Live out Carer Application Form

If you would like to apply to join our team as a live out carer, please complete our online application form. Successful applicants will be contacted in 3 working days via telephone.

Items marked with an asterix (*) are mandatory.

Driving, Accomodation and Language

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Nationality and Work Permits

* You are a national of the EEA if you are a national of one of the following countries:

Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden.

If you are unsure of your eligibility to work in the UK, or if you know that you are unable to work in the UK without a sponsor for a work permit, please visit where you will find information on the various options open to Foreign Nationals who want to come and work in the UK.

Personal Details

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Present or last employer

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Thank you for completing the Personal Details questions. We now need some information about your work experience. If you do not have a current or previous employer please type 'NONE' into the mandatory fields.

CV Upload

In order to process your application please ensure your CV contains your full working history and education, including company names, start and finish dates and a brief job description. Please explain any gaps in employment.


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Declaration of Criminal Record

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The position you are applying for is listed in Schedule 1, Part II of the Rehabilitation of Offenders Act (Exceptions) Order 1975, Active Assistance is entitled to ask Exempted Questions as defined by Section 113(5) of the Police Act 1997 about you. From October 2003, Active Assistance is required by the Domiciliary Care Agencies Regulations 2002 to acquire a criminal record certificate in relation to any person who is a care manager or domiciliary care worker.

This means that if your application is successful we will obtain from the Criminal Records Bureau a criminal record certificate relating to you, before your appointment is confirmed. You are however encouraged to tell us about your criminal record before we obtain a criminal record certificate.

Having a criminal record will not necessarily bar you from working with us. This will depend on the nature of the position and the circumstances and background of your offences. Active Assistance has a written policy on the recruitment of ex-offenders and we will give you a copy of it on request.

Active Assistance observes the "Code of Practice for Registered Persons and Other Recipients of Disclosure Information" published by the Criminal Records Bureau at on behalf of the Home Office, and we will give you a copy of it on request.

Personal Care Assistant Duties

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Are you prepared to help with the following?


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