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Apply to work with us

We require two professional references from your most recent employers. You can provide one professional reference and a character reference if this is not possible, for instance due to a break within your employment history. All referees will be contacted, therefore please inform the referees of the fact that you have used their name. Complete this form in full.

  • Personal Information
  • Employment History and Qualifications
  • References
  • Availability
  • Documents and Consents

Personal Details & Application Choices

First name

Last name

Email

First Line Of Address

Second Line Of Address

City/Town

Postcode

Phone

Position Of Interest

Are You Legally Authorised To Work In The UK?

Do You Have Any Criminal Convictions? ( Including spent convictions)

Have You Had Covid Booster

Do You Consent To YourCare24 Carrying Out An Online Status Check On The DBS Update Service ( Disclosure and Barring Service) ?

Are You Willing To Pay The Required Fee For a Full Enhanced DBS Disclosure?

Do You Have Any Disabilities?

Employer 1

Job Title

Job Description

Company Name

Company Email

Start Date (DD-MM-YYYY)

End Date (DD-MM-YYYY)

Pay Rate (£/hour)

Reason(s) For Leaving

Employer 2

Job Title

Job Description

Company Name

Company Email

Start Date (DD-MM-YYYY)

End Date (DD-MM-YYYY)

Pay Rate (£/hour)

Reason(s) For Leaving

Employer 3

Job Title

Job Description

Company Name

Company Email

Start Date (DD-MM-YYYY)

End Date (DD-MM-YYYY)

Pay Rate (£/hour)

Reason(s) For Leaving

Educational History

List all Qualifications/certifications And Date Acquired

SKILL TEST

Tell me about yourself, do you have experience of undertaking the role of a healthcare assistant or support worker?

Can you explain duties you think you will be expected to undertake in this role?

Answer here...

What qualities do you think will make you an ideal healthcare assistant or support worker?

How would you manage an incident where you may be subject to physical, verbal abuse or aggression?

What is your understanding of the following terms? a) Safeguarding Adults and safeguarding Children b) Abuse c) Whistle blowing

Answer here...

If a patient/service user discloses to you that a member of staff had taken their money from them, how would you manage the situation?

What would you do if you see a patient/ service user in cardiac arrest?

If you were asked to look after a very unwell service user/ patient who is dying anytime, what do you think are your responsibilities?

What things do you need to consider when caring for a dying person from a multicultural background?

How often are you going to be available to work, how many hours a week?

Professional Reference 1 (Previous employer, Manager, Supervisor, Team leader etc)

Name

Occupation

Email Address

Phone Number

Professional Reference 2 (Previous employer, Manager, Supervisor, Team leader etc)

Name

Occupation

Email Address

Phone Number

Character Reference (Work colleague, longtime friend, neighbor, mentor, coach, teacher or professor, Pastor, Nurse etc. Family members are not acceptable)

Name

Occupation

Email Address

Phone Number

Availability

Days Available

Shifts

Application Attachments

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Consents

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