company (even if offered) or on the Company to provide work to you and therefore there will be no mutuality of obligation between the Company and you.   

2. Company’s discretion as to work offered

It is entirely at the discretion of the Company whether to offer you work and it is under no obligation to provide work to you at any time. The Company reserves the right to give or not give work to any person at any time and is under no obligation to give reasons for such decisions.  

3. No presumption of continuity

Each offer of work by the Company which you accept shall be treated as an entirely separate and severable engagement (an assignment). The terms of the contract shall apply to each assignment but there shall be no relationship between the parties after the end of one assignment and before the start of any subsequent assignment. The fact that the Company has offered you work, or offers you work more than once, shall not confer any legal rights on you and, in particular, should not be regarded as establishing an entitlement to regular work or conferring continuity of employment.   

4. Arrangements for work

If the Company wants to offer you any work it will call, text or email you the details of the assignment. You are under no obligation to accept any work offered by the Company at any time. However, if you accept an assignment you must inform the Company immediately if you will be unable to complete it for any reason.  

The Company reserves the right to terminate an assignment at any time for operational reasons. You will be paid for all work done during an assignment up to the time it is terminated. In order to assist the Company in organising work, please complete the personal information sheet attached to this contract and return it to the manager.  It is your responsibility to inform the Company of any changes to these details.

5. Work

The Company may offer you work from time to time as a Health Care Assistant/Support worker. If you accept work your duties will include providing care to service users and you will usually report to the manager. The precise description and nature of your work may be varied with each assignment and you may be required to carry out other duties as necessary to meet business needs. You will be informed of the requirements at the start of each assignment. 

Before offering you an assignment the Company will require certain documents from you in order to satisfy itself that you are legally entitled to work in the UK. 

You can confirm that you are legally entitled to work in the UK without any additional immigration approvals and agree to notify the Company immediately if you cease to be so entitled at any time.
  

6. Place of work

During each assignment, the Company may offer you work at various locations. You will be informed of the relevant place of work for each assignment.  

7. Hours of work

During each assignment your hours of work will vary depending on the operational requirements of the Company. You will be informed of the required hours for each assignment. 

 You will be entitled to an unpaid break of (one hour) where your assignment requires you to work more than (six hours) in any one day. 

Company timesheets recording the actual hours worked are to be completed and submitted to the office on a weekly basis. 

8. Working Time Opt-Out

Please complete the attached form to confirm whether you wish to opt out of the 48 hour limit on a week’s work. If you do not opt out, the Company must ensure that it does not offer you work which would result in you working for more than 48 hours in any week. You must then keep the Company informed of the hours that you work for third parties so that it can comply with this obligation.  

9. Pay

You will be paid weekly/monthly in arrears on or about the last day of each month, directly into your bank account for the hours worked in the previous month. The Company will make all necessary deductions from your pay as required by law and shall be entitled to deduct from your pay or other payments due to you, any money which you may owe to the Company at any time.  

10. Holidays

Your holiday entitlement will depend on the number of hours that you actually work and be pro-rated on the basis of a full time entitlement of 28 days holiday during each full holiday year. This entitlement includes the usual 8 public holidays in England and Wales. The Company’s holiday year runs from (01/01) to (21/12).   

At the end of each assignment the Company will pay you in lieu of any accrued but untaken holiday for the holiday year in which the assignment ends. The amount of payment in lieu will be calculated of the hours worked during the assignment and multiplying this by your hour of rate. 

For operational reasons you will not normally be entitled to take leave during an assignment, but permission may be granted in exceptional circumstances.

If you have taken and been paid for more holiday than your accrued entitlement at the date your assignment ends, the Company shall be entitled to deduct from you any over-payment which has been made. 

11. Sickness

If you have accepted an offer of work but are subsequently unable to work the hours agreed, you must notify the manager of the reason for your absence as soon as possible but no later than (time) on the first day of absence. 

You will not be entitled to receive any pay in respect of any period of sickness or injury during an assignment. As you are not an employee you have no entitlement to Statutory Sick Pay.  

12. Data Protection

You consent to us holding and processing, both electronically and manually, the data that we collect about you, in the course of your working relationship with us, for the purposes of administration and management of our staff and our business and for compliance with applicable laws, procedures and regulations.  

13. Company rules and procedures

During each assignment you are required at all times to comply with relevant Company rules, policies and procedures in force from time to time including but not limited to those contained in the staff handbook, a copy of which has been given to you OR which is available from the staff portal of the website.  

14. Confidential Information

You shall not use or disclose to any person, either during or at any time after your engagement by the Company, any confidential information about the business or affairs of the Company (or any of its business contacts) or about any other matters which may come to your knowledge as a result of carrying out assignments. For the purposes of this clause, confidential information means any information which is not in the public domain and which relates to the affairs of the Company (or any of its business contacts).  

The restriction in this clause does not apply to: 

  • a) Prevent you from making a protected disclosure within the meaning of section 43A of the Employment Rights Act 1996; or
  • b) Use or disclosure that has been authorized by the Company or is required by law or in the course of your duties.   

