POSITION APPLIED FOR *Please select one PositionHealthcare AssistantNurseSupport WorkerCare Co-ordinatorPERSONAL DETAILSPlease complete your personal information accurately to ensure smooth communication and processing.Name *Email Address *Phone Number *Date of Birth *Street Address *City *County *ZIP / Postal Code *FORMAL EDUCATION AND QUALIFICATIONSName of School/College/University and location *Dates of Attendance (Start Date) *Dates of Attendance (Graduation Date) *When did you graduate?Please provide details of all your employmentEmployment HistoryUpload CV *Drag and Drop (or) Choose FilesTrainingPlease list any relevant training you have completed. Attach certificates if available.Please type herePlease attach training certificateChoose FileNo file chosenDelete uploaded fileREFERENCESReferences are normally taken up for candidates selected for interview. Give details of the names/addresses of two work-related Referees. One of the Referees should be your current employer, or if presently unemployed or self – employed, your last employer and/or character reference.Upload fileChoose FileNo file chosenDelete uploaded fileNamePhoneEmail AddressNamePhoneEmail AddressConsent *Registration implies acceptance or our code of confidentiality.In the course of your duties, you may have access to confidential information about your clients. On no accountmust information relating to identifiable client be divulged to anyone other than the manager. You should notdisclose ANY information to your family, friends, or neighbours.If you are worried by any information you have obtained and consider that you should talk about it to someoneelse MAKE AN APPOINTMENT TO SPEAK IN PRIVATE TO YOUR MANAGER.Failure to observe these rules will be regarded as serious misconduct which could result in your dismissal from Athena Care Homes. I have read and understood the above and I agree to abide by the contents therein.Submit