KanyaCaregivers
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Job Application Form
Personal Information
Full Name
Date of Birth
Home Address
Postal Code
Phone Number
Email Address
National Insurance Number
Gender
Select gender
Male
Female
Other
Prefer not to say
Marital Status
Select status
Single
Married
Divorced
Other
Job Details
Position Applied For
Select position
Senior Health Care Assistant
Health Care Assistant
Nurse
Chef
Chef Assistant
Employment Type
Select type
Temporary
Permanent
I understand this may be temporary employment
Willing to cover shifts as required
Availability
Available Start Date
Preferred Working Hours
Available for weekend work
Available for night shifts
Skills and Qualifications
Relevant Skills
Languages Spoken
Computer Skills
Select your level
None
Basic (email, browsing)
Intermediate (documents, spreadsheets)
Advanced (software tools, troubleshooting)
Expert (automation, system management)
Other Qualifications
Certifications
References
Reference 1
Name
Relationship
Company
Position Held
Email Address
Phone Number
Years Known
Reference 2
Name
Relationship
Company
Position Held
Email Address
Phone Number
Years Known
Legal and Eligibility Information
Do you hold a valid driver’s license?
No
Yes
Have you ever been convicted of a crime?
No
Yes
If yes, please provide details
Are you legally eligible to work in the UK?
No
Yes
Emergency Contact Details
Full Name
Relationship
Email Address
Phone Number
Alternate Phone Number
Declaration
I confirm that the information provided is accurate and complete to the best of my knowledge.
Submit Application