<p> APPLICATION FORM THE INFORMATION SUBMITTED ON THIS APPLICATION FORM WILL BE TREATED BY tracscare AS STRICTLY CONFIDENTIAL. PLEASE ENSURE THAT YOU COMPLETE ALL SECTIONS AS FULLY AS POSSIBLE. Post applied for Support Worker Location Swansea</p><p>Where did you learn about this vacancy? Indeed.co.uk</p><p>If you have been interviewed by tracscare in the past, please give the name of the interviewer, name of the establishment at which the interview was held and the approximate date of interview. N/A</p><p>PERSONAL DETAILS</p><p>Title: Mr Surname: Holt</p><p>Forenames: Timothy David Maiden Name: (IF APPLICABLE) N/A</p><p>(UNDERLINE THE NAME YOU NORMALLY USE)</p><p>Address: Telephone Numbers (INCLUDE STD) 20 Mumbles Road Blackpill Home: 01792 927892 Swansea Work: N/A Are we able to contact you at work?: Yes/No (we appreciate this may be difficult for some people) </p><p>Postcode: SA3 5AU Mobile: 07979 527895</p><p>E-mail: [email protected]</p><p>Date of Birth: 19/06/1980 NI Number: JG 66 03 15 D</p><p>(This information is required as Care Standards dictate that a full employment history/gaps must be explored)</p><p>Do you have a full, current UK driving licence? Please give details of any current endorsements. Yes N/A Are you a car owner? If successful at interview, would you be happy to drive the company vehicle(s) for the purpose of supporting clients to activities, appointments, home visits etc? Yes Yes </p><p>Do you require a work permit or visa to work Are you able to provide documentation proving and live in the UK? No your right to work legally in the United Kingdom? If yes, when does this expire? N/A Yes</p><p>1 EDUCATIONAL & PROFESSIONAL QUALIFICATIONS (if you have a cv which includes this information, please attach to the application form and leave this section blank)</p><p>School/College Examination Grade Date s Taken</p><p>Swansea University MA History Pass JUL/2005</p><p>Kings College London BA (hons) War 2.2 JUL/2001 Studies</p><p>Swansea College International Diploma – 28 points JUN/1998 Baccalaureate</p><p>Bishop Gore Comprehensive School 10 x GCSE Grade A – C (including Maths, JUL/1996 English and Separate Sciences) Please continue on a separate sheet if necessary</p><p>EMPLOYMENT HISTORY Please detail all previous employment, including dates, starting with your present or last job where applicable. Please include any unpaid or voluntary work and explain what you were doing during any gaps in employment. Dates Employer Position Held and Salary Reason for (include month details of main Leaving (provide and year) Responsibilities full details; include reasons for leaving current employer) CURRENT/LAST EMPLOYER Name: SterlingBackcheck Criminal Research £23,892 From: APR/2010 Address: Manager – Manage Month Year 8th Floor, Alexandra House team conducting 1 Alexandra Road criminal and database Change of career Swansea checks on individuals. to Social Care SA1 5ED This included attending To: APR/2016 Contact Name: Lucy Ross meetings and Month Year Telephone: 01792 478838 answering complex queries from internal and external stakeholders. May we contact the above referee before interview? No Name: Amazon/Parkhouse Warehouseman – Take Min Wage Re-join Royal From: SEP/2009 Address: good and place them Navy Month Year J Shed on the shelves in the Kings Road warehouse ready for To: DEC/2009 Swansea sale. Month Year SA1 8PH Contact Name: Telephone: 01792 470290 Name: Admiral Insurance Management Trainee – £16,500 Re-join Royal From: JUL/2008 Address: Visit each of the main Navy Month Year Ty Admiral departments in the David Street business and undertake Cardiff team member and To: JUN/2009 CF10 2AA leadership roles while Month Year Contact Name: completing Telephone: 0800 118 1619 management training courses. Name: Royal Navy Warfare Officer – Take £32,000 Care for From: JAN/2006 Address: charge of evolutions as terminally ill Month Year (last ship) directed by the mother HMS MIDDLETON command. Act as </p><p>2 BFPO 335 Assistant Divisional To: NOV/2007 Contact Name: Officer for a team of Month Year Telephone: N/A sailors. Please continue on a separate sheet if necessary</p><p>GENERAL INFORMATION</p><p>Applications are welcomed from disabled persons. A disability will not prejudice your application. Please state if you have a disability which you would like us to know about at this time. Please give details of your disability and how it would impact on the duties of the post as described in the Job Description, so that reasonable adjustments can be considered.