Register your interest

    Please complete the short form below and we will be in touch as soon as possible:

    Name (required)

    Telephone number (required)

    Email address (required)

    Nature of enquiry (required)
    Register for agency work
    Return to Care Programme

    Please indicate your position (required)
    Carer
    Senior Carer
    Nurse

    Do you have more than 12 months experience in care/nursing (required)
    Yes
    No

    Office you want to register your interest with (required)
    Lincoln
    Leicester

    Are you a car driver (required)
    Yes
    No

    Do you have a DBS on the update service (required)
    Yes
    No

    Do you have a current moving and handling certificate (required)
    Yes
    No

    Do you have a current basic life support certificate (required)
    Yes
    No

    How did you hear about us (required)
    Facebook
    Search Engine
    Word of mouth
    Indeed
    Other

    Before you go...

    Don't forget to 'like' us on Facebook and get all the latest news and updates. (www.facebook.com/StaffAidHQ)

    By using this form you agree with the storage and handling of your data by this website.