Tel: +44113 827 2347

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    Check out our latest vacancies!

    "Check out our latest vacancies! We have a variety of current healthcare assistant and nursing jobs"

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    Nationwide Vacancies

    "From John O'Groats to Lands End, we have healthcare vacancies across the United Kingdom"

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Application Form

Thank you for your interest in joining Avanta Care. We require you to complete the form below to process your application.

Application Form

Title:(*)
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Forename(s):(*)
Please supply your first name(s)

Surname:(*)
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Date of Birth:(*)
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Gender:(*)
Please supply your gender

Date of Birth:(*)
Please supply date of birth as DD.MM.YY

Nationality:(*)
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Nationality at birth:
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* If different from above

Address:(*)
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Dates (From - To):
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If you have not lived at your current address for 5 years, please provide your previous address

Address:
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Dates (From - To):
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UK Telephone no:(*)
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Email Address:(*)
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National Insurance Number:
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Position applied for:(*)
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Do you have previous healthcare experience?(*)
Please make a selection

Do you have immigration rights to work in the UK?(*)
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Do you have any ongoing convictions, cautions, reprimands or final warnings?(*)
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If yes, please provide details:
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EDUCATION DETAILS:

Please select the level (or equivalent) you are educated to:(*)
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If Other, please state:
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Nursing Qualifications (If applicable):
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SKILLS & EXPERIENCE:

Please check the skills and experience boxes below that you have gained in your healthcare career:

Nursing Experience:

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Healthcare Experience:

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Additional Experience:
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PREVIOUS EMPLOYMENT DETAILS:

Current/most recent employer:(*)
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Position held:(*)
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Dates (From - To):(*)
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Reason for leaving:(*)
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Second most recent employer:(*)
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Position held:(*)
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Dates (From - To):(*)
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Reason for leaving:(*)
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PROFESSIONAL REFERENCE 1:

Name & company:(*)
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Telephone:(*)
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Email Address:(*)
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Relationship (Must be a senior employee):(*)
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Can we contact?(*)
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REFERENCE 2 (PROFESSIONAL OR PERSONAL):

Name & company:
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Telephone:
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Email Address:
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Relationship:
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Can we contact?
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How did you hear about us?(*)
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FURTHER DETAILS FOR DBS APPLICATION

Please note: If you have an existing transferrable DBS, you can skip this page. If you require a new DBS application, please complete the form below:

Maiden Name:
Please supply your surname

*Birth name, before marriage

Previous Name:
Please supply your surname

*If you have changed your name for any reason

Place of birth:
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Next of Kin:
Please supply your surname

Next of Kin Address:
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Next of Kin Tel:
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Marital Status:
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Date of Marriage:
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*If applicable

Date of Divorce:
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*If applicable

Passport Number:
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*Example: 17227700

Passport Issue Date:
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Driving Licence(*)
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TERMS & CONDITIONS

Please read:
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Ts & Cs:(*)

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USE OF INFORMATION DISCLAIMER

You understand and consent that in order to facilitate the recruitment process on your behalf, Avanta Care may forward your details to clients, and additionally display promotional excerpts from your details on the www.avantacare.com website or other websites of Avanta Care. You agree and accept that your present employer may access the www.avantacare.com or other Avanta Care group websites and you unconditionally waive any and all claims you may have against Avanta Care as a result of any loss you may suffer as a result of the information being displayed on these websites. You agree to comply with the Terms of Use of this website and accept Avanta Care's right to suspend or cancel your registration immediately at our reasonable discretion without liability to you, if you breach such terms of use. You accept that while Avanta Care will use its reasonable endeavours to find a suitable appointment for you, Avanta Care does not guarantee that any employer or client will ask for a candidate’s information, or will interview or hire a candidate. Avanta Care makes no representation or warranty as to the final terms and duration of any appointment obtained through this Site. You waive any claims against Avanta Care for failure to find you such appointment or in relation to the terms or duration of any appointment.

Consent:(*)

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Name:(*)
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Call us today

0113 827 2347

Mon - Fri: 9.00am - 5.30pm

Email us

info@avantacare.com

Feel free to email us for more information

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