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Your personal details

Full name:*

Position you are applying for:*

Contact number:*

Email address:*

Date of Birth*

National insurance number:*

Address:*

How long have you lived at this address?*

Do you hold a full UK driving licence?*

YES

NO

Do you have the use of a vehicle?*

YES

NO

Please provide an emergency contact

Full Name:*

First Last

Relationship to you:*

Phone number:*

Work availability and travel

Are you available to work:*

Full time

Part time

Are you available:*

AM

PM

Weekends

Application assessment

Section 1:*

Section 2:*

Section 3:*

Section 4:

Employment history

List*

Date From / To

Company

Job Title

Duties

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Recruitment references

It is part of our recruitment process to request references from your last two employers. Please provide the contact details below:

Reference 1

Reference 2

Company Name:*

Position:*

Phone number:*

Email:*

Have you ever been convicted of a criminal offence?

Select:*

YES

NO

Untitled

How have you obtained your right to work in the United Kingdom?

Untitled*

Applicants will be required to prove this at the time of an interview.

Employment cannot be offered unless such proof is provided.

File

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Max. file size: 128 MB.

Data Protection Act

Nexus Care Service Limited (‘the Company’) is a Data Handler and will process your Personal Data and/or Sensitive Personal Data in accordance with the Data Protection Act 2018. As Full details of the basis for the processing of such data, any third parties to whom it may be disclosed, and or details about your data protection rights, please see the Company’s Data Protection Policy. In the meantime by signing below you give your consent for and your references to be requested and the Company to Process your Personal Data.

Your Full Name:*

First Last

Your signature:*

Date:*