Online Application Form If you have any questions regarding your application form please contact us on 028 9066 8035 or email us at recruitment@lucaslovehealthcare.com Application Form Live SECTION 1 of 7 Application Details Position Applied For: * Registered Nurse (Care Homes) Care Assistant and/or Support Worker Chef Kitchen Assistant Domestic Assistant Support Worker (Health & Social Care Trust) Administrator (Health & Social Care Trust) Please upload your photographic ID - such as Passport / Drivers License / Residence Permit) * Drop a file here or click to upload Choose File Maximum file size: 5MB PLEASE NOTE: UPLOADING A PHOTO IS REQUIRED Personal Details Title * Forenames in Full * Surname * Known as * Any previous name ie: maiden name * Address * Town / City * Post Code * County * Email * Mobile * Home Phone Date of Birth * National Insurance Number * Country of Birth * Nationality * What type of right to work document do you have? * Are you currently on a sponsored visa? * YES NO If YES - please specify Next of Kin Next of kin to be notified in case of emergency: Name * Relationship to you * Next of Kin Address (if different to above) Town / City County Contact Number * Additional Details Do you hold a current driving licence? * YES NO Details of any endorsements: What transport access do you have access to? * Car Public Transport Bicycle Other If OTHER - please specify How did you hear about us? How did you first hear about Lucas Love Healthcare? * Our Website Job WebsiteJob Website Word of Mouth Referred by LLHC MemberReferred by LLHC Member Facebook OtherOther Please Specify if requested Don't forget about our great referral scheme If you are human, leave this field blank. Next
