Application Form – Health Care Assistant/Support Worker Application Form – Health Care Assistant/Support WorkerWhich area(s) are you applying for? You can select multiple areas, but please do not select unless you are actually available to work there. *AberdeenshireAdlingtonAigburthAintreeBarnstapleBridgwaterBroadgreenCamborneChorleyClayton Le-WoodsExeterExmouthFromeHalewoodHuytonKirkbyLeylandLiverpoolLockstock HallNewton-Le-WillowsPenworthamPrescotPrestonShevingtonSidmouthSouthportSt AustellSt HelensSt IvesTauntonTivertonTruroWadebridgeWaltonWest DerbyWigan1. Personal Details Title *Please selectMrMrsMissMsDrForename *Middle NameSurname *Previous Surname (if any)Telephone (mobile) *Email Address *Post Code *Nationality *2. Skills & Qualifications Please be aware that you are required to have completed the mandatory care certificate courses before being assigned to any shifts with our clients. We accept health care certificates which you may have already completed as long as they are in-date and CPD accredited. In case you have not completed any of the required certificate courses, do not worry, we offer them on our website individually as well as in a bundle. If you are looking to complete the whole bundle, please click here to sign up to the courses (this will open in a new tab). You will be redirected to the above page once you have submitted this application, so you can sign up for the courses unless you have already completed any CPD accredited mandatory care certificate courses. I have already completed all/some of the mandatory courses elsewhere.I have already completed all/some of the mandatory courses with Samaras Healthcare Recruitment Ltd.I will signup to the courses after submitting this application.3. Confidentiality Declaration Registration implies acceptance of our code of confidentiality.In the course of your duties you may have access to confidential information about your clients. On no account must information relating to identifiable clients be divulged to anyone other than the manager of the agency. You should not disclose ANY information to your family, friends or neighbours.If you are worried by any information you have obtained and consider that you should talk about it to someone else MAKE AN APPOINTMENT TO SPEAK IN PRIVATE TO YOUR MANAGER.Failure to observe these rules will be regarded as serious misconduct which could result in removal from the agency register.I have read and I understand the above and I agree to abide by the contents therein.4. Consent to Release Personal Data Click here for more information on personal data. As an agency worker of Samaras Healthcare Recruitment Ltd, I am happy for my information to be released to third party hirers who will check my suitability in recruiting me for roles and work within their company. The purpose of releasing my information should purely be for safer recruitment purposes. I understand that this authorisation to release information and records will remain effective until I either revoke it in writing or leave the agency permanently which I will resign in writing to. I expect the my information to be used in line with the laws of the UK.5. Asylum and Immigration Act 1996 Under Section 8 of the Asylum and Immigration Act 1996 it is a criminal offence to employ a person aged 16 or over who is subject to immigration control unless:That person has current and valid permission to be in the United Kingdom and that permission does not prevent him or her from taking the job in question; orThe person comes into a category specified by the Home Secretary where such employment is allowedAny employment offered will be subject to the successful applicant producing appropriate evidence that the Asylum and Immigration Act is not being contravened.Are you eligible to work in the UK? *YesNoHow did you hear about this job/agency? *Please selectFacebookindeedGoogleReferred by a friendLinkedInInstagramYouTubePodcastOtherWhat is 7 x 3? *Please answer this question correctly to prove that you are human.0 / 2 Submit