Apply For A Self Employed Job Role by completing the registration form below as your first step towards a rewarding role in care.
Please complete this confidential application form as fully as possible in order that the information may be entered into our secure database
I have the following care skills, care qualification and care experience. Please select all the relevant boxes that apply (Proof maybe required)
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.
I agree that everything above is correct to the best of my knowledge - SUBMIT
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