Application Form

Post Reference: PR127

Please Use this form to submit your application. Please note agencies or CV’s will not be accepted as part of the recruitment process. An Enhanced DBS check may be required as part of your role, this will be funded by Carers Leeds. We welcome applications from all sections of the community and recognise the benefits of a diverse workforce.

If you require the application in a different format, please contact the Carers Leeds Admin Team on 0113 246 8338.

Please note:

  • There is no ‘Save’ function whilst using this online application form page.  We advise you prepare your application in a word processor prior to copying & pasting your response in to this form. If you do not have Word you can download a free Office alternative called Libre Office for Windows or Libre Office for MACs.
  • Clicking back on your browser history will lose any information you have entered in to this form prior to submission.
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Confirmation will be sent once your application has been successfully submitted. Please check your email, including ‘junk/spam’ folders.

    Section One: Personal Information
    An asterisk * indicates a mandatory field


    Section Two: References

    Please give details of two people who can provide a reference for you. One of these should be your present or last employer. We would prefer to take up references by email, please provide email address where possible.

    Referee One (Present/Last Employer)

    Referee Two

    Section Three: Supporting Information

    Please describe why you are applying for this post. State how you meet the criteria outlined in the person specification, relating your answers to the tasks set out in the job description. Please ensure that you address every aspect of the person specification.

    Do not exceed 7,000 keystrokes (2 sides of A4 at a font size of 12pts).

    Section Four: Employment History

    Please account for any gaps in employment or education.

    Current/Most Recent Employment


    Previous Employment


    Previous Employment


    Previous Employment


    Section Five: Voluntary Work
    Most Recent/Current Voluntary Work


    Voluntary Work


    Voluntary Work


    Section Six: Education History

    Please tell us about relevant education or training you have undertaken, adding where appropriate, any qualifications you have obtained and give dates.

    Most Recent Education/Training/Qualification



    Section Seven: Equality and Diversity Monitoring Form

    This section of the application form will be detached from your application and will not be used as part of the selection process.

    Carers Leeds recognise the benefits of a diverse workforce which reflects the wider population and welcome applications from all sections of the community. Also, under the Equality Act (2010), Carers Leeds must be able to demonstrate that their recruitment processes are fair and that they are not discriminating against or disadvantaging anyone because of their protected characteristics.

    The information collected is only used for anonymised monitoring purposes to help us look at the profile of individuals who apply, are shortlisted for and appointed to each vacancy. In this way, we can check that we are complying with the Equality Act (2010).