Online Application Form

Please complete the online application form below and once you are happy with your application, submit it to us using the 'Apply Now' button at the end of the form.

Position Applied For:

Range of Hours Requested:

Have you previously been employed by Extra Hands or applied for a position before: YesNo

Please give details*:

Personal Details

Title (Mr/Mrs/Miss/Ms/other)*:

First Name(s)*:

Surname*:

National Insurance No*:

Address 1*

Address 2

Address 3

Postcode*:

Tel No*:

Mobile No:

Email*:

General Information

Do you hold a full driving licence?
YesNo

Have you any penalty points?*

Do you have the use of a car at all times (if applicable)?
YesNo

How much notice would you have to give to leave your present job?*

Where did you see the post you are applying for advertised?

Caring Experience

Please give details of any experience you have of caring (including family and neighbours, etc):

Please state any training, both general and specific techniques, you have in caring (e.g. Moving and bathing, etc.)

What personal qualities do you feel you have to offer for this position?

Please state the date you were first employed in Social Care (if applicable):

Experience of:	YES / NO	Number of years	Details of how experience gained
Dementia	YesNo
Parkinson’s	YesNo
MS	YesNo
Cancer	YesNo
Stroke	YesNo
Motor Neuron	YesNo
Young People	YesNo
AIDS / HIV / Infectious Diseases	YesNo
Learning Disabilities	YesNo
Mental Illness	YesNo
Blind / Deaf	YesNo
Other (please give details)	YesNo

Current or Most Recent Employment

Please give details of previous and current employment for the last 5 years (if you are unable to supply at least a minimum of 3 years employment history, please give a brief explanation of the reasons why):

Employment Details

Please start with your current employer or most recent details, explaining any gaps in employment.

From	To	Employer's Name & Address	Post held & brief details	Reason for leaving

Criminal Convictions

Do you have: any criminal cautions / convictions?
YesNo

If Yes, please refer to additional guidance enclosed.

Would you have any objections to Extra Hands carrying out a police check?*

References

Please supply the name and address of two referees plus their telephone numbers. One referee should be your most recent employer. If you have worked in the care industry before and can supply a referee please provide their details. References will be taken up prior to the interview.

Reference One:

Name:*

Position:*

Address:

Tel No:*

Email:*

Can we approach prior to interview?
YesNo

Reference Two:

Name:*

Position:*

Address:

Tel No:*

Email:*

Can we approach prior to interview?
YesNo

We’re Here to Help

Let us have a conversation about how we can help you or your loved one.

Extra Hands covers many parts of Norfolk, please contact your nearest office for assistance

Call one of our managers on 01485 570611 or 01603 898623

Jo Tier
Director of Care Services
Head Office

Hayley Claxton
Registered Manager
Norwich Office

Extra Hands of Heacham Limited - Head Office

CQC overall rating

GOOD

20 October 2021

See The Report

Extra Hands of Heacham Limited - Norwich Office

CQC overall rating

REQUIRES IMPROVEMENT

12 June 2021

See The Report

01485 570611 or 01603 898623

contact@extrahands.net

Extra Hands of Heacham Ltd
Registered in England & Wales: Hornbeam Accountancy Services, Bidwell Road Rackheath Ind Est, Rackheath, Norwich, Norfolk, NR13 6PT. Company number: 4597992

Web Site: Steele Media, King's Lynn

Like most websites we use cookies to give you the best experience, by using this website you agree to their use. For more information please read our privacy policy.

Cancel Ok

Online Application Form

Reference One:

Reference Two:

We’re Here to Help

Jo Tier

Hayley Claxton

CQC overall rating

CQC overall rating