Register – St Margaret Health Care Services

Personal Details

Name*

Prefix

First Name

Last Name

Position applied For

Position applied For*

Street Address*

City*

Email address*

Post Code*

Mobile Number*

Date of Birth*

Nationality*

NI Number*

Emergency Contact / Next of Kin

Name*

First Name

Last Name

Home Telephone*

Mobile Number*

Relationship to you*

Email address*

Address*

How would you like to be contacted?

Home / office

Mobile / cell phone

Email

Mobile Tel*

Home Tel

Email address*

Employment

Are you currently employed?*

Yes

No

Other

Name of current employer*

From*

To*

Job title*

Address*

Phone*

Email address*

Please explain*

Were you employed before this job?*

Yes

No

Other

Name of previous employer*

From*

To*

Job title*

Address*

Phone*

Email address*

Please explain*

Right to Work

Do you hold a British Passport?*

Yes

No

Passport Number*

Expiry Date*

Type of Visa*

Expiry Date*

Do you have any conviction to disclose?*

Yes

No

Do you have a valid Enhanced Disclosure (DBS or CRB)*

Yes

Enter your DBS certificate Number*

Character Reference

Name*

First

Last

Email address*

Organization*

Character Reference

Name*

First

Last

Email address*

Organization

Upload your CV / Reume

Upload your CV*

Maximum size 10MB. PDF, DOC, TXT only please

Online CV / Portfolio link

Provide the link here. ex: https://stmaghcs.co.uk/cv

Please attached additional information to support your application

This field should be left blank

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Job Application

Personal Details

Emergency Contact / Next of Kin

How would you like to be contacted?

Employment

Right to Work

Character Reference

Character Reference

Upload your CV / Reume

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Job Application

Personal Details

Emergency Contact / Next of Kin

How would you like to be contacted?

Employment

Right to Work

Character Reference

Character Reference

Upload your CV / Reume

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