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Cleaner Application
Apply to join Humucare Cleaning Agency as a cleaner. Please complete all required fields.
Personal details
First Name
*
Surname
*
Date of Birth
*
National Insurance Number
Address
*
Postcode
*
Home Telephone Number
Mobile Telephone Number
*
Email Address
*
Current or most recent employment
Position
Dates Employed (from and to)
Name and Address of Employer
Main Responsibilities
Details of any experience, qualifications or training relevant to this job
Getting around
Do you have any transport of your own?
— Select —
None
Scooter/Motorbike
Push Bike
Car
Do you have a full driving licence?
Yes
No
Availability
Which days can you work?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred times
Early
Mornings
Afternoons
Evenings
Can you work Saturdays?
Always
Sometimes
Never
Can you work Sundays?
Always
Sometimes
Never
References
Reference 1 — Name
Reference 1 — Job Title
Reference 1 — Address
Reference 1 — Telephone
Reference 1 — Email
Reference 2 — Name
Reference 2 — Job Title
Reference 2 — Telephone
Reference 2 — Email
Equal opportunities
Post applied for
Ethnic origin
— Select —
White – British
White – Irish
White – Other
Black/Black British – Caribbean
Black/Black British – African
Black/Black British – Other
Asian/Asian British – Indian
Asian/Asian British – Pakistani
Asian/Asian British – Other
Mixed
Chinese
Other ethnic group
Gender
Male
Female
Do you need approval from the UK Border Agency to work in the UK?
Yes
No
Have you ever been convicted of a criminal offence?
Yes
No
If yes, please give details
Upload your CV (optional)
I declare that the information given is true and complete
*
I agree
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