Application Apply to Join Tell us about yourself and the territory you'd like to cover. It takes about ten minutes. Leave this field blank Full name Email Phone HCPC registration number Area you'd like to cover — Select an open area — Staffordshire Moorlands Your base town or postcode Travel radius you can cover (miles) Specialisms (tick any that apply) Home Assessments Home Adaptations Equipment & Daily Living Aids Older People & Independence Hospital Discharge Support Neurological OT specialist – scope verified on review Children's OT specialist – scope verified on review Sensory Needs Assessment specialist – scope verified on review Workplace & Ergonomic Assessment specialist – scope verified on review Housing Needs Assessment specialist – scope verified on review Functional Assessments & Reports specialist – scope verified on review Care Home OT Visits Years qualified Current work situation — Select — Currently employed by the NHS Already in private practice (self-employed/locum) Employed elsewhere (charity, care provider, education, etc.) Recently qualified, seeking my first post Career break / returning to practice Other Tell us about your private practice goals CV (PDF, Word – max 5MB) Photo for your profile (optional – JPG or PNG, max 8MB) I have read the privacy policy and consent to my details being processed for this application. I confirm the HCPC registration number above is mine, current and accurate, and I will notify Mobile Occupational Therapist of any change to my registration status. Submit application