Carer

Solihull Home Care Ltd

Please complete the form below to apply for a position with us.. PLEASE NOTE WE ARE NOT REGISTERED FOR VISA SPONSORSHIPS.
Name*

First NameLast Name
Date of Birth

DayMonthYear
Current Address*

Street Address

Street Address Line 2

CityCounty

PostcodeCountry
Email Address*
Phone Number*

Area CodePhone Number
Do you have any relevant experience in Care?
Desired start date

DayMonthYear
National insurance number
Do you have the right to work in the UK?*
Do you have access to your own reliable vehicle?*
Minumum hours per week you would like to work
Maximum hours per week you would like to work

AVAIABILITY to work

Full employment history and references.

	Employers name & job title .....................................	manager's name and contact details ............................................	Start Date (Month and Year) ................	End date (month and year) ..................	Reasons for leaving ..........................................................
1
2
3
4

Tell us why you are applying for a position caring for peple with Solihull Home Care?
What do you feel makes you a good carer?
What does the term "personal care" mean to you?
Do you have any experience, either paid or voluntary, of care work? (please supply details)
Please list any professional qualification, relevant courses and/or other information.
I certify to Solihull Home Care Ltd that the information is true and complete to the best of my knowledge, and I consent to Solihull Home Care ltd, in process personal data about me for purposes related to my employment in line with the DATA PROTECTION ACT, 1998. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my refusal or termination of employment.*

I agree
Any notes or comments
Signature*

Clear
Should be Empty:

Solihull Home Care Ltd