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1、homecareassistantapplication：家庭护理助理的应用MyHomecare.ieReV02HomecareAssistantApplicationThankyouforyourenquiryaboutworkingwithMyHomecare.ie/SerViSoUrCeHealthCareMyhomecare.ieincorporatingpartofServisourceHealthcareplaceHomecareAssistantswithclientsandthroughoutIreland,cover!nglong-term,mediUniandshort-t
2、ermpositions.Ourcompanyspo1icyiStoprovideaconsiStentandqualityservicebVmatchingtheindividua1needsofbothorCareStaffandourClients.Ourofficeisopen7daysaweekfrom7amtol1pm,363daysoftKeyeartoprovidethebestpossibleservice.PleasefillIntherelevantdetaiIsintheapplIcationpackandsenditbacktouswithasmuchinformat
3、iOnasyoucanprovideiminediate1y.AchecklistOfrequirementsisonthefolIowingpagetoassistyou.Pleasebeawarethatallreferencesandqualificationswillbechecked.PleaseSignanddatetheapplicatIonandreturnittoourofficesat:ServisourceOffices:DundalkOfficeUnit3,Floor2,QuaysideBusinessCentre,Dundalk,Co1.outhTel:+353429
4、352723Fax:+353429352724GalwayOffice16aSandyfortBusinessCentre,Bohermore,GalwayTel:+35391762426/761051Fax:+35391762429CorkOffice11AngleseaStreet,CorkTel:+353214279916/4279739Fax:+35391427991DublinOfficeInternationalHouse,TaraStreet,Dublin2Tel:Ol4730474Fax:Ol6334269WaterfordOfficeWaterfordHealthPark,S
5、lievekealeRoad,CoWaterfordTel:1800400900ContactDetaiIsServisourceRecruitmentTeamEmai1:infoervisource,iePleasealsocheckoutourwebsite:pletedwithininthelast2year8ModulesHomecareAssislantApplicationHowhearaboutourAgency?didyouNewspaperNursingMagazinesInternetFriendsOtherPersonalDetailsFirstName:ATTACHSI
6、GNEDPASSPORTPHOTOSSurname:PreviousName:ddressMobiIeNo.HomeNo.WorkNo.EmailAddressGenderDateoCBirthPPSNumberNextofKinContactDetaiIsforNextofKinDoyouholdaGardaNationalImmigrationBureaucard?YesNoIfYespleasestatestampnumberandexpirydatePreferredHealthcareIocationsyouwishtoworkinHomecareAssistantApplicati
7、onTrainingEducationAreyouaStudentNurse?YesNoWhatdisciplineareyoustudying?IfYes,NameofTrainingHospitalPleasenotethatstudentNursesareexeniptfromFETACrequirements.FETACHaveyouconipletedorareyouinIheprocessofcompletingaFETCHealthcareSupportMajorAward?YesNoFETClevel5MajorAwardinHcaltHcarcSupportiscomposI
8、edof8modu1cs.OutoftheseSmodules,5aremandatoryand3areeIective.PIeaseindiCatethemodu1esyouhavecomp1OtedandcncIosedcertifications:MandatoryModules:CareSkillsCareSupportSafetyHealthatWorkElectiveModules:NutritionPractIcalHomecareSkillsCareoftheIderPersonOccupationalFirstAidPalliativeCareCareProvisiOnand
9、PracticeAnatomyandPhysiologyChildDevelopinentHumanGrowIhandDeve1opmentWordProcessingIntroductiontoNursingCustomerServiceCaringforChi1dren(06years)MaternItyCareSupportOperatingDeparUnentCareSki11sIntellectualDisabil1.tyStudiesCommunicationsWorkExperienceCaringforChi1dreninllospitalRehabilitationSuppo
10、rtUnderstandingMentalHealthSocialStudiesPersonalEffectivesintheWorkplaceTeamworkingHaemodialysiSCareSupportActiviticsof1.ivingPationtCareWorkp1aceStatutoryPo1iciesandProceduresTnfectiOnPreventionandContro1WorkplaceFoodSafetyandHygieneFoodSafetyHACCPOtherHomecareAssistantApplicationEmploymentHistoryR
11、cferenccsWerequirenamesandcontactdetailsofyour3refereesfromyourcurrentandmostrecentemployment.RefereesmustbeofManagement1.evelorHigherOnereferencemustbefromyourcurrentormostrecentemployerAnyoffersofapostissubjecttosatisfactoryreferencesCurren11MostReccntEmp1oy11tmtOrganisationPositionHeldDateTo:From
12、:MonthsinPost(1st)Referee,sNameFromCurrentPositionorMostRecentEmploymentRefereesPositionRefereesContactDetaiIsPhone/FaxIEmailHomecareAssistantAppicationPreviousEmp1oyment:OrganisationPositionHeldDateMonthsinPostTo:From:(2nd)Referee,SNameReferee,SPositionRefereesContactDetailsPhone/FaxIEmailOrganisat
13、ionPositionHeldDateTo:From:(3rd)Referee,SNameReferee,SPositionRefereesContactDetailsPhone/FaxIEmailPleasecontinueyourexperienceandemploymentonseparateCurriculumVitaeHomccareAssistantApplicationPersonalPayDetai1sPleasefillinthefolIowinginformationcarefullyandreturnitwithyourapplicationformFirstNameSu
14、rnameAddressMobiIePhoneNumberHomePhoneNumberEmailAddressDateofBirthStaffTypeHomecareAssistantBankIBANCodc:BankSWIFTCode:AccountNumber(8numbers)BankSortCode(6numbers)BankNameAddressPPSNumberHomecareAssistantpp1icationHomecareAssistant,sPleasestatecoursetitleanddurationofcourseorexperienceExperienceCo
15、urseTitleDurationCompetentlevel(1-5)AccidentEmergencyCareofElderlyClinicsComputersDrugsAlcoholHomecareInfectiousDiseasesMedicalMidwiferyPaediatricsPalativeCarePsychiatrySurgicalTheatres/RecoveryOthersSign：Date:一HoniecareAssistantApplicationHealthDeclarationIdeclarethatIunderstand,acceptandconfirmthe
16、entitlementofMyHomccaretorejectmyapplicationorterminatemyemployment(intheeventofacontractofemploymenthavingbeenenteredinto)whereIhaveomittedtofurnishtheAgencywithanyinformationrelevanttothishealthassessmentorwhereIhavemadeanyfalsestatementormisrepresentationrelevanttothishealthassessment.PleaseanswerYESorNOandifYES,pleasegivedetailsinthespaceprovided.YesNoDetails1
