FREEPHONE:
0800 133 7134
JOIN OUR TEAM!
We are recruiting for our Managed Care Services and also looking for associates to join our register of Case Managers & Expert Witness Services.
Ask Butler Online Application Form
This form will take you 20-30 minutes to complete.
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Please confirm you have at least 1 years experience?
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Yes, I have a minimum of 1 years experience
No, I have never worked in care
Are you currently working?
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Yes
No
Please tell us the type of work you are doing and if you intend to continue with that job if successful with this application
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Are you looking for a permanent job?
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Yes
No
How long are you looking to work for?
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Less than 6 months
More than 6 months
You are required to have a Enhanced DBS Check if you are not currently registered on for the DBS Update Service before ASK BUTLER (UK) LIMITED can offer you employment. Please tick one of the boxes below:
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I have a DBS check that is registered with the DBS Update Service
I'm aware that I will need to complete a DBS check at a cost of £60 before ASK BUTLER (UK) LIMITED can offer me employment
Have you ever been convicted of a criminal offence in the UK or abroad? (whether related to work or not)
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Yes
No
You have declared that you have a conviction, please provide more details
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Have you ever received a caution by the police in the UK or abroad? (whether related to work or not)
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Yes
No
You have declared that you have a caution, please provide more details
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By completing the details below you are giving us consent to check information held by DBS through the Update Service at anytime
Please enter you DBS reference number as it appears on your certificate
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Please enter your Surname as it appears on your certificate
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Please enter your date of birth as it appears on your DBS form
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By continuing with this application you are committing to pay £60 for the DBS check. You are also giving us consent to check information held by DBS through the Update Service at any time once it has been completed
We cannot process your application without the commitment from you to pay for your DBS check to be completed.
We cannot proceed with you application as you do not have the experience we require
We cannot proceed with you application as we are not looking for people that can commit to working for at least 6 months
Please confirm you have the right to work in the UK (by confirming you have the right to work in the UK you are giving us consent to check with the UKBA)
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Yes, I have the right to work in the UK
No, I do not have the right to work in the UK
Sorry we cannot process your application
What type of work are you looking for?
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Live-In care worker in the London area
Live-In housekeeper in the London area
Care Worker visiting clients in their own homes in the London area
Personal Assistant visiting clients in their own homes in London area
Cleaner visiting clients in their homes in the London area
Handyman visiting clients in their own homes in London area
Please select the areas you are available to work in:
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West London area
South London area
East London area
North London area
Willing to work anywhere in the London area
Are you looking for full time or part time work?
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Full Time
Part Time
Live-In
What days are you available to work?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
When are you available to start working?
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DD slash MM slash YYYY
Do you drive?
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Yes
No
Do you have a car or permanent access to a car for work purposes with business insurance cover?
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Yes
No
Working Time regulations 1998
The Eurpean Union has laid down guidlines for all workers, governing the length of the maximum working week that is safe to work. The current limit is 48 hours per week. Because you are under no obligation to accept work offered, you will not be compelled to work more than 48 hours per week, however you may choose to do so.
Please select the appropriate option below to confirm that you have read and understood the above information
Yes, I would like the option to be able to work more than 48 hours per week
No, I do not want to ever work more than 48 hours per week
You have selected not to work more than 48 hours per week. We will be unable to allocate you more than 48 hrs per week, unless you request to change in writing.
You will have the option to change you decision at any time by putting it in writing to us.
Please tick to confirm what training you have completed
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First Aid
Moving & Handling
Medication
Food Hygine
Infection Control
Dementia
Health & Safety
Safeguarding
Reporting & Recording
Other
Please list the other care-related training you have completed below:
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Do you hold any formal care-related qualifications?
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Yes
No
Will you be willing to do you Diploma level 2 if we can source funding to pay for it?