15. Company property

All documents, manuals, hardware and software provided for your use by the Company, and any data or documents (including copies) produced, maintained or stored on the Company’s computer systems or other electronic equipment (including mobile phones) remain the property of the Company.   

  Any Company property in your possession and any original or copy documents obtained by you in the course of your work for the Company shall be returned to the manager at any time on request and in any event at the end of the assignment.  

16. Termination

If you wish your name to be removed from the Company’s staff bank or no longer wish to be considered for casual work by the Company you should inform the manager as soon as possible.   

The Company may remove your name from its staff bank if you are unable to accept an assignment on (three) occasions OR work for (four) consecutive weeks  

 

The Company may terminate this contract immediately by giving notice in writing to you if it reasonably considers that you have committed any serious breach of its terms or committed any act of gross misconduct. Non-exhaustive examples of gross misconduct include (dishonesty, theft, fighting, mis-use of drugs or alcohol or any acts or omissions which might bring the Company into disrepute)  

17. Changing Terms and conditions

The Company may review its requirement for casual workers from time to time and/or may update the terms on which it offers such work. In the event of any changes to the terms on which it is prepared to engage casual workers the Company may terminate this contract with immediate effect by giving notice to you and you may, at the Company’s absolute discretion, be offered a new contract for casual work.  

18. Governing law

This contract will be governed by English law. If you wish to accept casual work from the Company on the terms stated above you are requested to sign and date one copy of this agreement and return it to the manager as soon as possible. We look forward very much to you joining the team and trust that we shall have an enjoyable and satisfying relationship.   

DBS Consent Form

This new subscription service lets individuals keep their DBS up-to-date so you can take it with you when you move jobs or roles. 


As a Registered Body, EarlyBird Care Resources Limited can then carry out online, instant checks to see if any new information has come to light since the certificate's issue - this is called a status check. 

The DBS update service check will allow you to have greater control of your own information and allow DBS certificate to be reused when applying for similar jobs. You will also be able to see who has carried out a status check, and when they did, from your online account.

 

What should you do now?

  • Subscribe to the updated service, an annual amounts of fee will be payable to the DBS. You can subscribe 28 days of DBS receiving your application or 14 days after the issue date of the Certificate. 

  By signing below, you give ongoing consent to:

  • EarlyBird Care Resources Limited to carry out a Status check (DBS and Regulated Activity) on you each time it is necessary, in accordance with the DFE and DBS guidelines.
     

Should you wish for the consent to be withdrawn, please provide EarlyBird Care Resources Limited with written notice confirming your withdrawal

[email protected]

Health Questionnaire – Non Clinical Staff

 

CONFIDENTIAL

The purpose of the questionnaire is to see whether you have any health problems that could affect your ability to undertake the duties of the post you have been offered or place you at any risk in the workplace. We may recommend adjustments or assistance as a result of this assessment to enable you to do the job. Our aim is to promote and maintain the health of all people at work. Before health clearance is given for employment you may be contacted by our nominated occupational health service provider and may need to be seen by an occupational healthy advisor or physician. Your record will be held on file for a short period of time and may be subject to audit. 


YesNo
A cough which has lasted for more than 3 weeks
Unexplained weight loss
Unexplained fever
Have you had tuberculosis (TB) or been in recent contact with open TB

Staff Consent


Protection Act 2018 and the Freedom of Information Act 2000.

 

a) I understand that as part of the contractual arrangements between Early Bird Resources Limited and the Local Authority contracts team, that the monitoring of the contract gives access to my personal file during their monitoring visits.

 

b) I understand that the care quality commission has the right to access my file as part of the compliance review process.

 

c) The EU Working Time Directive allows workers to “opt out” of working a maximum of 48 hours in any week.  Please mark your choice with a checkmark.

I wish to work a maximum of 48 hours in any week

Or

I wish to “opt out” of the working time directive and be able to work more hours should I wish to do so.

 

If I wish to change these arrangements I understand that I must give 4 weeks’ notice in writing of any changes.

Within the current legislative framework, the Care Quality Commission has a right to view all and any forms, correspondence, paperwork which is kept and held under the Data Protection Act 2018 and the freedom of Information Act 2000 within the offices of EarlyBird Care Resources Limited.  Within the service  specification of the contract with the Local Authority, the same right is conferred to the monitoring function

Working Time Regulations Form & Student Declaration

If you choose not to sign this document, you are restricting your hours available to work to no more than 48 hours in any one week period.

If you choose to sign this declaration, EarlyBird Care Resources Limited will not hold you to working more than 48 hours per week. It is your choice and at you personal discretion if you choose to work more or less than 48 hours.


If I choose to change this agreement, I will give EarlyBird Care Resources Limited one months notice in writing to end this agreement.

Student declaration form

Strictly Confidential

  • UK Students: Please complete sections A, C and D 
  • Overseas Students: Please complete sections A, B and D

 

Section A: All students


Section B: Overseas students


Section C: UK students

Please complete all the relevant statements


Section D: All students

Declaration: I confirm that the information I have provided is correct. Any misleading or inaccurate information given may result in EarlyBird  Care Resources Limited terminating my employment.