Become a Champ

1
First, what role are you applying for?* This field is required.
Caregiver / Healthcare assistant
Qualified nurse (RN, EN)
Companion (a friend to the elderly, mental stimulation, potential driver with own car)
Child Minder (Qualified Child & Youth Care worker)
2
What is your citizenship status?* This field is required.
South African
Permanent Resident
Foreign National
3
Please Upload Valid Passport* This field is required.
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4
Valid Work Visa / Permit / Legal Right to Work.* This field is required.
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5
Visa / Permit Expiry Date* This field is required.
Date
Month
Day
Year
6
I confirm that I have the legal right to work in South Africa and that all documents submitted are valid and authentic. I understand that providing false information may result in removal from the CareChamp database.* This field is required.
7
Name* This field is required.
First name
Last name
8
City / Area that you LIVE IN and can provide services in (tick all applicable).
JHB
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CPT
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OTHER
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Whole city
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9
City / Area you currently stay in and that you can provide services in.* This field is required.
Cape Town
Johannesburg
Pretoria
Durban
Port Elizabeth / Gqeberha
Other
10
City you currently live in
E.g. Cape Town, Johannesburg, etc.
11
Your Phone number* This field is required.
12
Your Email* This field is required.
example@example.com
13
Your Date of Birth* This field is required.
Date
Day
Month
Year
14
Your Level of Nursing* This field is required.
Registered nurse (RN) / sister
Enrolled nurse / staff nurse
Auxiliary nurse / enrolled nursing assistant
15
Are you registered with SANC?* This field is required.
Yes
No
16
Upload a picture of yourself SMILING (preferably in uniform for nurses and health care assistants). We use this picture on our website (if you are selected) - so a friendly & professional picture will assist in being chosen by clients.
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17
How long was your Qualification / Course Duration (including Practicals as part of qualification)?* This field is required.
Under 3 months
3 - 6 months
6 - 12 months
12 months+
18
How many years of experience do you have in care work (excluding your studies)?* This field is required.
None, I just finished studies
Under 1 year
1+ years
19
Where did you gain most of your experience?* This field is required.
Private Institutions / Homes (private retirement villages, private families, private hospitals)
Government institutions (old age homes, government hospitals, clinics)
A mix of the above
20
Upload relevant / latest qualification certificate(s)* This field is required.
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You can take a picture with your phone.
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21
Your Place of birth
City, Country
22
Your Current Home address
Street address
Street address contd
City
Province
Postal code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
23
Do you have a valid driver's license?* This field is required.
Yes
No
Learner's license
24
Do you have your own car?
Yes
No
25
Your Gender* This field is required.
Male
Female
Other
26
How would you describe your race or ethnicity?* This field is required.
Black African
Coloured
Indian
Caucasian
Other
27
Religion* This field is required.
Christian
Islam
Hindu
Jewish
Traditional African
Not religious
Spiritual
Other
28
Languages you speak fluently (select as many as is relevant)* This field is required.
English
Afrikaans
Xhosa
Zulu
French
Other
29
Average dress size (it will tell us a bit about how strong you are)* This field is required.
Small
Medium
Large
X-large
2XL
3XL
30
Highest level of education* This field is required.
Grade 10
Grade 11
Grade 12 (matric/NQF Level 4)
College
University
31
Do you have previous experience in health care? (Not a requirement to be a companion.)
Yes, I worked overseas
Yes, I worked in South Africa
Yes, as a family caregiver
No, I don't have experience in Healthcare.
32
Which of the following do you have experience with (select as many as is relevant):
Dementia care
Physical disability care
Mental disability care
Care for children with disabilities
Palliative care
Assessing basic vital signs
Care of paraplegic and/or tetraplegic patients
Care of schizophrenic patients
Catheter care
Pressure care
Wound care
PEG insertion and feeding
Nanny Care
Other
33
Do you feel comfortable working with clients who have pets (mostly dogs)?* This field is required.
Yes
No
34
Is there a criminal record against your name / Did you commit an offence resulting in a criminal record?* This field is required.
YES
NO
35
Next of Kin/Emergency Contact Name
First Name
Last Name
36
Next of Kin/Emergency Contact
37
Your ID number (we will check your SANC registration. In case you don't have an ID number, pls input SANC REG NUMBER here)* This field is required.
