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Live In Care Job Application Form

Please complete this confidential application form as fully as possible in order that the information may be entered into our secure database


Work Preferences










Personal Details


















YesNo

YesNo


Enhanced DBS Certificate




YesNo


Previous Work Experience

Experience 1


From: To:

YesNo











Experience 2


From: To:

YesNo











Knowledge, Skills and Experience

I have the following care skills, care qualification and care experience. Please select all the relevant boxes that apply (Proof maybe required)


AspergersBehaviours That ChallengeCancer CareCatheter CareCOSHH TrainingDementia (Alzheimer, Vascular)End of life / Palliative CareEpilepsy / Buccal midazolamIncontinenceLearning Disability (Autism, Down Syndrome etc)Manual HandlingMedication TrainingMental Health (Schizophrenia, Depression, Bi-Polar)Multiple SclerosisOlder PeoplePalliative Care (Cancer, Brain Tumours, End Of Life)Parkinson’sPeg FeedingPersonal CarePhysical DisabilitiesSensory Disabilities (Blind / Deaf)Spinal InjuryStomaStroke / Brain InjuryTracheostomy


MedicalNursingNVQ Health and Social CareOccupational TherapyThe Care CertificateNo Care Qualifications

Care for close relative or loved oneHome CareLive in care workOther Care Work

Very BasicConversationalFluent


DECLARATION AND CONSENT

I confirm that the information disclosed in this application form is relevant and correct and can be verified by references from previous employers and/or any professional bodies specified. I understand that information I have disclosed to be held within a secure computer database.

I hereby give my FULL CONSENT for information I have disclosed to be divulged to companies or agents as deemed necessary by Live In Care in relation to my application for work including references.

Pursuant to the Rehabilitation of Offenders Act, I declare that I have no unspent convictions and there are no prosecutions pending at this time. I also undertake to inform Live In Care of any prosecution that occurs whilst my details are held by Live In Care.
Whilst on assignment from Live In Care I will regard all available information as confidential and I will not divulge it to any third parties plus I will comply to the Health & Safety regulations of all the service users I am assigned to. I confirm that I have applied / re-applied to Live In Care of my own free will and have not been offered any inducement to do so.

Please note that Live In Care will be in touch after you submit this application form.




There is a bit of a time delay when you submit this form. Click ‘Submit’ and then wait until you see the message saying that it has been submitted. There is no need to click submit multiple times.

Live In Care Areas That We Cover

UK Areas:

Live In Care Job Application Form Cornwall

Live In Care Job Application Form Cornwall

Live In Care Job Application Form Cornwall, from Penzance to Bodmin, Newquay to St Austell and Truro to Camborne

Live In Care Job Application Form Devon

Live In Care Job Application Form Devon

Live In Care Job Application Form Devon, from Plymouth to Paignton, Exeter to Exmouth and Torquay to Tiverton

Live In Care Job Application Form Dorset

Live In Care Job Application Form Dorset<

Live In Care Job Application Form Dorset, Bournemouth to Bridport, Poole to Portland and Dorchester to Christchurch

Live In Care Job Application Form Gloucestershire

Live In Care Job Application Form Gloucestershire

Live In Care Job Application Form Gloucestershire, from Cheltenham to Stroud, Gloucester to Tewkesbury and Cirencester to Dursley

Live In Care Job Application Form Hampshire

Live In Care Job Application Form Hampshire

Live In Care Job Application Form Hampshire, from Ringwood to Basingstoke, The New Forest to Portsmouth and Winchester to Southampton

Live In Care Job Application Form Oxfordshire

Live In Care Job Application Form Oxfordshire

Live In Care Job Application Form Oxfordshire, from Banbury to Oxford, Bicester to Didcot and Witney to Abingdon

Live In Care Job Application Form Somerset

Live In Care Job Application Form Somerset

Live In Care Job Application Form Somerset, from Bath to Bridgwater, Chard to Minehead and Taunton to Yeovil

Live In Care Job Application Form Wiltshire

Live In Care Job Application Form Wiltshire

Live In Care Job Application Form Wiltshire, from Swindon to Melksham, Salisbury to Trowbridge and Chippenham to Amesbury

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