Live In Carer: Form A

Live In Carer Form.

Please complete the form below to begin your application process with us. Tel:0330 054 5722, WhatsApp: 07534 917 452 Email:Recruitment@clareege-care.co.uk, www.clareege-care.co.uk
Full Name*

First NameLast Name
Phone Number*
Email Address*
example@example.com
Gender*
How did you hear about us*
Are you a driver?*

YesNo
Do you drive your own car?*

YesNo
Can you confirm you are aware this is a self employed role?*

Yes
Have you worked with Blossom Bridge before? If your answer is yes please discontiue application.*

No
Immigration Status*
Please specify which applies to you.
On your immigration letter permitting you right to work, does this document restrict you from being self-employed?*

YesNoNot Sure
Are you restricted to the amount of hours you can work per week?*

YesNoNot Sure
Location*
For Example: Manchester, London, Kent, Liverpool.
FULL CV *

Cancelof
Proof of Address (within 3 months)*

Bank statements, utility bill, official letter e.g from inland revenue etc
Cancelof
Proof of National Insurance *

Cancelof
Proof of UTR (If you have one)

This is a unique number you need to be self employed. Free to apply for online.
Cancelof
Application Form *

You must have filled out an application form with us recently. Please upload the application form here.
Cancelof
Right to Work (British Passport, Residence Permit)*

Cancelof
2nd proof of ID (Passport, Driver license, permit card, ID card) Must not be the same ID as above.**

expired documents will not be accepted.
Cancelof
Share Code (If Applicable):
This is to check your e-visa status and right to work. Only complete if this applies to you. You do not need to complete this section if you are a British Citizen.
Employer Reference 1*
Please provide details of your most recent employer.

Name:
Email:
Phone:
Company Name:
Job Title:
Month and year you started working:
Month and year you left the job/still present:These details are important. It allows us confirm your references over the phone if your employer is taking too long to complete your reference form.
Reference 1 Email
example@example.com
Employer Reference 2
Please provide details of your most recent employer. Name: Email: Phone: Company Name: Job Title: Month and year you started working: Month and year you left the job/still present:These details are important. It allows us confirm your references over the phone if your employer is taking too long to complete your reference form.
Reference 2 Email
example@example.com
CHARACTER REFERENCE*
Please provide details of your most recent employer.

Name:
Email:
Phone:
Relationship to you:This could be a friend or previous work colleague.
Character Reference Email
example@example.com
Next Of Kin Details*
Please provide details of your next of kin in case of an emergency.

Name:
Email:
Phone: 
Relationship to you:
Address: This could be a friend or previous work colleague.
A picture of yourself (A picture taken with your phone would be fine)*

Cancelof
To Whom It May Concern:

I have applied for a position through Clareege Ltd t/a Clareege Care Staffing as part of a client’s hiring process, Clareege Care Staffing may conduct an employment verification, education verification, driver’s license check, criminal background check, reference check, and/or other inquiries regarding my background and employment history, including information as to my personal character, general reputation, job performance, and other qualities pertinent to my prospective service.

I hereby consent and authorize Clareege Care Staffing and/or their designated agents to make such inquires, and I authorize without reservation, the release of such information to their client and/or their designated agents, and release Clareege Care Staffing and the provider of such information from any and all liability for damages arising from the investigation and disclosure of the requested information.

I will allow a photocopy/fax/email copy of this authorization to be as valid as the original.
Signature*

Powered by Jotform SignClear
DATE:*
Should be Empty:

Live In Carer Form.