Application Details
STEP 01 of 11

Application Details

Have you previously applied for a position in our organisation?

Personal Details

Are you free to take up employment in the United Kingdom?

Driver Information

Do you hold a current, full driving licence?
If NO, do you hold a provisional licence?
If applicable, please list any points and/or driving convictions including dates:


Do you hold any of the following qualifications? (Please tick/complete as appropriate)
Are you are qualified teacher?
If yes, what is your DfES no.:
NVQ / QCF Level 3 Diploma for the Children’s and Young People’s Workforce
NVQ Level 4 HSC (CYP Pathway) plus Registered Managers Award
QCF Level 5 Diploma in Leadership for Health and Social Care, Children and Young People’s Services

Working Practices

Please tick/complete as appropriate (only complete if you are applying to work in our residential care homes)
Are you available to work 24 hour shifts including sleep-ins?
Are you available to work weekends and bank holidays?
Are you available to work flexibly and demonstrate a high level of commitment?
Are there any limitations on your ability to work flexibly?
Are there any limitations if you were asked to extend your shift?
Do you / will you have any other employment if you came to work for Horizon?

Education, Qualifications and Training

Date (Start Date and Completion Date)

Employment History

Please begin with most recent, giving details of any gaps in employment and the reasons for these. Full history is required - from leaving secondary education to the present. Please include months and years for all appointments.
Dates From – To:

Reasons For Applying

Please include your achievements to date, any relevant knowledge, skills and experience and strengths you would bring to the role.

Leisure Interests

Please detail any leisure interests, sports and hobbies or other pastimes: Please continue on a separate sheet if necessary.


Please include below the name, status, address and telephone number of two referees, one of whom must be your current or most recent employer. If you are applying for a post which requires unsupervised access to children, the company reserves the right to approach any past employer for a reference. Information requested will include details of your past performance, absences, disciplinary records, reason for leaving and suitability to work with children and young people. Current / Most Recent Employer and Name of Line Manager
Can we contact this person prior to interview for a reference?
Previous Employer and Name of Line Manager
Can we contact this person prior to interview for a reference?

Additional Information

Before completing this section please read this:

The post for which you are applying is exempt under the provision of the Rehabilitation of Offenders Act 1974 by virtue of the Exceptions Order 1975 (Amendment) (England and Wales) Order 2013.

This means you must give full details of any criminal conviction, including any spent convictions, or pendingcircumstances that might lead to prosecution, conviction, bind- over or caution. The disclosure of a criminal record, or other information, will not necessarily debar you from appointment. In making this decision Horizon Care and Education Ltd will consider the nature of the offence, how long ago and what age you were when it was committed. Also any other factors, which may be relevant can be given consideration, including considerations in relation to the company's equality policies. Any information you give will be treated in confidence. Do you have any criminal convictions, bind-over or cautions

Do you have any criminal convictions, bind-over or cautions in respect of any offence?
If you have none, please state:

Applicants need to be aware that Horizon Care and Education Group Ltd carries out a disclosure on all people we decide to appoint. Information received from the DBS will be kept in strict confidence.

Failure to declare a conviction, caution or bind-over may, however, disqualify you from appointment,
or result in summary dismissal if the discrepancy comes to light.

“I take notice that if I have any convictions and do not declare them, or withhold information which is relevant to my application, or if information provided in my application is untrue, I understand I will be instantly dismissed. I confirm that I have read, understood and have truthfully answered the above questions and that everything else in this application (including any additional pages) is, to the best of my knowledge, accurate and correct.”

Do you hold a current DBS Certificate, dated within a year?
If YES please complete the following:
Issue date:
Certificate No:
Countersignature Details: