Job Application Form
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Birth Date
 
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Job Skills and Training

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References: Please give the name of two referees below, one of which must be your current or most recent employer. Referees cannot be related to you through family or marriage.

Reference 1

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Years Known
 
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Address 2

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Years Known
 
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PROTECTION OF VULNERABLE ADULTS THIS SECTION MUST BE COMPLETED IN FULL

Please note that because of the nature of the work for which you are applying, if you are selected for the post you will be required to have a satisfactory DBS enhanced disclosure prior to your appointment being confirmed. Please note that this post is exempt from the provisions of the Rehabilitation of Offenders Act 1974 and therefore you are required to declare convictions which are otherwise "spent". A criminal record will not necessarily be a bar to employment.
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DECLARATION I declare that, to the best of my knowledge and belief, the information given is true and I understand that employment will be considered subject to the particulars being correct. I confirm that I am aware that a work status check may be carried out and I give my permission for my personal information to be shared with the UK Border Agency for this purpose. I understand that these details may then be held by the UKBA.

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Date
 
If you have any questions about this form or require any help in completing it, please call our Recruitment Department on  +44- 7721 053181or e-mail us at info@agincaregroup.co.uk