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Become a professional care worker and help to save lives

Are you a Care Company or do you provide Training for Care Workers?

If so please visit our help page for how to access the provider site: visit provider page

Care Role Application Form

If you are looking for a job in care please complete the form below, in as much detail as possible.

All fields are required unless otherwise labeled.

1. Personal Information

Your full name

First Name

Middle Name(s)

Last Name

Address

Address Line 1

Address Line 2 (Optional)

Town or City

County

Post Code

Contact details

Email:

Phone number:

Age and Gender

Date of Birth

Gender

Male
Female
Prefer not to disclose

2. Transport

Do you have a full UK Drivers licence?

Do you have access to a car for work? (Only if you have a full UK Drivers Licence)

3. Availability

How many hours in total are you available to work in a week?

When can you start?

As soon as possible
On a particular date

Date available (DD/MM/YYYY)

4. Experience

Do you have previous experience as a professional care worker?

How many years experience? (Only if you have previous experience)

5. Right to work

Are you eligible to work in the UK? You will be required to provide evidence of this if your application is successful

6. DBS History

Do you have a current or recent (past 3 years) DBS certificate?

The remaining questions are only applicable if you have a recent DBS certificate

Please enter your 12 digit DBS certificate number

I don't know my certificate number

Are you a member of the DBS update service?

We will need to check the certificate with the DBS service. Please confirm you are happy for this to happen.

I consent to DBS checks

Declaration

By submitting this form you confirm that to the best of your knowledge, all the information you have provided in this application is accurate and true