GENERAL INFORMATION

FOR APPLICANTS

 FOR FAMILIES

Family Registration Form for a Companion Caregiver

Details of Person Completing The Form

Details of Person Who Needs the Companion Caregiver

(If Different To Above, Otherwise Enter N/A)

About The Job









Do you understand that you are responsible for:







General Duties





Other Duties










Your Home And Area










How Long Would It Take to Reach the Following by Walkng, Bus or Train/Tube?

Terms and Conditions Link

NOW THIS FORM IS COMPLETED, PLEASE ENSURE YOU HAVE READ AND UNDERSTOOD THE "FEES" AND THE "TERMS AND CONDITIONS OF BUSINESS" OF NORMA LEWIS DOMESTIC STAFF AGENCY. (YOU SHOULD KEEP ONE COPY OF THESE FOR YOUR OWN RECORDS).
SUBMITTING THIS COMPLETED FAMILY REGISTRATION FORM IN ANY FORMAT TO NORMA LEWIS DOMESTIC STAFF AGENCY SHOWS ACCEPTANCE OF THESE TERMS.

 

 

 

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