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live in care
dementia
1-2-1 Care
Physical/learning disability care
Complex Care
find work
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position available
About
Contact
Hello, don't worry if you don't get a message displayed on this page after successfully submitting your application, however, we recommend that you logon to your email to see your application details. Thank you!
Applicant's Personal Info.
First Name
Required.
Last Name
Required.
Supply Documentary evidence for surname(mariage certificate,deed of name etc)
Approx. no. of hours wanted
Please select which you want to work
Select One
Full Time
Part Time
Required.
Please select which you are able to work
Days
Nights
Mornings
Afternoons
Evenings
weekends Only
Required.
Current Address
Required.
Post Code
Telephone Number(home)
Required.
Telephone Number(work)
Email Address
Required.
Own Transport
Select One
Yes
No
How long has licence been held?
Are there any restrictions to your residence in the UK which might affect your right to take up employment in the UK
Select One
Yes
No
Required.
would you require a work permit prior to taking up employment
Select One
Yes
No
Required.
Educational Details
School/College/University
Required.
Examinations Passed/Qualifications gained
Supply Copies of the certificates
Required.
Training History
Qualifications
Date of Graduation/Qualification
Location/Details
Notes
Employment History
Name and address of your most recent/last employer
Date Employed
Nature of business
Position held
Salary/Rate
Name and address of Employer prior to the employer listed above
Date Employed
Nature of business
Position held and reason for leaving
Health Question Relevant To Your Role
Do you have any mental or physical disability or illness(currently or recurring) which is relevant to the post for which you are applying
Yes
No
Required.
Please give details
What adjustment (if any) need to be made to the working environment to accomodate your stabilty
Please give details of all absences from work in the last 12months except holidays
Next of Kin/Character Reference
Full Name
Required.
Relationship of next of kin
Required.
Tel No. of next of kin
Required.
Address of next of kin
Required.
Name Of Reference
Required.
Address of Reference
Required.
Tel No. of reference
Required.
Relationship of reference
Required.
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