Title *

First name *

Last name *

Date of birth *

Contact details

Address *

Town/City *

Postcode *

Telephone number

Mobile number

Email address *

In the interest of data protection and privacy, please enter a personal email address which you will continue to use. If you currently have a shared email address please sign up to a free email provider for the purpose of receiving Clear Links correspondence.

Worker roles

Please tick at least one of the boxes below to indicate the worker role for which you wish to be considered. You may tick more than one box. Please note that some of the roles require specialist qualifications see Support Worker Roles for more details. We may offer you work for roles which you have not specified if we feel it may be suitable for you. The work can be refused and you can ask not to be offered this role again.

Practical Assistant

Research Facilitator

Library Assistant

Exam Facilitator

Sighted Guide

Study Facilitator

Note Taker

Transcription Facilitator

Text Checker

Specialist Communication Facilitator

Reader

Specialist Study Facilitator

Specialist Assistant

Study Coach

Practical Facilitator

Assistive Technology Coach

Mobility Coach

References

Please provide the contact details of two people we can ask for references. Where possible, please provide email addresses, as this will speed up your application. The referees should, if possible, know you from previous or current employment (e.g. line manager) or in an academic capacity (e.g. course tutor). Please indicate your relationship to both referees. Please note that Clear Links may take up these references immediately. We would therefore advise you to ask your referees for their permission before naming them in your application.

Reference 1

Reference 2

Reference type *

Title *

First name *

Last name *

Address *

Town/City *

Postcode *

Email address

Relationship *

Upload CV

Please attach your CV with file extension .doc or .pdf by clicking on the Browse/Choose File button.

Upload CV *

Please indicate which town or city you would like to work in *

Now please indicate how far you would be able to travel (in distance or time)*

Please enter the maximum number of hours you can commit to per week*

If you are currently a student, please complete the section below:

Institution attended

Course Title

Course start date

Course end date

Agreements

You will need to read and accept the 'Terms of Engagement for Support Workers' which constitute a contract of services between Clear Links and the Support Worker and govern all Services undertaken by the Support Worker.

By registering on the Clear Links website, accepting the Assignment Confirmation or commencing the provision of the Services (whichever is the earliest) the Support Worker is deemed to have accepted these Terms in their entirety. You will also need to read and accept the Service Level Agreement and Data Protection Policy.

Please read the forms below (all links open in a new window), click in the boxes and enter your name to indicate your acceptance.

Terms of Engagement for Support Workers
Service Level Agreement
Data protection

Name *

Date

05/02/2012

How did you hear about us *

Support Worker Application Form

Reference 1

Reference 2