Candidate Application

Candidate Application Form

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    Right to Work in Ireland



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    To Be Completed By Candidates Completing Temporary Assignments Only

    I agree to report to my Immediate supervisor or manager as soon as possible, by telephone if necessary, in any of the following circumstances.

    1. Should I suffer from illness involving any of the following:
    a. Vomiting
    b. Diarrhoea
    c. Septic skin lesions (boils, infected cuts, etc)
    e. Hepatitis A
    2. Before returning to work following an illness with the above conditions
    3. Should any of my household be suffering from diarrhoea and/or vomiting
    4. After returning from any holiday during which I suffered diarrhoea and/or vomiting
    5. After returning from any holiday in which any of my party suffered diarrhoea and/or vomiting

    I understand that I must complete a "Return from Holiday" form when I return from any foreign holiday.
    I have read (had read to me) and received a copy of the "Personal Hygiene Standards" section of the 'manual'. I understand and agree to abide by those standards.

    I understand and acknowledge that should I knowingly make a false statement regarding my medical history either in answering the above questions or to any medical examiner, or should I conceal wilfully any medical fact, I will if engaged be liable to have my contract terminated. In the event of any health queries I consent to my doctor supplying relevant Information to the Medial Examiner.

    (I declare that the statements above are true and completed to the best of my knowledge. I understand that it is a disciplinary offence to give false information to the above questions and that I could make myself liable ii any incident arises as a result of any such false statement)



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