AYC Contact Form
Name
*
First Name
Last Name
Postcode
*
Do you hold a full, current driving licence?
*
Yes
No
Do you have regular access to a car?
*
Yes
No
Do you have a bicycle or e-bike and would you be willing to use this for work? (we can supply free company e-bikes if required)
*
Yes
No
How many hours a week were you hoping to work?
*
Are you available to work weekdays and weekends?
*
Yes
No
Which job are you interested in?
*
Please Select
Adult Care Worker
Reablement Care Worker
Responsive Care Practitioner
Overnight Community Response Operative
Community Response Operative
Senior Dementia Care Worker
Dementia Care Worker
How did you become aware of this job?
*
Please Select
Facebook
Employee Referral
Job Fair / Public Event
Job Cente
Seetec Pluss
Recruitment Poster
Job Site e.g. Indeed
Internet Search
Other
If other, please specify
*
Name of employee who referred you.
Have you worked within the health and social care sector before?
*
Yes
No
Where do you currently work?
*
If you are currently unemployed please add your last employer
Where have you worked within the health and social care sector?
*
Where do you currently work?
*
If you are currently unemployed please add your last employer
Do you require sponsorship to work in the UK?
*
Yes
No
Phone Number
*
Email Address
*
Submit
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