Applicant's Name Applicant's AddressApplicant's Date of Birth Please complete the questions belowWhy do you want to be a Care or Support Worker?What is your understanding of challenging behaviour?Employment HistoryWhat were the duties/responsibilities of your current/ previous positions?General support work, helping with day to day chores, supporting independence and social inclusionHow do you feel those duties/responsibilities would help you with this job role?They are the same duties and the same kind of support, the clients are diffident, bit the principles are the sameCan you tell me more about your skills and experiences?I’ve supported children and/or adults to engage in community activities and enjoy social inclusionYour Personal QualitiesTell me about YOU, describe your personalityWhat do you believe your personal qualities are?How do you cope under pressure? Have you examples of coping with pressure?Can you work on your own and use your own initiative?Personal CareWhat is your understanding of the term personal care?Help clients to shower and dress, anything to do with the personal side of life, applying creamsWhat do you think is important to consider when supporting someone with their personal care needs?Dignity is important, making them comfortable through process, closing the door when showering or washing etc.Promotion of the IndividualTell me how would you encourage the individual to exercise choice within the community?Choose their own meals and where to go, make sure they have choice, shopping, bowling and day centreConfidentialityWhat can you tell me about the meaning of confidentiality?Anything that is said or written down is confidential, not discussing personal details or families etc.Why is confidentiality important in relation to those we care for and support?We know the persons address and personal details and these details can be used against themCan you think of a reason you may need to break confidentiality?CommunicationWhat would you consider to be good examples of communication?Verbally and with soft tone and voice, positive body language, previous written experience through workHave you had experience of documenting incidents and/or daily recordings?Working as a TeamWhat are the benefits of team work?Give an example of when you motivated yourself and others?CommitmentWhat is the value of commitment to those you care and support in the community?What is the value of commitment to your team while working in the community?Additional QuestionsAre you willing to attend training prior to working in the community? Yes No Are you willing to sign up for QCF 2 or 3? Yes No Manual HandlingSome of the work that we do requires an element of manual handling (carrying shopping, pushing a person in a wheelchair, using sliding sheets, using a hoist etc. Yes No Do you have any medical conditions that would preclude you from undertaking these duties? Yes No Do you have any other conditions mentally or physically that will prevent you from undertaking your role as a support worker? Yes No If you answered yes to any questions above, can you give any details of these conditions?How many days absence have you had in the last 2 years?If over a week, please comment. Do you hold a current full UK driving license? Yes No Do you have your own transport? Yes No Are you willing to use your own transport on session? Yes No What hours are you willing to work?Please tick all that apply Full Time Part Time Flexi Time Day Shifts Night Shifts How many hours per week are you willing to work? Are there any days or times you are unable to work? Have you any cultural or religious commitments that will impact on your working week?FSW will work accomodate these to support your personal interests and values. Yes No Disclosure & Barring Service (DBS) Due to the nature of our work with vulnerable children & adults we are required by law to apply or check that you have a valid in date DBS. An enhanced DBS will identify any convictions as well as cautions which must be disclosed at interview.Do you have any spent or unspent criminal convictions? Yes No If you answered yes to the above question, you will be asked to disclose to a FSW senior manager your convictions or pending convictions. This information will be considered confidential and recorded accordingly. Your honesty at this point is important to the application process. Please seek advice from your FSW senior manager if you need to disclose information relevant to this section. Your full name Date DD slash MM slash YYYY NameThis field is for validation purposes and should be left unchanged.
