Support Worker Interview Form

Support Worker Interview

CARER STANDARDS

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:

Application form CANETIC SERVICES LTD

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

First Name

Middle Name

Last Name

Previous surnames (Supply documentary evidence e.g. marriage certificate, deed of name change etc):

No file chosen

Current Address:

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

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.

Moved to this address on (date):

Telephone number

Own Transport (Yes/No):YesNo

How long has your licence been held?

Clean current driving licence:

Endorsements:

Details: