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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?

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

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

Company

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Humucare & Cleaning Agency Limited is a registered company located at the heart of Birmingham. We are an organisation with a standout experience in care giving and cleaning.