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Yes
No
Please tick the care-related qualifications that you have
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Diploma Level 2 (formally NVQ level 2)
Diploma Level 3 (formally NVQ level 3)
Diploma Level 5 or NVQ level 4
Other
Please list any other care-related qualifications you have below:
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Have you got any training certificates you can upload on the PC you are on now? (if you have more than 10 you will need to post us copies)
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Yes, I have less than 10 certificates that I can upload now
I have more than 10 certificates and I will post to you
I have certificates but do not have copies on the PC
No, I don't have any certificates for the training I have completed
1) Upload Training Certificate
Max. file size: 100 MB.
2) Upload Training Certificate
Max. file size: 100 MB.
3) Upload Training Certificate
Max. file size: 100 MB.
4) Upload Training Certificate
Max. file size: 100 MB.
5) Upload Training Certificate
Max. file size: 100 MB.
6) Upload Training Certificate
Max. file size: 100 MB.
7) Upload Training Certificate
Max. file size: 100 MB.
7) Upload Training Certificate
Max. file size: 100 MB.
8) Upload Training Certificate
Max. file size: 100 MB.
9) Upload Training Certificate
Max. file size: 100 MB.
10) Upload Training Certificate
Max. file size: 100 MB.
What is your level of English?
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Basic
Conversational
Fluent
Mother Tongue
Do you speak any other languages apart from English?
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Yes
No
Please list the languages that you can speak (including sign language)
Have you got a CV that you can upload now?
Yes
No
Upload your CV
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Max. file size: 100 MB.
Please give us your education history (Most recent first explaining any gaps)
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Previous employment - Including any relevant voluntary work. (Most recent first explaining any gaps in employment - required under the National Minimum Care Standards).
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References - Please give details of two referees - one should be your current or most recent employer. Where possible both referees should be current or past employers. An offer of employment will be subject to receipt of two references satisfactory to ASK BUTLER (UK) LIMITED and we reserve the right to contact any former employers before an unconditional offer of employment is confirmed. References cannot be accepted from personal friends or relatives.
1st Referee
Employer's name
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Employer's address
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Town / City
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Post Code
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Post held and brief details
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Phone number
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Fax number
Email
Employed From
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Day
Month
Year
Employed To
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Day
Month
Year
May we contact this referee prior to interview?
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Yes
No
2nd Referee
Employer's name
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Employer's address
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Town / City
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Post Code
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Post held and brief details
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Phone number
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Fax number
Email
Employed From
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Day
Month
Year
Employed To
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Day
Month
Year
May we contact this referee prior to interview?
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Yes
No
Your Details
Title
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Mr
Ms
Miss
Mrs
First Name(s)
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Surname
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Previous Names (if applicable)
Address
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Address
Town / City
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Post Code
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Mobile Phone
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Home Phone
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Email
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National Insurance Number
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Nationality
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If you have a passport style photo you can upload it here
Max. file size: 100 MB.
Do you have any specific requirements with regards to your work? such as physical, religious, cultual or prefences
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Yes
No
You answered yes to the question above please provide further details
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Next of Kin / Emergency Contact Details
Title
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Mr
Ms
Miss
Mrs
First Name(s)
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Surname
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Address
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Address
Town / City
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Post Code
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Relationship
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Mobile Phone
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Home Phone
Email
Health Declaration - Have you ever undergone any of the following please tick YES or NO to all the questions below:
Surgical operation
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Yes
No
You answered yes to the above question please provide details
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Serious accident resulting in injury
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Yes
No
You answered yes to the above question please provide details
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Tuberculosis, asthma, bronchitis or any disease of the lungs
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Yes
No
You answered yes to the above question please provide details
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Heart disease/disorder or high blood pressure
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Yes
No
You answered yes to the above question please provide details
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Arthritic conditions
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Yes
No
You answered yes to the above question please provide details
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Diabetes or sugar disorder
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Yes
No
You answered yes to the above question please provide details
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Mental or nervous condition (including breakdown)
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Yes
No
You answered yes to the above question please provide details
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Back trouble for example: slipped disc, lumbago.
