ACSS Application Form: Care Support Worker.

1Page One > 2Page Two > 3Review Your Entry
Step 1 - Start your application here.

General Data Protection Regulations 2018. Information on this form may be held on computerised records. Strict confidentiality will be observed and disclosures will only be made for payroll and personnel administration purposes.
Where did you see the job advertised?

Please select an option to help us know how you found this application form.
Step 2 - Personal Details
Full Name Full Name First Last
Please tell us your full name. This is a required field.
Your Current Home Address Your Current Home Address
House/Flat/Building Number Street/Road Name Town City Postcode
Please provide your address to help us assess which area of work would be best for you.
Mobile Phone Number

Please provide your current mobile number. This is a required field.
Landline Number

(optional) Please provide your landline number if you have one.
Email Address

Confirm Email Address

Please provide an active email address.
Do you have a full valid UK driving license?

Your answer helps us determine what positions are available at the time of your application and has no relevance to its success.
Do you have access to your own private vehicle for work purposes?

Your answer helps us determine what positions are available at the time of your application and has no relevance to its success.
Are there any UK immigration control restrictions limiting your length of stay, conditions of stay or freedom to work in the UK?

Are there any UK immigration control restrictions limiting your length of stay, conditions of stay or freedom to work in the UK? Yes No

A UK resident does not need a work permit to work in the UK. A non UK resident will need a work permit.
If yes, please explain

Please provide further details
Step 3 - Criminal Convictions

If you answer yes to either of the below two questions please detail offences including dates and sentences on a separate sheet and send into the office in a sealed envelope marked confidential
Do you have any previous convictions , cautions, reprimands, or final warnings?

Please select an option.
Are there any criminal convictions pending against you?

Please select an option.
Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.

ACSS Application Form: Care Support Worker.

ACSS Application Form: Care Support Worker.

Step 1 - Start your application here.

Step 2 - Personal Details

Step 3 - Criminal Convictions