📝Application Form

This application form is for individuals interested in roles at BrightPath Neuro Assessments. Please provide all information as accurately as possible. This form helps us assess your suitability in line with CQC standards.

👤Personal Details

First Name

Last Name

Date of birth

NIN (National Insurance Number)

Do you have the right to work in the UK?

Address

Street Address

City

State

Country

Postal code

Phone

How did you hear about us?

💼Position Applied For

Name of role

What is your preferred start date?

Preferred Employment Type

Full-Time

Part-Time

Bank/Sessional

Other

Tick all that apply

Preferred Employment Type - Other

Please provide more information if you ticked other to the question above

📜Qualifications and Training

What qualifications or professional training do you hold that are relevant to this role?

Please list each entry with the following information: Qualification/Training, Name of Institution, Date Achieved, Awarding Body.

👷Employment History

Please provide details of your most recent employment

Please include the following: Job Title, Employer, Dates of Employment (from-to) and Key Duties and Responsibilities

Have you ever been dismissed from a role

If yes, please could you provide more information on this

🩺Relevant Experience

What experience do you have in care or support work?

What experience do you have in neurodevelopmental services (e.g. ADHD, ASC support)?

What experience do you have working with vulnerable individuals?

🔍Criminal Record and Safeguarding

Have you ever been cautioned, warned, or convicted of a criminal offence?

If yes, please provide details

📌 Please note: All offers of employment are subject to an enhanced DBS check in accordance with safeguarding legislation.

✍️Declaration

Do you confirm that all the information provided in this application is true and complete to the best of your knowledge, and understand that false information may result in withdrawal of any offer or termination of employment?

Confirmation

Yes

Please sign here once declaration has been confirmed

Clear

Please add the date declaration was confirmed