CareGate Registration

1) Role & Work Category

Applying position *

Preferred work type *

Availability (days) *

Availability (shifts) *

2) Personal Details

Title *

First name *

Last name *

Date of birth *

Gender (optional)

Nationality *

Current UK address *

City *

Postcode District * Postcode options filter by selected city.

3) Right-to-Work in the UK

Right to work in the UK? *

Immigration / visa status *

Right-to-work document upload *

4) Identity Verification

Photo ID type *

ID number *

ID document upload *

5) DBS (Criminal Record Check)

Do you have a valid UK DBS certificate? *

DBS certificate number *

DBS issue date *

DBS type *

DBS document upload *

DBS must be issued by the Disclosure and Barring Service.

6) Professional Qualification

Highest relevant qualification *

Awarding institution *

Year obtained *

Certificate upload *

7) Work Experience

Previous care work experience? *

Total years of experience *

Most recent employer name *

Job title *

Start date *

End date *

Brief duties description *

8) Mandatory Training & Compliance

Manual handling training *

Safeguarding adults training *

Infection control training *

Moving & handling training *

Upload training certificates (where available)

9) Health & Fitness to Work

Physically fit to carry out care duties? *

Any health condition affecting work? *

Short declaration (no diagnosis details) *

Occupational health declaration *

10) References

Reference 1 – Full name *

Reference 1 – Organisation *

Reference 1 – Position *

Reference 1 – Email *

Reference 1 – Phone *

Reference 2 – Full name *

Reference 2 – Organisation *

Reference 2 – Position *

Reference 2 – Email *

Reference 2 – Phone *

11) Emergency Contact

Emergency contact full name *

Relationship *

Phone number *

12) Declaration & Consent

I confirm the information provided is true and complete *
I consent to background and reference checks *
I consent to data processing under UK GDPR *
I agree to company policies *

13) Digital Signature

Full name (typed) *

Date *

1) Organisation / Provider Identity

Legal business name *

Trading name

Organisation type *

Date of incorporation / start date *

Registration number (if incorporated)

Country of incorporation *

Head office address *

City *

Postcode District *

Main contact phone number *

General contact email *

Website

2) Company Registration (if incorporated)

Registered company number *

Registered office address *

Registered with: Companies House

3) Care Regulator Registration (CQC)

Registered with CQC? *

CQC provider name *

CQC provider ID *

CQC registered location(s) *

CQC registration certificate upload *

Date of registration *

A provider must not be approved without a valid CQC registration.

4) Regulated Activities (CQC scope)

Activities *

5) Service Type & Coverage

Type of service *

Areas covered *

Postcodes covered *

Branches / Locations (one per line) * These are used for shift branch/location and reporting.

6) Registered Manager Details

Registered manager full name *

Job title *

Work email *

Work phone *

CQC manager registration number *

Start date as registered manager *

Proof of appointment upload *

9) Data Protection (ICO)

Registered with ICO? *

ICO registration number *

10) Workforce & Recruitment Compliance

Approx. number of care staff *

Right-to-Work checks? *

DBS checks? *

Verify references? *

11) DBS Organisation Usage

DBS route *

Name of DBS provider / umbrella body *

12) Financial & Payment Details

Organisation bank name *

Account name *

Account number *

Sort code *

13) Primary Authorised Signatory

Full name *

Role in organisation *