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Personal

Surname
Surname
First Name(s)
First Name(s)
Address
Address
Postcode
Post Code
Email Address
Email Address
Contact Tel Number
Contact Telephone Number
Contact Tel Number 2
Contact Telephone Number (2)
Full Driving Licence
Full Driving Licence
You own a car which you can use for work purposes
You own a car which you can use for work purposes
Endorsements
Endorsements
Details of Endorsements
Details of Endorsements (enter N/A if this doesn't apply to you)
Availability to Work
Are you involved in any activity which might limit your availability to work (or your working hours)?
Limits to Availability
Details of any activities which might limit your availability to work (or your working hours)
Booked Holidays
Do you have any holidays booked in the next 6 months?
Details of Holidays Booked
Details of any holidays booked in the next 6 months
Restrictions / Covenants
Are you subject to any restrictions or covenants which might restrict your working activities?
Shift Work
There is an expectation that you will work weekends, sleep in shifts, waking night duties and overtime shifts, are you willing to work these when required?
Health Questionnaire
As part of your application, you will be asked to complete a pre-employment health questionnaire. If necessary are you willing to undergo a medical examination prior to employment?
Premier Care Employment
Have you ever been employed by Premier Care (Plymouth) Ltd in the past?
Details of Previous Employment with Premier Care
If yes, please give details
Work Permit
Do you need a work permit to take up employment in the United Kingdom?
Notice Period
How much notice are you required to give your current employer?
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