SHS Application 
Seniors Helping Seniors is an award-winning elderly care service. We provide in-home care services, visiting clients where they live.

We value your application and we promise you will hear from us within 48 hours. Thank you!

Seniors Helping Seniors values Carers. Please select the role you would like to apply for and the office you would like to apply to.
Sign in to Google to save your progress. Learn more
Email *
My application is to work as: *
Which Office would you like to work with *
First Name *
First name and last name
Best number to reach you / Phone number *
Address *
Postcode *
Date of Birth
MM
/
DD
/
YYYY
National Insurance Number *
Emergency contact - name and number *
Do you have any of the following: *
Required
Accommodation Needs: We are committed to providing a fair and inclusive hiring process and a supportive work environment for all employees. If you require any accommodations to participate in the application process, interviews, or to perform the essential functions of the job, please let us know how we can best assist you. This information is entirely optional and will not impact your application in any way.
Clear selection
Would you like to help with any of these services:
How many hours do you want to work per week *
Have you worked with caring for others before *
Are you OK to work with *
Required
Do you have any allergies *
Tell us what geographic area you would like to work in *
Where did you hear about us *
Please give a short work history
What days and times suits you to work
We require two references who we can contact. Reference 1 *
Reference 2 *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Seniors Helping Seniors (UK) Limited. Report Abuse