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Yes
No
You answered yes to the above question please provide details
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Migraines/frequent headaches
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Yes
No
You answered yes to the above question please provide details
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Skin disease e.g eczema or dermatitis
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Yes
No
You answered yes to the above question please provide details
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Rheumatic fever
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Yes
No
You answered yes to the above question please provide details
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Recurrent gastric stomach trouble or vomiting
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Yes
No
You answered yes to the above question please provide details
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Recurrent bowel trouble
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Yes
No
You answered yes to the above question please provide details
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Have you ever had an accident or illness that is still affecting you?
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Yes
No
Have you received medical treatment in the past 12 months or are you on a waiting list for such treatment?
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Yes
No
You answered yes to the above question please provide details
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Are you awaiting any surgical operations or hospital appointments?
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Yes
No
You answered yes to the above question please provide details
*
You answered yes to the above question please provide details
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Eye condition (including colour blindness)
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Yes
No
You answered yes to the above question please provide details
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Foot condition
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Yes
No
You answered yes to the above question please provide details
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Do you have, or ever had a rupture or hernia?
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Yes
No
You answered yes to the above question please provide details
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Do you wear spectacles or contact lenses?
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Yes
No
You answered yes to the above question please provide details
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Hearing difficulties in either ear
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Yes
No
You answered yes to the above question please provide details
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Please provide information relating to immunisation and vaccines you have received
Please give details of any illness or condition you have had or have been diagnosed with having during the past 12 months
Allergies and preferences - Please list below any allergies you have and whether or not you wish to visit Service Users who have pets
Have you ever suffered an injury at work requiring time off from work?
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Yes
No
You have answered yes to the question above please provide further details
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I agree to a medical examination, if thought necessary and I authorise ASK BUTLER (UK) LIMITED to contact my GP or any other consultant or specialist to whom I have been referred. I certify that I have answered the questions truly and fully and that I am not aware of any disability which will or may affect my working capacity prior to retirement age. I recognise that any false information may affect my employment rights.
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I declare that I am physically and mentally fit to undertake the duties of the post I am applying for
Do you smoke?
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Yes
No
Do you mind visiting clients that smoke?
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Yes
No
Do you mind working with clients that have pets?
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Yes
No
Please let us know let us know if it's all pets you cannot work with
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Equal Opportunities Monitoring Questionnaire
ASK BUTLER (UK) LIMITED is committed to develope its Equal Opportunities policy in order to ensure its employees reflect the diverse communities we serve. We are commited to selecting people on the basis of their ability to do the job irrespective of their gender, age, ethnic origin, sexual orientation, disability, religion or belief. We are monitoring these categories to ensure our policies and procedures comply with legistration. This information is voluntary and we would be grateful if you could help us by completing the the following. The information provided is not made available to the shortlisting/interview panel and is used for monitoring purposes only. Please complete all sections of the questionaire by placing a tick (or by providing information where appropriate) in the classification box applying to each section.
Gender
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Male
Female
Prefer not to answer
Age Group
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18-24
25-30
31-44
45-54
55+
Prefer not to answer
Sexual Orientation
Bisexual
Gay/Lesbian
Hetrosexual
Prefer not to answer
I would describe my race or ethnic origin as: (These categories are in line with those used by National Statistics in 2001 Census)
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White - British
White Irish
White - Other
Black or Black British - Caribbean
Black or Black British - African
Black or Black British - Other
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Asian or Asian British - Bangladeshi
Asian or Asian British - Other
Mixed - White & Black Caribbean
Mixed - White & Black African
Mixed - White & Asian
Chinese or other ethnic group - Chinese
Chinese or other ethnic group - Other
Prefer not to answer
Religion or Belief
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Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
No Relion/Belief
Prefer not to answer
Disability - Do you have a disability as defined by the Disability Discrimination Act1995 (i.e do you have a physical or mental impairment which has substantial and long-term effect on your ability to carry out normal day-to-day activities?)
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Yes
No
You have answered yes to the above question please provide details
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ASK BUTLER (UK) LIMITED is committed to making reasonable adjustments, where possible.
How did you hear about ASK BUTLER (UK) LIMITED?
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Employee
Friend
Newspaper
Training Provider
Gumtree
Job Centre
Google
Other Internet Search
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