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E-Mail: info@roseemployment.co.uk
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Simply complete our Candidate Registration Form and we will add your details to our files. It will be dealt with personally by our Operations Director.

If you prefer to relay this information personally, please call 01582 480400/07960 590 463
Post Applied for
Title
Surname
Forename(s)
Address
Postcode
Telephone
Email Address
Date of birth
Nationality
National Insurance
Next of Kin
Relationship
Address
Do you have a work Permit
Current driving License
Do you have access to a car
Do you have any convictions
If yes give details below
Previous Employers
Confirm
Name
Date
Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1975. Applicants are therefore not entitled to withhold information about convictions for which for other purposes are ‘SPENT’ under the provisions of the act.
Qualifications
DETAILS OF QUALIFICATIONS (e.g. NVQ, FOOD AND HYGIENE ETC) INCLUDING DATES
DETAILS OF LAST THREE EMPLOYERS, MOST RECENT FIRST AND REASONS FOR LEAVING
Comments
ANY OTHER COMMENTS TO SUPPORT YOUR APPLICATION
PLEASE GIVE NAMES AND ADDRESSES OF TWO PERSONS FROM WHOM PROFESSIONAL REFERENCES MAY BE OBTAINED.
Professional Reference
Personal Reference
I declare that all the information given above is true. I authorise you to take references from the above persons and to seek necessary confirmations of my educational qualifications. In the event that I am employed, I understand that false or misleading information given in my application or interview may result in discharge.
Candidates
Candidate Registration
Rose Employment Services Limited
Suite 9, Britannia House, Leagrave Road, Luton, Bedfordshire LU3 1RJ
Tel: 01582 480400 | Fax: 01582 480410 | Email: info@roseemployment.co.uk
Nursing, Health & Social Care, Residential Care, Training; CALL 01582 480 400