Registration form
The information provided will be used to keep you informed on the progress of your application and send you notifications about jobs acceptance, matches and job adverts once you’re fully registered.
About You
The information provided will be used to keep you informed on the progress of your application and send you notifications about your job advert matches and other free services on our platform, once you’re fully registered.
Profile Picture
Please upload a clear photo with a plain background in JPEG or PNG format
Are you filling in this application on behalf of someone else?
Account Managers Detatils
Account owners Details
20 Dale close, chesham ,Bucks. HP29 3WD
What is your preferred method of communication? (e.g., spoken, written, sign language, assistive technology)?
Understanding your Abilities & Work Interests
Have you previously worked or volunteered? If so, what did you do in your role and how long did you work in that place. -E.g one month
What are some things you enjoy doing in your daily life? (e.g., using technology, socialising, creating things, organising, helping others)
Are there any activities or hobbies that you are particularly good at or that make you feel confident?
Have you ever helped someone with a task, volunteered, or participated in any projects or activities? If so, what did you enjoy about it?
Do you prefer working alone or with others?
Are there any skills you would like to develop or try out in a work or volunteering setting? (e.g., teamwork, problem-solving, working with customers, creative tasks)
Are there any types of work that you definitely do not want to do?
Do you prefer structured tasks with clear steps, or do you enjoy more creative or flexible work?
Do you prefer structured tasks with clear steps, or do you enjoy more creative or flexible work?
Work place Support & Accessibility
Do you currently have support from a carer, personal assistant, or family member that would be accompanying you to a work place placement?
Would you require a carer or personal assistant to accompany you to work or volunteering?
How do you usually get around? Would you need any transport support to get to a workplace?
Workplace Preferences & Environment
Do you feel more comfortable in quiet environments, or do you prefer busy, social settings?
Are there any adjustments that would make a workplace more accessible for you (e.g., flexible hours, remote work options, physical adjustments)?
Would you like to try a hands-on job (e.g., crafting, assembling, practical tasks) or something more desk-based (e.g., using a computer, writing, admin)?
Do you have any concerns or worries about starting work or volunteering? If so, how can we help?
Are there any specific workplace adjustments that would help you perform your role more effectively?
Create our Spiky Profile quick quiz to give you a quick type of jobs / volunteering recommendations that you may find interesting to explore your abilities and find a role that suits you.
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My Availability
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Work Interest
Sharing some information regarding the kind of work / volunteering opportunities you like and support you have
Work place support
Support to Work
This information you are providing is to assist with understanding the type of support you have in place, or will need to have in place for work placement opportunity
Would you require a carer or personal assistant to accompany you to work or volunteering?
Do you have any concerns or worries about starting work or volunteering?
Would you require a carer or personal assistant to accompany you to work or volunteering placement?
What type of transport do you use to get around (e.g., public transport, PA Care carer, taxi, adapted vehicle, lift from family/friends)?
What type of transport do you use to get around (e.g., public transport, PA Care carer, taxi, adapted vehicle, lift from family/friends)?
What type of transport do you use to get around (e.g., public transport, PA Care carer, taxi, adapted vehicle, lift from family/friends)?
Would you require a carer or personal assistant to accompany you to work or volunteering?
Funding
Your Health
The information provided will be used to help us understand your support at your potential work place
Health & Disability Information
Do you have any physical, medical, or sensory needs that a workplace should consider?
In your own words can you describe those needs
Do you have any medical conditions that require adjustments in a workplace setting?
Daily Support & Accessibility Needs
You've answered yes to receiving help for daily life.
What types of support do you find most helpful in your daily routine?
If you've answered yes to receiving daily life support.
Would your carer or support worker be supporting you at a work placement?
Work Support & Assistance
You have answered no to receiving daily life support. Would you need a carer or support worker to assist you at a work place?
Do you currently have support from a carer, personal assistant, or family member in your daily routine?
Do you use any mobility aids or assistive devices (e.g., wheelchair, hearing aids, communication devices)?
Mobility & Accessibility Needs
You answered using mobility aids or assistive devices (e.g., wheelchair,
You have selected using a wheelchair
Do you use a manual or powered wheelchair?
What type of transport do you use to get around (e.g., public transport, taxi, adapted vehicle, lift from family/friends)?
You have selected using a walk with a stick
Are there any physical environments that make access difficult for you (e.g., narrow doorways, stairs, uneven surfaces)?
Do you have support, if you require transferring in and out of your wheelchair at a work placement?
You have answered yes to using a wheelchair
Do you have a carer / PA support to assist you to access the community and do day to day things
You have answered yes to using a wheelchair
Do you have a carer / PA support to assist you to access the community and do day to day things
Care Support
Explain your condition better (optional)
Do have any medical condition
Understanding Abilities & Interests
Have you previously worked or volunteered? If so, what did you do in your role and how long did you work in that place. -E.g one month
What are some things you enjoy doing in your daily life? (e.g., using technology, socialising, creating things, organising, helping others)
Are there any activities or hobbies that you are particularly good at or that make you feel confident?
Have you ever helped someone with a task, volunteered, or participated in any projects or activities? If so, what did you enjoy about it?
Do you prefer working alone or with others?
Are there any skills you would like to develop or try out in a work or volunteering setting? (e.g., teamwork, problem-solving, working with customers, creative tasks)
Are there any types of work that you definitely do not want to do?
Do you prefer structured tasks with clear steps, or do you enjoy more creative or flexible work?
Work place Support & Accessibility
Do you currently have support from a carer, personal assistant, or family member that would be accompanying you to a work place placement?
Would you require a carer or personal assistant to accompany you to work or volunteering?
How do you usually get around? Would you need any transport support to get to a workplace?
Workplace Preferences & Environment
Do you feel more comfortable in quiet environments, or do you prefer busy, social settings?
Are there any adjustments that would make a workplace more accessible for you (e.g., flexible hours, remote work options, physical adjustments)?
Would you like to try a hands-on job (e.g., crafting, assembling, practical tasks) or something more desk-based (e.g., using a computer, writing, admin)?
Do you have any concerns or worries about starting work or volunteering? If so, how can we help?
Are there any specific workplace adjustments that would help you perform your role more effectively?
Create our Spiky Profile quick quiz to give you a quick type of jobs / volunteering recommendations that you may find interesting to explore your abilities and find a role that suits you.
Health & Disability Information
In your own words can you describe your disability or health condition? You may provide as much or as little detail as you feel comfortable sharing.)