Community Care Worker

Overseas Enquiry Form

Name: Date of Enquiry

Contact Number:

e-mail address:

Q1. Where are you located?

About You……
Q2. Can you confirm you are over 18 years of Age? YES/NO

Q3. Do you hold a full driving licence and have access to a vehicle for work purposes? YES/ NO

Q4. Please can you confirm if what support you would need from Care at Home Services if your application was
successful:

Relocation YES/NO
Accomodation YES/NO
Job Offer YES/NO
Transport YES/NO

Any other comments…

Q5. Have you completed and passed your B1 English Test? YES/NO
If Yes what was your result
If NO can you confirm when this is booked in for

F-RC-801a Recruitment Screening Form 21 September 2016

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Community Care Worker
Overseas Enquiry Form

Employment…
Q6. Are you currently working? YES/NO

If Yes what is your current position and duties

Q7. Have you worked within the Care sector before ? YES/NO
If yes how many years’ experience do you have?

Q8. Do you have any qualifications within care? YES/NO

The Role Itself……

Q9. What is your understanding of the duties of a Community Care Worker on a daily basis?

Q10. What do you think are the key qualities of a Care Worker?

Q11. You will be required to work a minimum of 39 hours, and our shifts are 7-2 and 4-10 pm, and you will be required to
work alternate weekends. Please confirm that this is acceptable. YES/NO

Q12. Have you received your COVID 19 vaccination ? YES/NO

Dose 1 :
Dose 2 :

Q13. Do you have questions for us regarding the role and opportunity?

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Community Care Worker
Overseas Enquiry Form

Office Use :

Form Received :
Interview Booked :
Interview Outcome :

F-RC-801a Recruitment Screening Form 21 September 2016

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