Join West Midlands CARE Team

Thank you for visiting the CARE Team website.

This form will be used for us to gather more information about you prior to our upcoming selection day.

If you have any questions please email us webmaster@wmcareteam.com

Personal Details

Forename*

Surname*

Address*

Telephone Number*

Email Address*

Photo Upload*

Professional Details

Job Title*

Employer*

Professional Qualification*

Year of Qualification*

Professional Regulator*

Registration Number*

BASICS Membership Number*

Seniority or Grade*

Speciality Experience (list your experience in current and previous posts)*

Courses & Qualifications

West Midlands CARE Team

Briefly outline why you want to join the team*

We ask that all members commit to one shift and one education activity per month, are you able to commit to that?* Yes No

What ideas, assets or experience can you bring to the team?*

Education

Progression within the team requires you to keep an up-to-date portfolio and attend educational events.

Are you willing to manage your own learning to achieve the required portfolio competencies?* Yes No

Upload your CV (Optional)

Reference 1*

Reference 2*

Thank you for completing this form.

We will be in touch soon regarding the upcoming selection day!