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SECTION A) FOR ALL APPLICANTS * = Required Fields

Title:*     Mr          Mrs          Miss

Name:*

Address:*

*We are unable to apply for a visa on your behalf, you must have prior status to work in the UK.

I am over 18 years old *  

Home Telephone No:*

Mobile Telephone No:

Email: *

Are you a driver with a valid driving licence?    Yes        No

If Yes, please specify what type of licence:

What makes you want to do care work?

What experience of care work do you have?

Is this on a professional basis or with family members?    Professional        Family

Are you currently working?    Yes        No

When are you able to start work?  

Have you ever been convicted of any offences (other than motoring)?    Yes        No

Can you provide us with the telephone numbers of 2 referees
(one of whom must be your previous employer)?    Yes        No

On what basis are you eligible for work in the UK ?   Please Select: UK / EU Passport Working Holiday Visa Ancestral Visa Student Visa Indefinite Stay Grant of Asylum Other

*Please be aware all documents submitted to prove eligibility may be subject to verification by the Home Office.

SECTION B) HOURLY APPLICANTS ONLY

Are you able to come to Alcester for an interview as soon as possible?*    Yes        No

SECTION C) LIVE IN APPLICANTS ONLY

Have you done live in care work before?   Yes        No

Is english your first or second language?   First        Second

Do you smoke?*   Yes        No

If No, would you go to a client who smokes?   Yes        No

Are you comfortable working in a house where there are pets ?*   Yes        No

Are you prepared to work with male and female clients ?*   Male        Female       Both

Would you prefer to be placed rurally or in a town?    Rural        Town        Either

How long are you available for work?

* Required Fields

Please Note: Helping Hands will apply for a Criminal Disclosure Check (CRB enhanced check) on your behalf. The cost for your CRB is currently £42.00. Positions are exempt from the Rehabilitation of Offenders Act and as such, you are required to declare any previous convictions even if they are spent under the Act.