ID number or SANC reg number
38
Do you have your own Nurses Kit in order to do home care assessments? (namely Aneroid bp monitor, stethoscope, thermometer, oximeter)
YES, I have the required equipment already.
YES, but it's not complete as per your guideline. I can buy the additional items.
NO, but I am happy to buy via CareChamp for +/- R700 and pay back in 3 tranches over the first 3 assessments.
NO, I don't want to buy equipment.
39
Are you a SETA accredited Assessor, Facilitator and/or Moderator (able to conduct trainings for caregivers?)
Yes
No
40
Upload relevant nursing certificate(s)* This field is required.
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41
Upload copy of your ID (or passport if foreign national)* This field is required.
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42
Upload proof of bank details (to receive payments)* This field is required.
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Letter from bank, bank statement, etc. You can take a picture with your phone. You can also do this at a later stage once we have a suitable opportunity.
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43
Your income tax number (if you have one)
You can also provide this at a later stage - if we are able to provide you with a suitable opportunity.
44
Which academy / institute(s) did you study at (if any) post high school.
45
Upload relevant healthcare certificate(s)* This field is required.
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You can take a picture with your phone.
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46
When did you (or when do you expect to) graduate from your Qualifying Course?
Date
Day
Month
Year
47
Upload proof of hepatitis B vaccine series
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48
Upload proof of TB clearance
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49
Upload proof of Covid-19 Vaccination
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50
Upload reference letters* This field is required.
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51
When did you start practicing in the profession you are applying for?* This field is required.
Date
Day
Month
Year
52
Upload copy of driver's license
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53
Make and model of car
54
ID number (or Passport for non South Africans with residence permit)
55
Do you have children?* This field is required.
Yes
No
56
What makes you a good caregiver / companion / childminder (depending on what you apply for)?* This field is required.
57
Your best day at work you've ever had and what made it so good?* This field is required.
58
In what skills area do you feel the most qualified in (depending on what you apply for)?* This field is required.
59
What makes you most excited about working with seniors / clients with disabilities / patients in general?* This field is required.
60
What is something special / unique about you that not many people might know or that might surprise them? Can be something non-relatable to homecare* This field is required.
61
Would you feel comfortable providing nanny services?
Yes
No
62
Please indicate your availability for potential placements (select as many as is relevant)* This field is required.
Day shift
Night shift
24/7 live-in shift
Weekdays
Weekends
Other
63
How would you describe your personality? I am a/an...* This field is required.
Entertainer: outgoing, spontaneous, and bubbly
Driver: independent, strong-willed, and thick-skinned
Organiser: serious, systematic, and rather quiet
Listener: soft-hearted, patient, and quiet
64
Upload a CV (if you have one)
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65
Upload a short 30second video intro of yourself with your phone. Please follow this link to guide you on how to create your Video https://bit.ly/46cs9vH
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Max. file size: 10.6MB
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66
Upload a short 30second video intro of yourself with your phone. Please follow this link to guide you on how to create your Video https://bit.ly/46cs9vH
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Max. file size: 10.6MB
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67
I confirm that all information I provided is true and correct.* This field is required.
YES
68
Get Page URL
69
Scoring guidance — must-haves (no criminal record; healthcare qualification of at least 6 months with certificate/CV/reference evidence; relevant experience). Nice-to-haves: learner’s or driver’s license, dementia experience, palliative care experience. Red flags/disqualifiers: no legal right to work, criminal record, below-average or incomplete submission quality, and team comments explicitly tagged as UNSUITABLE. Suggested scoring weights: healthcare qualification and certificates = 25 points; relevant caregiving/healthcare experience = 25 points; document completeness and quality (ID/passport, work rights, certificates, CV, references) = 20 points; specialist experience (dementia or palliative care) = 15 points; availability/location/transport fit (learner’s or driver’s license or car) = 10 points; communication/motivation/application quality = 5 points. Where attachments cannot be read, mark evidence as missing or needs manual verification rather than assuming suitability.
70
Candidate Screening Score (0-100)
71
Screening Category
A: Strong shortlist
B: Possible / needs follow-up
C: Not suitable
D: Incomplete application
72
Must-have Requirements Check
73
Nice-to-have Strengths
74
Red Flags / Disqualifiers
75
AI Screening Summary
76
Team Review Comments
77
Final Recommendation
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