Please fill in the form below, completing all
the fields, and we will get back to you as soon as possible.
If you would like to apply in writing, then please contact:
Spinal Homecare Services,
157 Stricklandgate,
Kendal,
Cumbria
LA9 4RF
About You |
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| Title (Mr, Mrs, Miss, Ms):
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Surname:
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Forename:
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| Do you have a clean driving licence? |
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| Do you smoke? |
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| Are you a vegetarian? |
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| If YES, will you cook meat? |
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| As there is moving and handling involved in the position of carer, are you aware of any back problems or other physical disability which might affect you carrying out these procedures. |
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| Are you taking any prescribed medication? If yes please give details: |
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| Do you have any allergies, if yes please advise: |
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As our clients have complex health & personal needs, the duties that you would be required to perform would include:
- cooking & general cleaning
- washing & ironing
- shopping
- getting the client up & putting to bed
- showering
- personal care (this could include toileting)
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| Are you willing to perform these tasks ? |
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Start Date:
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Finish Date:
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| References |
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| Please give details of 2 referees - 1 work reference (previous employer) and 1 character(not a relative) |
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| Referee - Work |
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| Referee - Character |
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Declaration of a Criminal Record
All posts are exempt from the rehabilitation of Offenders Act 1974 and thus all applicants must declare all convictions, irrespective of how long ago the offence was committed. |
| Have you ever been convicted of a criminal Offence? |
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| Overseas Applicants |
| If you are not from the European Union, do you have a work permit? |
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| Additional Information |
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| When would you be able to start work? |
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Where did you here about
us ? |
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