Yucca COS Application Form

Yucca Application Form

Please fill in the form with as much information as you can put this will help when considering your application.
Name

First NameLast Name
Do you have the right to work in the UK?
If you have EU passport please provide your share code
Date of birth
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number

Area CodePhone Number
What role are you applying for?
Do have a DBS/ live DBS? If yes, please put in the number
Do you hold a Full U.K. Driver’s License?
NI number
Full Details of next of kin Name,Address,Contact number
Details of Education and Qualification Please put name date in date order
Please list down previous employment with dates and your experience gained? Explain any gaps in your work history.
Please list down Mandatory Training you have done an dates.
Please explain what does person centred care mean and why it is important?
Please explain what you understand about confidentiality?
Please explain why it is important to maintain professional boundaries?
Please explain what you understand about Dignity?
Please explain why clear communication is important through out your role?
Next of Kin Details
What days are you available

MondayTuesdayWednesdayThursdayFridaySaturdaySundayLong dayDay shiftNight shiftCallsSit InLive In
Reference No.1 (Name, Telephone, E-mail. - eg. Professional, Previous workplace).
Reference No.2 (Name, Telephone, E-mail. - eg. Professional, Previous workplace).
Do you have any convictions? if yes please explain.
Do you have a disability?
I give Yucca Recruitment consent to hold my personal data and to process it in regards to employment I understand that my data can be shared with another agency that deal with recruitment.
Please upload your ID/Passport
Take Clear Photo off Your Passport/ID right to work
Take Clear Photo DBS certificate
Take Clear Photo of your training certificates
Take Photo clear photo of your proof of 1st proof of address
Take Photo clear photo of your 2nd proof of address
Take clear Photo of yourself
Signature

Clear
Should be Empty:

Yucca Application Form