</p><p>N/A</p><p>All applicants must have the capability to carry out manual handling and lifting, to provide personal care to clients and to work in a challenging environment. Any information you can provide below of your experience or capability in these areas will be helpful.</p><p>Experience of helping my mother whilst acting as her registered carer. Fully capable of heavy lifting and have completed training at both Amazon and the Royal Navy on correct lifting techniques.</p><p>Due to the nature of our service and the need to provide continual support to our clients please indicate whether you are applying for:</p><p> Regular full time work? Yes  Regular part time work? No  Can you work on the weekends? Yes  Can you work evenings/nights? Yes  Are you available to work overtime? Yes  Can you work long days? (8.30am-9pm) Yes</p><p>Alternatively, please indicate whether you are interested in:</p><p> Temporary work (such as Bank Relief/Volunteer)? No Are you a member of the DBS update service? No If you answered yes to the last question, if you are successful at interview, do you give permission for us to use your current DBS certificate and carry out N/A an online check to see if any new information has come to light since its issue? We are committed to person-centred principles at all times. We endeavour to include clients within our recruitment process and will therefore share only this section of your application with clients if you are shortlisted for interview. What do others admire about you?</p><p>I think that people most admire my kindness, empathy and ability to put people at their ease. This allows me to make use of my excellent interpersonal and team working skills. People would also consider me to be calm and pragmatic under pressure enabling me to make informed decisions and use my initiative to solve problems. I have been told this allows me to go above and beyond when helping others and I have often been commended for doing this. My personal and professional endeavours have enabled me to remain focused on the task at hand without getting overwhelmed. I am also considered patient and non-judgmental. Finding out what other people need is a key asset and using strong communication skills and my interpersonal skills, I am able to work with people of varying communication levels to ascertain their needs, wants and wishes. My friends and colleagues </p><p>3 have told me I have a strong work ethic and have previously worked both long and varying shifts displaying excellent flexibility. However, I have undertaken my duties and performed them to the best of my abilities, completing tasks in a timely and consistent manner. Finally I have been told that I am a quick study and pick up new tasks quickly and easily and that I am able to take all feedback well and react positively to it, learning from any error and continuing to build upon it and move forward.</p><p>Please continue on a separate sheet if necessary</p><p>What matters to you in your life (e.g. what you like to do, important people, what are your values etc)? </p><p>I have many varied interests in life. I enjoy reading both fiction and non-fiction. I also have a fascination with History, especially Military History which I enjoy researching and reading for my own enjoyment. I enjoy all sports, mainly as a fan now but I have previously played rugby, fencing and enjoyed sailing. Whilst playing rugby I represented my club at age grade, my school and university and the various units I served in during my time in the Royal Navy. I was also lucky enough to captain my age grade club team and represent both Swansea Schools and the clubs at district/county level. </p><p>Away from sport I enjoy keeping up to date with Current Affairs and follow politics so that I am able to make informed decisions and can understand the actions of government and how they affect us. I enjoy listening to music and attending cultural/theatrical events. I also use Social Media to help me keep up to date with both culture and current affairs and enjoy Twitter for both the commentary and the humour that can be found. On weekends, being fortunate to live in Swansea, I enjoy going out and walking around both the coast and down the Gower. During the summer I also like travelling further afield and visiting historical sites and museums away from Swansea. I enjoy socialising with friends and colleagues. This is both in person and through social media where I am able to keep in touch with my many friends who don’t live in Swansea or who are still serving in the Royal Navy or living in London from my time at University there. This also allows me to continue to develop a growing hobby in photography which I can then share on Instagram.