Application Form - John Lant and Partners

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					 Confidential                John Lant & Partners
                             Osteopaths Cambridge UK
                             206 Chesterton Road Cambridge CB4 1NE UK
                             Tel: 01223 367661 [3 lines]
                             www.johnlant.co.uk
                             email: admin@johnlant.co.uk

                             Assistant Osteopath
                             Required Immediately: osteopath for a busy
                             patient list to cover a medical surgical
                             absence. Initially the post would offer 4
                             days per week that may enable a longer
                             term opportunity. We seek a female
                             osteopath to ensure an appropriate gender
                             choice for patients.

                             Please send CV with Application Form
                             uploadable at the website
                             www.johnlant.co.uk

John   Lant   &   Partners
 APPLICATION FORM
Application for      John Lant & Partners Osteopaths 206 Chesterton Road Cambridge CB4 1NE
                     Tel: 01223 367661 Fax 01223 303344 email: admin@johnlant.co.uk


Surname                                                        Personal Name

Home Address                                                                   Date of Birth

Postcode

Tel No. (Home)                                           Mobile/Work Tel No


Email address(s)


REFEREES

Name                                               Name

Address                                            Address
Including                                          Including
E-mail                                             E-mail




Tel. No.                                            Tel. No.
Occupation or Relationship to you                    Occupation or Relationship to you



May we contact your         Yes          No                                    Yes       No
referees prior to final selection?


I declare that all the above information is correct.

Signature                                                    Date

Return the completed as soon as possible to:

John Lant & Partners
206 Chesterton Road
Cambridge CB4 1NE
Fax: 01223 303344 or email admin@johnlant.co.uk [6 2 2012]

				
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