EMPLOYMENT Staff Application Form First Name Surname Address Postal Code Home Tel No. Mobile No Email Date of Birth Language Nationality Religious Background Select An Option None Buddhist Muslim Jewish Christian Hindu Sikh Not Listed Sexual Orientation Select An Option Heterosexual Gay/Lesbian Bisexual Prefer not to say Area Of Interest Do You Have UK Work Permit ? Select An Option YES NO Are You a LTD Company ? Select An Option YES NO Do You Drive Select An Option YES NO University / College Results/Qualification Dates Attended Other Relevant Training/Qualifications NVQ’s Results/Qualification Dates Attended Present or Last Employer: Address of Employer: Job Title: Duties: Skills & Experience Community Care Bath / Shower / Strip wash Hospitals Mouth Care (Inc Denture care) Care Homes Care of feet (Excl Toenails) Nursing Homes Dressing / Undressing EMI/Dementia Homes Bed Bath Adults with Learning Disability Emptying Catheter Bag Children with Learning Disability Changing Colostomy Bag Adults with Mental Health Issues Recording Fluid Intake Children with Mental Health Issues Moving And Handling Service Users Physical Disability Use Of Walking Aids Children's Homes Use Of Hoist Supported Tenancy Current Moving And Handling Course Respite Centres Preparation Of Meals Day Care Centres Feeding Service Users Prison Service Pressure Area Care Hospices Experience Of Caring For Terminally Ill Sheltered Accommodation Answering Telephones Autism/Aspergers Syndrome (ASD) Taking Messages Acquired Brain Injury (ABI) Bed Making Palliative Care Changing A Bed With A Service User In It Parkinson’s Disease Light Housework Diabetes Experience Of Dementia Epilepsy Catheter Care Stoma Care Administration of Medicines Challenging Behaviour Person Centred Planning Record Keeping Send Now