subject_line
Join Our Team
Personal Information
First Name
*
Last Name
*
First line of address
*
Post Code
*
Phone
*
Email Address
*
Position Applying For
*
Doctor
Registered Nurse ( RGN/ RMN/RNLD)
Allied Health professional
Domiciliary Care Manager
Healthcare Assistant
Support worker
Housekeeping/Domestic
Sales Consultant
Others
Are you legally authorized to work in the United Kingdom?
*
Yes
No
Do you have any criminal convictions? ( Including spent convictions)
*
Yes
No
Do you consent to Depax carrying out an online status check on the DBS Update Service ( Disclosure and Barring Service) ?
*
Yes
No
Are you registered on the DBS Update Service?
*
Yes
No
Do you consider yourself to have a disability ?
*
Yes
No
Availability
Days Available
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Shift preference:
*
Days
Breakefast/Dinners
Teas/Beds
Nights
Any
Work History
Employer 1
Company Name
*
Address
Phone
Start Date
*
+
End Date
*
+
Job title
*
Pay rate
Supervisor/Manager
Email Address
*
Reason for Leaving
May we contact?
*
Yes
No
Phone Number
Employer 2
Company Name
*
Address
Phone
Start Date
*
+
End Date
*
+
Supervisor/Manager
Job title
*
Pay rate
Email Address
*
Reason for Leaving
*
May we contact?
*
Yes
No
Phone Number
References
Proffessional UK Reference 1
Name
*
Title
*
Email Address
*
Phone
*
Proffesional UK Reference 2
Name
*
Title
*
Email Address
*
Phone
*
Character Reference 3
Name
*
Title
*
Email Address
*
Phone
*
Training/Education
List qualification/training held.
*
Please upload your CV and training certificates
*
Cover letter
Are you willing to pay the required fee for a full enhanced DBS Disclosure?
*
Yes
No
I am registered on the DBS update service
Have you received double dose of covid-19 vaccine?
*
Yes
I have received first dose, I'm waiting to receive second dose
No, I do not want to take the vaccine
No, I am hoping to take my first dose soon.
Your consent
I have read, accept and consent to my data being stored and managed as outlined in Depax Care's
privacy policy.
*
Yes, keep my information.
No, remove my information
We are committed to promoting the equality of opportunity and welcome applications from
anyone who feels that they are able to carry out the duties, regardless of any previous
experience.
Powered by