vacancies

Position Applied For

Your Title:

Mr
Mrs
Miss
Ms

Contact Name *

First

Last

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Postal code *

Mobile Telephone:

Age

National Insurance No:

Contact Email *

Home Telephone:

Date Of Birth:

Address

Address Line 1

City

State / Province / Region

Name of Employer, Address and Contact Number (employer will not be contacted as a reference unless stated otherwise):

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Job Title:

Nature of Business:

Period of Employment: From: To:

Brief Description of Duties:

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Current Salary:

Per: week/month/annum

Notice period:

Reason for leaving:

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Dates

Names of Employer

Job title

Salary / rate

Main responsibilities

Reason for leaving

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Dates:

Name of School

Qualification received

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Dates:

Association Name and position:

Surname at Association:

Please give details of how your experience, skills and any training undertaken are relevant to the post you are applying for. Please include also any further reasons for application and continue onto a separate sheet if necessary.

Due to the nature of this position please declare now any criminal convictions that are not regarded as under the rehabilitation of offenders Act 1974.

Have you ever been convicted of a criminal offence(s)? *

Details of Conviction(s):

I declare that the details I have provided in this declaration are correct and to the best of my knowledge. Any false statement maybe sufficient cause for rejection or if appointed, termination.

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Sign *

Date *

If your application is successful, when would you be free to take up employment? *

Do you possess a valid EU Driving license?

Do you have regular use of a motor vehicle?

If yes what is the registration number of your vehicle

Do you need a work permit to work in the UK?

Are you at present, seeking Asylum in the UK

Are you seeking employment that will require an application under the workers registration scheme?

If there are any disabilities that might affect your application please provide some basic details

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Current / Most Recent Employer

Title and Name of Reference

Address and postcode of referee:

Address Line 1

City

State / Province / Region

Contact Number

Email address: *

Capacity Known to you:

2 nd Reference

Title and Name of Reference

Address and postcode of referee:

Address Line 1

City

State / Province / Region

Contact Number

Email address: *

Capacity Known to you:

I hereby certify that I have completed this application form and the answers given and statements made by me are to the best of my knowledge, are true and correct. It is understood that any misrepresentation made by me herein will constitute a fraudulent attempt to secure employment and thus serve as sufficient cause for cancellation of application and / or termination from City on A Hill Care if employed.

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Signed

Date

Due to the nature of this position please declare now any criminal convictions that are not regarded as under the rehabilitation of offenders Act 1974.

I declare that the details I have provided in this declaration are correct and to the best of my knowledge. Any false statement maybe sufficient cause for rejection or if appointed, termination.

About our company

Company

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