Please read carefully before completing the form.

 

You can apply to become a Shared Lives Carer by filling out the online application form below. Any details given are held in strict confidence by PSSL and will only be used as part of the application and checking process. If you would like more information or advice about the application process then please do not hesitate to contact us.

If you are applying as a couple or with a partner then please be sure to select theNumber of applicants as2 at the top of the form, this will ensure that the relevant fields are displayed.

All fields marked with an asterisk ‘*’ are required. Please do not navigate away from this page with your browsers foward or back buttons as this will cause the form to reset, you can however use the ‘Next’ & ‘Previous’ buttons within the form to navigate through each section if you need to change or add details, this can be done at any time until the form is submitted.

 

Thank you.

 

Carer Application Form
Apply to become a Shared Lives Carer under Positive Steps Shropshire Limited
Step
1
of
4

1. 1st applicant Details

Current address

Contact details

Please enter at least one contact telephone number!

2. Other members of your household