Are you applying just for yourself or as a couple. (*) |
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Salutation |
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Your First Name (*) |
Please type your full name. |
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Your Surname (*) |
Please type your full name. |
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Date of Birth (*) |
Please type your full name. |
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Home Telephone (*) |
Please type your Telephone Number |
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Mobile Telephone |
Please type your Mobile Telephone Number |
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E-mail (*) |
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Address 1 (*) |
Please type your Address |
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Address 2 |
Please type your Address |
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Town |
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County |
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Post Code (*) |
Please type your post code. |
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Your Home Status |
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How long have you lived there: |
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If less than 3 years please give your previous address below: |
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Previous Address |
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Where did you hear about us? (*) |
Please type where you heard about us |
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Partner First Name |
Please type your full name. |
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Partner Surname |
Please type your full name. |
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Date of Birth |
Please type your full name. |
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Home Telephone |
Please type your Telephone Number |
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Mobile Telephone |
Please type your Mobile Telephone Number |
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E-mail |
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Address 1 |
Please type your Address |
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Address 2 |
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Town |
Please type your Town |
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County |
Please type your county. |
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Post Code |
Please type your post code. |
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Your Home Status |
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How long have you lived there: |
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If less than 3 years please give your previous address below: |
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Previous Address |
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Do you have any dependents? |
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Do you drive? |
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If yes, how long have you held a full driving licence? Please indicate below |
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Number of Years |
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Do you have your own reliable transport? |
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If no, how would you travel to your bookings? Please indicate below |
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Transport Method |
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You will receive £30 to cover your costs for each preliminary meeting with a new client. In addition you will receive travelling expenses when you attend a booking. If you are travelling by car you will receive 40p per mile, or if you’re using public transport the client will reimburse your economy class fare. This is capped at £70 for your return journey. |
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How far would you be prepared to travel to bookings? |
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Do you currently own any animals? |
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If yes, please indicate below, what arrangements would you make for their care whilst you are on a booking? |
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Pet Care Arrangements |
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How many years experience do you have with animals? Please indicate below |
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Number of Years |
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Have you ever been convicted of any criminal offence either in the UK or abroad? Please indicate below |
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Do you have any convictions? |
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If yes, please give details: |
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Do you smoke? |
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Are you on any medication? |
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If yes, please give details: |
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Suffered from? |
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Animal Experience |
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Are you currently employed? |
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Company Name: |
Please type your full name. |
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Company Address: |
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Date employment commenced: |
Please type your full name. |
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Date employment ceased: |
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Please note that this role does not provide a guaranteed regular income. You will be self employed and responsible for your own tax and NI. |
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Answer |
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Reasons |
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Weeks available |
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Title: |
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Referee Name (*) |
Please type your full name. |
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E-mail |
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Address |
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Post Code (*) |
Please type your post code. |
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Private or Professional: |
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Length of time known: |
Please type your full name. |
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Title: |
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Referee Name (*) |
Please type your full name. |
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E-mail |
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Address |
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Post Code (*) |
Please type your post code. |
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Private or Professional: |
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Length of time known: |
Please type your full name. |
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Title: |
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Referee Name (*) |
Please type your full name. |
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E-mail |
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Address |
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Post Code (*) |
Please type your post code. |
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Private or Professional: |
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Length of time known: |
Please type your full name. |
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Title: |
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Referee Name (*) |
Please type your full name. |
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E-mail |
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Address |
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Post Code (*) |
Please type your post code. |
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Private or Professional: |
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Length of time known: |
Please type your full name. |
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How many years experience do you have with animals? Please indicate below |
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Number of Years |
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Have you ever been convicted of any criminal offence either in the UK or abroad? Please indicate below |
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Do you have any convictions? |
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If yes, please give details: |
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Do you smoke? |
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Are you on any medication? |
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If yes, please give details: |
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Suffered from? |
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Animal Experience |
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Title: |
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Referee Name |
Please type your full name. |
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E-mail |
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Address |
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Post Code (*) |
Please type your post code. |
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Private or Professional: |
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Length of time known: |
Please type your full name. |
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Title: |
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Referee Name |
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E-mail |
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Address |
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Post Code (*) |
Please type your post code. |
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Private or Professional: |
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Length of time known: |
Please type your full name. |
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Title: |
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Referee Name |
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E-mail |
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Address |
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Post Code (*) |
Please type your post code. |
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Private or Professional: |
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Length of time known: |
Please type your full name. |
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Title: |
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Referee Name |
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E-mail |
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Address |
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Post Code (*) |
Please type your post code. |
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Private or Professional: |
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Length of time known: |
Please type your full name. |
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