PREMIER STAFF SOLUTIONS Ltd

Name of company :

Address:

Telephone Numbers:

Fax Number:

Email address:

Employee required:

What level of English do you require?

What experience are you are looking for in the applicants

Special certificates required. i.e. First Aid :

Live in or out position:

Details of employee’s accommodation:

Date required to commence:

Expected length of employment:

Would you accept a temporary applicant:

Salary per week:

Employee’s working day commencement/finish times:

Other hours which you may require the applicant

Duties of employee:

Is the care home a : residential home for the elderly / nursing home / does the home have any patients with dementia?

Do you require a driver:

Will the employee be provided with a car as part of the package?

Please give details of additional incentives, bonuses, holidays

Please include any other details that you think might assist us in finding the right employee for you:

Where did you here about PREMIER STAFF SOLUTIONS Ltd? Talking Pages/Yellow Pages/ Referrel/Previous client/Internet

ALTHOUGH EVERY CARE IS TAKEN BY PREMIER STAFF SOLUTIONS Ltd IN THE PREPARATION OF DETAILS OF APPLICANTS AND THEY ARE SUBMITTED IN GOOD FAITH, I UNDERSTAND THAT PREMIER STAFF SOLUTIONS Ltd CANNOT BE HELD RESPONSIBLE FOR THE ACCURACY OF THIS INFORMATION OR FOR ANY ACTION OF THE APPLICANTS ENGAGED THROUGH PREMIER STAFF SOLUTIONS Ltd.

I agree to SCALE OF CHARGES and TERMS OF BUSINESS

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