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Care Assistant
Horsham RH13 5UR | Permanent | Salary: £11.00 to £24.00 /hour

PERSONAL DETAILS

Highest Level of qualifications acheived

*Title:

*First Name:

*Last Name:

*Address:

*Post Code:

*Telephone Number:

*Mobile Number:

*Date of Birth:

*National Insurance Number:

*Email:

ADDRESS HISTORY

Address History - Previous Address 1:

Dates From and To (1):

Address History - Previous Address 2:

Dates From and To (2):

Address History - Previous Address 3:

Dates From and To (3):

NEXT OF KIN OR EMERGENCY CONTACT

*Next of Kin Full Name:

*Relationship to you:

Address (if difference from above):

*Emergency Telephone Number:

HOW DID YOU HEAR ABOUT ASCOT CARE?

TRANSPORT

YOUR RIGHT TO WORK IN THE UK

DISABILITY

Nature of the Disability:

WORKING TIME REGULATIONS

EMPLOYMENT HISTORY

*Company Name (1):

*Company Email (1):

*Line Manager (1):

*Your Job Title (1):

*Main Duties (1):

*Dates of Employment (1):

*Reason for Leaving (1):

*Company Name (2):

*Company Email (2):

*Line Manager (2):

*Your Job Title (2):

*Main Duties (2):

*Dates of Employment (2):

*Reason for Leaving (2):

Company Name (3):

Company Email (3):

Line Manager (3):

Your Job Title (3):

Main Duties (3):

Dates of Employment (3):

Reason for Leaving (3):

TRAINING, QUALIFICATIONS & PROFESSIONAL DEVELOPMENT

*Relevant Training:

ABOUT YOU

*Please tell us why you want to do this type of work:

Hobbies and Interests:

HEALTH DETAILS

GP's Name:

Surgery Address:

If Yes, please specificy:

Have you ever suffered from any of the following listed below?

WORK UNIFORM

DISCLOSURE

CONSENT

PROOF OF IDENTITY & ADDRESS

Passport or Birth Certificate:

Driving License:

Copy of National Insurance Number:

Proof of your current home address:

COSTS

COMMUNICATION

Please note that when you submit your application, our recruitment team will review the application and get in touch accordingly within the next 2 working days

Fields with (*) are compulsory.

May

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