Accidentcare is always looking for enthusiastic people to join our exciting and ever expanding team. So if you think you have what it takes please fill in the following questionaire. All information will be treated in Confidence and will only be used to asses your suitability for current vacancies.

Position Applied For:

 

Salary Expected:

 

Title:

 

Name:

 

Surname:

 

Address:

 

Date of Birth (dd/mm/yyyy):

//

Tel.:

Mobile:


 

Current Driving Licence:

 

Details of endorsements:

 

Schools

 

From - To (Approx. dates only)

 

Qualifications Gained

 

College / University

 

From - To (Approx. dates only)

 

Qualifications Gained

 

Other training

 

Leisure
 Please note here your leisure interests, sports &hobbies, other pastimes, etc.

 

Criminal Record
Please note any criminal convictions except those 'spent' under the Rehabilitation of Offenders Act 1974. If none, please state NONE.

 

General Comments
Please detail here your specific reason for applying for this position with Accidentcare, your main achievements to date and the strengths you would bring to the post.

 

Employment History - Starting with the most recent

From-To

Name & Address of employer

Job Title and Duties

Reason for Leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Notice required in current post:

 

References
Please note here the names and addresses of two persons whom we may obtain both character and work eperience references.

1.
 

2.
 

Declaration (Please read this carefully before signing this application)

1. I confirm that all the information on my application form is complete and correct and that any untrue or misleading information will give Accidentcare Limited the right to terminate any employment cotract offered.

2. I hereby give my authority for Accidentcare Limited to contact my own doctor for any further details of my state of health should they feel this necessary as a result of any information contained in the separate Medical Questionnaire.

3. I agree that Accidentcare Limited reserves the right to require me to undergo a medical examination should they feel this necessary as a result of any inform ation contained in the separate Medical Questionnaire.

I agree to the above  

I do not agree