In order to guide the interview process, we would like you to indicate your personal philosophy of care by completing the following statement:
I believe that the purpose of care from a care service is:
If I were Service User in The Agency I would like:
I believe that the Service User’s family and relatives would like from The Agency:
I believe that I can support a Service User in The Agency because:
As a member of The Agency care team I feel valued when:
I believe that a good relationship between me and the Service User depends on:
I believe that I learn best when:
I believe that a good working team is made by:
I believe that my role in relation to the Service User is:
My other beliefs and values of relevance to my job are:
The recruitment process within this organization has a minimum of two stages.
The completion of this application form is part of stage one. This application will be reviewed and a decision made as to whether to proceed to stage two, the interview, based on this information. PLEASE COMPLETE FULLY AND IN CAPITALS.
Position applied for:
Approx. no. of hours wanted
Full-time / part-time
Days/Nights/Mornings/Afternoons/Evenings/ Weekends only
Sur name:
First name(s):
Previous surnames (Supply documentary evidence e.g. marriage certificate, deed of name change etc):
Current address:
Post code:
Moved to this address on (date):
Previous addressNote: For Criminal Record check purposes, addresses covering the five years up to the application date must be supplied. If necessary, use another sheet of paper.
Telephone number (home):
Telephone number
Own Transport (Yes/No):
How long has your licence been held?
Clean current driving licence:
Endorsements:
Details:
