Unit 4 Innovation House, Browning Way, Woodford Park Industrial Estate, Winsford, Cheshire, CW7 2RH

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Data Protection Act

Information from this form will be processed in accordance with the Data Protection Act 1998. In signing it you agree to this data being held and processed and if appointed to the job you also agree to further personnel information, including sensitive data (e.g. bank details, medicals, etc) being held and processed by Eternity Care Services in accordance with the Act.

Application for Career

Your Details:

Name:

Address:

Postcode:

Phone:

Email:

Education and training:

Please give details:

Qualifications:

Please give details:

Employment history:

Your current or most recent employer

Name of employer:

Address:

Job title:

Postcode:

Pay:

Length of time with employer:

Reason for leaving:

Duties:

Previous employers

Please tell us about other jobs you have done and about the skills you used or learned in those jobs.

Support Statement

Please tell us why you applied for this job and why you think you are the best person for the job.

Interview arrangements and availability

If you have a disability, please tell us if there are any reasonable adjustments we can make to help you in your application or with our recruitment process.

Are there any dates when you will not be available for interview?

When can you start working for us?

Right to work in the UK

Do you need permit to work in the UK?

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

Yes

References

Please give the names and contact details of 2 people who we can ask to give you a reference. We may ask them before an employment offer is made. We will not ask your current employer until we get your permission.

Referee 1:

Referee 2:

Declaration

I confirm that to the best of my knowledge the information I have provided on this form is correct and I accept that providing deliberately false information could result in my dismissal.

Name:

Signature:

Date:

QUICK LINKS

Unit 4 Innovation House, Browning Way, Woodford Park Industrial Estate, Winsford, Cheshire, CW7 2RH

01829 458288

REG NO: 12917601