Candidate Application

Candidate Application Form

    Personal Details

    Right to Work in Ireland

    Emergency Contact Details

    Previous Employment Details

    Reference Details

    Training Details

    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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