HCA / Domiciliary Care / Team Leader Registration

Before you begin your registration there are a few things you will need before continuing.

You will need:

DBS Certificate Number
Three of the following identification documents in either jpg, jpeg, png or pdf format – Drivers Licence, Passport, Utility Bill or Birth Certificate
Two previous job references
To print off and fill in the HEALTH QUESTIONNAIRE and our CONTRACT SERVICES AGREEMENT, then scan and send them in with your application

Please ensure you have these ready before you continue on to the application.

PLEASE COMPLETE THIS FORM ON A PC OR TABLET TO AVOID ERRORS!

If you do not have all the information at hand, or are having technical issues, then please download & print our ON BOARDING DOCUMENT HERE, and provide all requested information to registration@amhcare.co.uk

Do you have any previous convictions?*
NoYes

Please upload here three of the following Drivers Licence, Passport, Utility Bill or Birth Certificate (We need at least 3 of the 4 options):* Choose file No file chosen

Choose file No file chosen

Please provide at least two previous job references:

Have you previously changed your name?*
NoYes

To enable direct payments to be made into your bank account we need your bank details. These fields are optional if you'd rather phone to give us these details.

A picture of yourself that is suitable for your ID Card. A picture taken from your phone would suffice.* Choose file No file chosen

Shift Preferences (Choose multiple if you wish):*
DaysNightsWeekendsAll

Please read our Terms and Conditions Here

I have read and understand the terms and conditions outlined above.