</p><p>My family and friends are all important to me and especially the relationship I have with my father which is hugely important following the death of my mother. I have been incredibly fortunate in both my family and peer group who have made me both the person I am and allowed me to fully enrich my life. I am also lucky to have the love and support of my partner without whom I would be a much poorer person. I have a strong values base and believe wholeheartedly in doing the right thing and ensuring social justice. Honesty is always the best policy and compassion and loyalty are both very important to me. This is both in a personal and professional sense and during my career to date I have always tried to ensure that this guides my every action.</p><p>4 Please continue on a separate sheet if necessary DISCLOSURE OF CRIMINAL HISTORY</p><p>Due to the nature of the work for which you are applying, we are required to carry out enhanced DBS checks. Anything appearing on a DBS will be risk-assessed based on the position you are applying for. Do you have any unspent or spent convictions, cautions, reprimands, warnings or Bind Over orders that will appear on a DBS check; are you subject to on-going police or regulatory investigation or proceedings, or been disqualified from professional practice? No If you answered yes to the above, please give further details below, including date of offence(s), description of offence(s) and details of sentence(s) (if any) you were given:</p><p>N/A</p><p>DECLARATION tracscare will use the information you give us and information from other sources for the administration and management of your employment (including pensions administration) and related activities as we require for the operation of the business. By entering into this agreement, you consent to our processing sensitive personal data about you for our legitimate employment administration and management purposes only. This may include information relating to your health, the commission of offences and your ethnic background for the purposes described above. To the best of my knowledge the information I have given above is true and accurate. I understand that providing misleading or incorrect information could result in dismissal or an offer of employment being retracted. Signature: Timothy Holt Date: 19 APR 2016</p><p>5 Employment History Continued:</p><p>Employer: Royal Navy Reserve Address: HMS CAMBRIA Hayes Lane Sully Penarth CF64 5XU From: DEC/2003 To: JAN/2006 Role/Duties: Junior Officer - Completed duties at HMS CAMBRIA in a junior management role, including taking charge of ceremonial and duty functions.</p><p>Employer: Royal Navy Address: Britannia Royal Naval College Dartmouth Devon TQ6 0JH From: MAY/2002 To: OCT/2002 Role/Duties: Officer Cadet - Undertaking Initial Officer training at Britannia Royal Naval College.</p><p>Employer: Kings College London Students Union Address: Kings College London Students Union Kings College London The Strand London WC2R 2LS From: SEP/1999 To: MAY/2002 Role/Duties: Events Staff/Supervisor - To plan, control and run events at the Students Union in a customer facing role during the Event. When not working events I helped to market upcoming events and assisted in ticket sales.</p><p>Employer: Hays Recruitment/Hyder Plc Address: Hays Specialist Recruitment4 Salubrious Place Swansea SA1 1SP</p><p>6 From: MAY/2000 To: JUN/2001 Role/Duties: Mailroom Clerk - Run and carry out basic maintenance of machines producing utility bills in a deadline and results driven mailroom. Exceeded all set targets.</p><p>Employer: Cash Hardware Stores Address: 13-15 Newton Road Mumbles Swansea SA3 4AR From: MAY/1998 To: MAY/2000 Role/Duties: Shop Assistant - Shop Assistant in busy Hardware Store, dealing with both homeware and garden goods in a customer facing role. Advised customers as to the best solution to their requirements and closed the sales.</p><p>Gaps in Employment History:</p><p>DEC/2009 - APR/2010 Attempting to re-join Royal Navy and job hunting. JUN/2009 - SEP/2009 Attempting to re-join Royal Navy. NOV/2007 - JUL/2008 Caring for terminally ill mother.</p><p>7</p>