ElderBri | Find the right companion for your loved one

Personal Information

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth *

Current Address *

City / Location *

Right to Work & Eligibility

Do you have the right to work in the UK? *

Yes No

Nationality *

Do you have any work restrictions? *

Yes No

Availability

Days Available *

Mon Tue Wed Thu Fri Sat Sun

Hours Available *

Morning Afternoon Evening

Are you available on weekends? *

Yes No

Can you start immediately? *

Yes No

Experience & Background

Do you have experience supporting elderly individuals? *

Yes No

Number of years of experience *

Brief description of your experience *

Have you worked in companionship, care, or similar roles before? *

Yes No

If Yes, What Role?

Skills & Suitability

What type of support can you provide? *

Companionship Conversation & social interaction Walks & outings Errands Light household support Personal care Medication reminders Meal preparation

Do you have experience with dementia or vulnerable adults? *

Yes No

Motivation & Personal Qualities

Why do you want to work as a companion? *

What makes you suitable for this role? *

How would you support an elderly person who feels lonely? *

DBS & Safeguarding

Do you have an Enhanced DBS Certificate? *

Yes No In Progress

DBS Certificate Upload

Upload DBS Certificate (PDF/JPG/PNG) * Max file size: 5MB

CV Upload

Upload CV (PDF/DOC/DOCX) * Max file size: 5MB

References (Optional but Recommended)

Can you provide references?

Yes No

Additional Information

Do you have a driving licence?

Yes No

Do you have access to a car?

Yes No

Any additional information you would like to share

Become a Companion

Become a Companion

Personal Information

Right to Work & Eligibility

Availability

Experience & Background

Skills & Suitability

Motivation & Personal Qualities

DBS & Safeguarding

DBS Certificate Upload

CV Upload

References (Optional but Recommended)

Additional Information

Consent & Declaration

Become a Companion

Become a Companion

Personal Information

Right to Work & Eligibility

Availability

Experience & Background

Skills & Suitability

Motivation & Personal Qualities

DBS & Safeguarding

DBS Certificate Upload

CV Upload

References (Optional but Recommended)

Additional Information

Consent & Declaration

Application Submitted!