Shelton Care Application Form

Personal Details:


First Name:


Vacancy Applied for:

Preferred Location:

Availibility (enter a Y/N in the boxes):

How did you hear about this vacancy?



Our Website





Please complete all employment details including periods of unpaid or voluntary work.Your current/most recent employer will be asked to provide a reference. Continue on a separate sheet of required.

Date to and from: Employers name and address: Post held including brief description of duties: Reason for leaving:

Education and Training

Please include any current studies

Dates from and to: School/College/University: Subjects/Courses: Grade:


Please provide details of 2 referees:-

Reference details-1:

Position and relationship to you:

Reference details-2:

Position and relationship to you:

Professional Membership

Institution/Organisation: Membership number: Date joined: Renewal date:

Supporting Information

Please tell us why you applied for this role:

Recruitment Statement:

Your Application
This application is an opportunity for you to tell us as much about yourself as possible. Take your time and think about what qualities and experiences you have that may be relevant to the role. Please refer to the job description for guidance.
Please complete the form clearly in black ink. Incomplete applications will not be considered.
Upon offer of a role, this application will form the basis of your personal file. Any information found to be false or deliberately misleading may result in your employment being withdrawn.

Data Protection Act 1998:
Information provided may be used to collate statistical information for recruitment analysis.
It will also be used to obtain references for successful candidates.
Unsuccessful applications will be destroyed after 6 months in accordance with the Data Protection Act.

Interview Process:
If your application is successful, we will contact you for pre-interview telephone screening.
Successful applicants will then be asked to attend an interview at our Head Office in Shelton or at one of our units.
Where appropriate all interview confirmation details will be sent via email, therefore it is important that you check your email address is correct.

Criminal Records Checking:
Employment at Shelton Care brings you in contact with vulnerable adults and young people. Any offer of employment for roles that fall under the legalisation governing regulated activity will be subject to a satisfactory enhanced Disclosure and Barring Service check.
Shelton Care complies fully with the Code of Practice and undertakes to treat all applications fairly. A copy of our policy on the recruitment of ex-offenders is available on request.
Should you have any queries please contact the HR department on 01782 263104.

Right to work in the UK:
Shelton Care is not registered for Tier 2 workers. If you do not have the right to work in the UK, your application will not be considered. By signing the application declaration, you are indicating that you have the right to work in the UK.

May we thank you for your application and for the interest you have shown in working for Shelton Care.

Shelton Care Ltd
75-77 Shelton New Road
Stoke on Trent

Recruitment Email:
Recruitment Telephone: 01782 263104 ext 232


We pride ourselves in our supportive culture, we actively encourage continuing professional development (CPD) with all our staff. The organisation continues to develop it’s facilities on campus within the staff training centre.

Care Quality Commission’s purpose is to make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage them to improve. To see the reports click here.