We listen, we manage and we deliver 
services@telopeamsl.com 
01234 248 969 

Personal Care Assistant application 

To apply for a Personal Assistant or live-in care vacancy, please complete the form below. 
Address 
Please list below all the current skills you have attained. 
Skill/Course
Level
Date Acquired
Awarding Organisation
1
2
3
4
5
Please select which duties/activities you are happy to carry out: 
Yes
No
Maybe
Yes
No
Maybe
Yes
No
Maybe
Yes
No
Maybe
Yes
No
Maybe
Validation checks 
 
Can you please confirm if you have any of the following: 
Yes
No
Please be advised that a CRB Certificate is valid for all posts. (If you do not currently have a CRB certificate, we can help you apply for one.) 
Yes
No
Yes
No
Please note a Visa is only required if you are not an EU Resident. 
Current employment details 
 
If you are currently working for an Organisation, please enter the details below: 
References 
Reference 1 
Reference 2 
It is not compulsory to upload a CV, however if you would like to please click on the 'Browse' button below: 
Equal Opportunities Monitoring 
 
This data is for informational purposes only and will not have an impact on any potential employment opportunities. 
Ethnicity Group 
Disclaimer 
 
I agree that the information I have submitted to Telopea Managed Services Limited, and which appears on their Register of Personal Assistants may be used to match with the requirements of potential employers. 
 
I understand that Telopea Managed Services Ltd will not use the information I have provided for any purpose other than facilitating my potential employment as a Social Care Personal Assistant, and will destroy all copies of the information at my request. 
I have read the above disclaimer and agree to the Terms and Conditions
Thank you for taking the time to complete the application. You will hear from us shortly