Application For The Postion of Home Carer

You can also download the application form here

    Your Name

    Date of Birth

    Phone Number

    Please state your method of transport?

    Your Email

    Address

    Training Course and Course Details

    (including date of course, modules, results and college )


    Availability

    The Company is open for business 7 days a week, 365 days a year, i.e. Monday – Sunday 14.5 hours every day.

    Your hours of work will be of a flexible nature and will vary from week to week. You will be scheduled to work any day between Monday to Sunday depending on client requirements and business needs.

    Please note that you will be required to work on weekends and/or public holidays.

    Please tick when you are available:

    Day

    Morning

    Afternoon

    Evening

    Mon

    Yes

    Yes

    Yes

    Tues

    Yes

    Yes

    Yes

    Wed

    Yes

    Yes

    Yes

    Thurs

    Yes

    Yes

    Yes

    Fri

    Yes

    Yes

    Yes

    Sat

    Yes

    Yes

    Yes

    Sun

    Yes

    Yes

    Yes

    Please give details of your experiences of working in a care environment


    Please explain any gaps in your employment or training history if not indicated on your curriculum vitae

    GARDA CLEARANCE

    Employment with the Company is subject to satisfactory Garda Clearance which is necessary because of the nature of our service. Garda Clearance will be renewed on a regular and ongoing basis in line with client best-practice and as required by the HSE.

    I confirm that the information given by me on this form is correct and accurate