Please fill in the job application form below and submit to send it through to Essential Homecare Services NI Ltd

Next of Kin Details

Please enter details of your next of kin. This is a person we can contact if you have an accident or illness while of duty.


Please provide all/any qualifications in the space provided.

Experience & Training

Please use the space below to provide information of any experience or training relevant to the position applied for.

Employment History

Please state below particulars of present and previous employment.

Please be aware that any gaps in employments must be accounted for.


Please give names and addresses of two referees who are not related to you and have knowledge of your work. One must be from your current or most recent employer.



General Information

Criminial Record Check

In the event of a position being offered, the applicant will have to undergo an Access NI disclosure check with a cost to the applicant of £33.00

Special Arrangements


An employee found to have knowingly given false or inaccurate information, or have wilfully failed to disclose any relevant fact will be dismissed.


Fair Employment Act & Health Questionnaire must be filled in as well as the application form.


Under the above Act Essential Homecare Services has a responsibility to monitor the religious affiliation of all applicants for employment. To comply with this requirement you are asked to complete the details requested below. Any information supplied will be treated in the strictest confidence and will only be used to monitor our policy of equality of opportunity.

Essential Homecare Services is a fair employer and does not discriminate on the grounds of religious belief or political opinion. We operate the Merit Principle, selecting the best person with this post.

The details provided by you will not be available to either the short listing or interview panel connected with this post.

It would be appreciated therefore if you would please answer the questions.


The Disability Discrimination Act (NI) Act 1995 describes a disability as a physical or mental impairment, which has a substantial and long term effect on a person's ability to carry out normal day to day activities.