Email: enquiries@edenrosecarerecruitment.co.uk
Phone: 0333 404 8926
Application Form

Page 4

APPLICATION FORM - CARE WORKERS

EQUAL OPPORTUNITIES MONITORING QUESTIONNAIRE

The Company promotes equality of opportunity and would ask your co-operation in completing this form to confirm that we do not make decisions based on discriminatory issues.

DISABILITY

If you suffer from a disability, you may not be considered suitable for the work involved in providing care in the community. However, if after having read the job description, you feel that you would like to proceed with the application, you will receive our support. We would, however, need to consider the implications from a Health and Safety viewpoint and assess this when we process your application.

ETHNICITY

Please tick the box of the ethnic groups listed below that most clearly applies to your background.

White British
White Irish
White other
Mixed White/Black African
Mixed White/Black Caribbean
Mixed White/Asian
Mixed other
Asian Indian
Asian Pakistani
Asian Bangladeshi
Asian Chinese
Asian other
Black African
Black Caribbean
Black other




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RECOMMENDATIONS

If you recommend a friend we will reward you with a £50.00 John Lewis voucher or we can make a donation to your favourite charity.

Address

41 Blenheim Square,
North Weald Bassett,
Epping

Contact

Email: enquiries@edenrosecarerecruitment.co.uk
Phone: 0333 404 8926

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