Application Form To apply for this post please complete the application form below. You can save the form for completion at a later time. Job title(Required) Job Reference(Required) Please indicate where you saw this job advertised: Independent Lives website Recruitment agency Other Section one: Personal detailsName(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Address(Required) Street Address Address Line 2 City Postcode Mobile phone number(Required) Home phone number Email address(Required) When are you available to start work?(Required) Do you have a full, valid driver’s license?(Required) Yes No Which areas are you able to work?(Required) Worthing Mid Sussex Crawley Horsham Chichester Please select the times you would be available to work(Required) Monday - morning Monday - afternoon Monday - evening Tuesday - morning Tuesday - afternoon Tuesday -evening Wednesday - morning Wednesday - afternoon Wednesday - evening Thursday -morning Thursday - afternoon Thursday - evening Friday - morning Friday - afternoon Friday - evening Saturday - morning Saturday - afternoon Saturday - evening Sunday - morning Sunday - afternoon Sunday - evening Section two: Further informationPlease tell us about your work history(Required)Why are you interested in this role?(Required)Section five: DeclarationDeclaration(Required) Yes I confirm that, to the best of my knowledge, the information I have provided on this form is accurate and that I have not altered or omitted any facts which may have a bearing on my application. Privacy Policy(Required) Yes I have read and agree to the recruitment privacy policy I have the right to work in the UK(Required) Yes As an employer we have a legal responsibility to ensure all employees have the right to work in the UK. You will be required to provide proof of your right to work in the UK at interview. Find out about details of acceptable proof