Name
*
First Name
Last Name
Are you over 18 years old?
*
Yes
No
Do you have the right to work in the UK?
*
Yes
No
Your post code
*
Your private email address
*
example@example.com
Your mobile number
*
Format: 00000 000000.
Do you have a smart phone (with internet access)?
*
Yes
No
Where in Norfolk are you available to work?
*
Do you hold a full UK driving licence and have access to you own vehicle? You will need to add business insurance cover. (N.B we are recruiting non-drivers to work in Norwich and large towns)
*
Yes
No
This role requires an enhanced DBS check and references. Are you expecting your DBS to be returned with any cautions, convictions or reprimands indicated? If yes please tell us what is likely to be indicated.
*
Do you have the necessary up-to-date documentation required for a DBS check, such as passport, driving licence, birth certificate for proof of identity; bank statement, utility bill for proof of address?
*
Yes
No
Would you be comfortable providing personal care, including bathing, toileting and personal hygiene, to male and female clients?
*
Yes
No
Are you able to cook/prepare meals?
*
Yes
No
Have you worked in care for the elderly before? This is not necessary but it is helpful to know your experience at this stage.
*
Yes
No
Do you have any vocational qualifications in social care or in health care?
*
If yes please tell us what those qualifications are.
Are you willing to work in locations where there are pets?
*
Yes
No
Are you willing to work in locations where there has been smoking? N.B. you won't be expected to work where someone is currently smoking.
*
Yes
No
How many hours a week would you like to work?
*
Up to 10 hours a week
11-16 hours a week
17-30 hours a week
31+hours a week
Which days of the week would you be available?
*
Mon
Tues
Wed
Thur
Fri
Sat
Sun
Which hours of the day would you be available?
*
7-12 noon
12-3.30pm
3.30-7pm
7-10pm
Overnight 10pm-7am
And finally, how did you come across us?
Word of mouth
Facebook
Village People magazine
www.homecare.co.uk
The Home Team poster
Eleven Says
Web search
Other
Please submit your answers and we will get right back to you. Thank you.
Submit
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