Join our team | The Hollies Care Centre

Application for Employment

Position applied for
Date
Surname
First name
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Home number
Daytime number
Mobile number
N.I. No.
Work permit required?
YesNo
Do you hold a current clean driving licence
YesNo
Type of licence
Pin number (if applicable)

Schools and colleges attended (from age 11):

Name of school / college
Date from
Date to

Qualifications:

Details of qualification: (we will require evidence)
Date passed
Grade

Employment/work experience history:

Employers name
Job title
Start date - Finish date
Employers address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Duties/responsibilities
Salary / grade
Period of notice required
Reason for leaving

Previous employment details:

Employers name
Job title
Start date - Finish date
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Duties/responsabilities
Reason for leaving

Please list skills, experience, and abilities, which you consider to be relevant.

It may be useful to include details of any voluntary work or unpaid duties, which you may have performed, or any relevant training courses or seminars, which you may have attended.

Please provide details of any criminal convictions or pending criminal proceedings.

Note that the rehabilitation of offenders act is not applicable, and all spent convictions must be noted. If you have no convictions or pending proceedings, you should write "none"

Reference 1

Name
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Position held
Telephone

Reference 2

Name
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Position held
Telephone
We will only contact with these referees after we seek your permission first.

Declaration

I hereby certify that the information given on this application form is accurate and complete to the best of my knowledge and belief, and i am not aware of any other matters, which may materially affect my suitability for employment with The Hollies Care Centre. I understand that any wilful omission or inaccuracy is regarded as an act of gross misconduct, which may result in summery dismissal.

Verification

Please enter any two digits *Example: 12
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