KindCare Staffing - Client Intake Form
Please complete this form to request support with hiring permanent Live in carers, Care Assistants & Support workers. We'll review your submission and be in touch within 3-5 Working days.
Name
First Name
Last Name
Business Email
example@example.com
Telephone Number
Your Job Title/Role
Organisation/Business Name
Type Of Organisation
Please Select
Care Home
Supported Living Home
Domiciliary care/Home Care
Other
If you selected other, please write here:
Address (Place of work)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you CQC or Ofsted registered?
Yes - CQC
Yes - Ofsted
No- not yet
Not applicable
Do you have a website? (Optional)
Staffing requirements?
Carer
Live-In Carer
Support Worker
Bank Staff (Support Worker)
Bank Staff (Care Assistant)
Companionship Carer
Preferred start date
-
Month
-
Day
Year
Date
How many positions available?
Working hours/Patterns
Candidate Salary (Please highlight salary or hourly rate)
Essential qualifications or experience required?
Is an Enhanced DBS Check required?
Yes - Must be on the update service
Yes - Paper copy accepted
Not Applicable
Any other preferences or notes? (E.g. drivers, vehicle access, languages.)
How did you hear about KindCare Staffing.
Best method to contact you?
Telephone
Email
By completing this form, you agree that KindCare Staffing may collect and process your personal and business information for the sole purpose of providing recruitment services. Your information will be stored securely and will not be shared with third parties outside of this purpose, unless required by law.You have the right to access, update, or request deletion of your data at any time by contacting us at hello@kindcarestaffing.co.uk. For full details, please see our [Privacy Policy].
I confirm that I have read agree to KindCare Staffings GPDR Policy
Submit
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