IT IS IMPORTANT THAT YOU ANSWER ALL QUESTIONS FULLY. PLEASE WRITE IN CAPITAL LETTERS ONLY. PLEASE NOTE THAT IF YOU DO NOT HEAR FROM US WITHIN 4 WEEKS OF SUBMITTING YOUR APPLICATION, YOU HAVE BEEN UNSUCCESSFUL ON THIS OCCASION.

  1. Current passport, birth certificate if British citizen or a driving license
  2. Two recent passport photographs
  3. Two proofs of identification with your name and current address issued in the last three months
  4. Documents /certificates of any relevant qualification and training to care work

NEXT OF KIN 

A member of family or friend we can contact in the case of emergency (Please confirm with them before you write their name) 

PLEASE LIST YOUR EMPLOYMENT STARTING WITH THE MOST RECENT SINCE GRADUATION FROM SECONDARY SCHOOL. FOLLOW THE ORDER AS BELOW:
Employer's Name, Address & Telephone No.
Title of Position helf and Immediate Supervisor
Main duties, Responsibilities and Achievements
Salary
Dates Employed Month/Year From and To
Part time/Full time
Reason for leaving

EDUCATION HISTORY STARTING FROM SECONDARY SCHOOL. FOLLOW THE FOLLOWING FORMAT:
Name & Address of School, College or University Course Title
Dates Studied Month/Year
Part-time or Full time
Qualification received

Please include below if you have undergone any trainings and qualifications. Follow the following format:
Training provider details
Course details
Date Completed

Professional Registration Details - NURSES ONLY

EQUAL OPPORTUNITIES

Three Angel Healthcare is an equal opportunities employer. The sole criteria for selection is the suitability of an applicant for the job for which they are applying. We do not discriminate on any grounds.

We are required by law to monitor the effectiveness of our Equal Opportunities policy and should your application be successful will ask to complete a confidential form. Thank you.

HEALTH

Should your application be successful and you are made an offer, you will be asked to complete a medical screening questionnaire. The information on your medical screening questionnaire will be treated as strictly confidential. Any need for reasonable adjustments will be considered. Failure to disclose any relevant information may affect your probationary review.

CONVICTIONS

Rehabilitation of Offenders Act 1974 – Do you have any convictions or offences, information of which you are entitled to withhold, under the rehabilitation of Offenders Act
1974 (Exceptions) Order 1975, in view of the nature of the work for which you are applying?.

If you application is successful you will be required to provide a satisfactory Enhanced Criminal records Bureau Disclosure. Three Angel Healthcare will offer their full support
throughout this process. A copy of the CRB Code of Practice is available upon request.

REFERENCES

Please give details of three referees (who should not be relatives or friends), at least one of whom should be your current or last employer relating to a period of not less than 3 months employment. If you have not worked for some time or have never worked, please give the name of someone who can comment on your ability to do the job for which you are applying. Please note that all offers of employment are conditional upon receipt of at least two satisfactory references.

OTHER INTERESTS

CONFLICT OF INTEREST

Do you have a close personal/family relationship with anyone currently working for Three Angel Healthcare ?

DECLARATION

I understand that the data l have given will be processed and used in accordance with the data protection act and hereby give permission for my details to be retained.

I confirm that to the best of my knowledge and belief, the information I have given is correct. I hereby give Three Angel Healthcare permission to contact my referees and
understand that any contract given to me is based on the information provided.

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