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Apply

Domiciliary care worker application form.

Personal details

Birthday
Day
Month
Year

Contact details

Address

Multi-line address
Do you require full/part time hours?
Part time
Full time
Do you hold a valid driving licence?
Full UK Licence
Full UK Licence (Automatic)
Provisional UK Licence
Full Other
No licence

Safeguarding

Gofal Ystwyth Care Limited aims to promote equality of opportunity and is committed to treating all applicants fairly regardless of ethnicity, disability, age, gender or gender re-assignment, religion or belief, sexual orientation, pregnancy or maternity and marriage or civil partnership.


Gofal Ystwyth Care Limited undertakes not to discriminate unfairly against applicants on the basis of a criminal conviction or other information declared.


Answering 'Yes' to any of the questions below will not necessarily prevent your employment. This will depend on the relevance of the information you provide in respect of the nature of the position and the particular circumstances.

Do you have any criminal convictions?
No
Yes
Are you currently bound over or do you have any current UNSPENT convictions that have been issued by a Court or Court-Martial in the United Kingdom or in any other country?
No
Yes
Do you have any current UNSPENT police cautions, reprimands or final warnings in the United Kingdom or in any other country?
No
Yes
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