Providing bespoke care nationwide for clients with spinal injuries and neurological conditions
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You must ensure you cover the last five jobs
Max 20 characters
Please supply the name and address of two referees (one must be your current/last employer)
References will not be applied for until we have offered you a position, and it has been accepted.
Please select at least one of the shifts you are able to do in each category:
Please tick all the care tasks you have experienced.
Personal CareBowel Care - manual evacuationStoma CareContinence careBedpans/commodesApplying a conveneChanging a catheterEmptying a catheter bagDressing/undressingMouth hygiene (inc dentures)ShavingCare of eyesCare of feet (excl toe nails)Care of finger nailsCare of hairUse of bath aidsTransferring aidsWalking AidsUsing hoist (manual/Ceiling track)PEG FeedTracheostomy CareCough Assist MachineNebuliser TherapyAutonomic DysreflexiaVentilator CareSeizure ManagementTherapiesPassive ExercisesStanding regimesHydrotherapyBed making/changingCookingShoppingDomestic duties/cleaningFood/drink preparationFeedingRecording daily notesIncident ReportingMedication RecordingAdministering Medication
Please tick any disabilities you have experienced/worked with.
Spinal Cord Injury(SCI)Multiple Sclerosis (MS)Brain InjuryMotor Neurone Disease (MND)Duchenne Muscular DystrophyDuchenne Muscular AtrophyIdiopathic Autoimmune MyositisSpinal Muscular AtrophyHuntingdonsParkinsonsCerebral PalsyStrokeDementiaElderlyPalliative CareDiabetesEpilepsyVisually ImpairedChallenging BehaviourBi-Polar Disorder
Please answer the following questions:
---YesNo
Please tell us about yourself, e.g. where you were born, family, school, employment hobbies & interests (Max 250 words) *
If Yes - please state what condition you have, so that we may make any necessary adjustments
Total Community Care Limited is an Equal Opportunity Employer and no individual will be unfairly disadvantaged on the grounds of race, gender, disability, age, HIV status, sexual orientation, social class or religion.
You are required to disclose your criminal background, if any. Failure to disclose any previous convictions, which are later identified on a Disclosure and Barring Service (DBS) check, could result in any offer of employment being withdrawn.
Please give details of any criminal convictions, cautions or bind over orders. The post applied for is exempt from the provisions of the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Order 1986.
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N.B. All Successful applicants will be required to undertake Disclosure and Barring Service Enhanced Check and a P.O.V.A (Protection of Vulnerable Adults) Check. Please indicate by placing a tick in the box provided that you agree for this check to be carried out.
Please Note: We do not discriminate against any previous caution or conviction.
This application form will be photocopied and sent to our client/s for their perusal. Personal information e.g. address and telephone number etc will be deleted before being sent. Please indicate by placing a tick in the box provided that you agree for your information to be passed to our client/s.
I affirm that all the information given in this application form is truthful and accurate to the best of my knowledge
Failure to complete all sections of this application form may result in your application not being considered.
TCC Ltd aim to ensure that discrimination does not take place. In order to help us monitor the effectiveness of this activity (and for no other reason), you are asked to provide the information requested below.
Please tick one of the following:
BritishIrishAny other white background
White & Black CaribbeanWhite & Black AfricanWhite & Asian
IndianPakistaniBangladesh
ChineseAny other Ethnic Group
Not Stated
Total Community Care (TCC) have a legitimate interest in holding personal data in accordance with GDPR, this is to enable TCC to undertake its business activity of the provision of health and social care support for individuals living in their own home.
I hereby freely give my prospective employer, TCC, consent to use and process my personal data relating to my job application, including
I consent - Date of acceptance: