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Email: contactus@paworks.co.uk

 


Application for Personal Assistant for a disabled employer
 
Contact Details:

PLEASE NOTE: Your name,address and telephone number are confidential and only PAWS will see these information.
 
First name (or if preferred initials)
Surname
Address
Suburb
Town
County
Postcode
The date you moved to this address
   
Home Telephone
Mobile
Email Address
Your gender
   

Additional details:
Do you hold a current full British driving license
 
If yes, for how long?
   

Do you have your own transport?
 
If yes, what type of vehicle? ie. Hatchback, Saloon, Estate, Sports, 4x4.
   

Occupation details:
Present occupation?
Date
Employer
Position
 
   

Previous occupation?
Date
Employer
Position
Reason for leaving
 
   

Date
Employer
Position
Reason for leaving
 
   

About you
Please give details of any education / training
Please give details of any interests / hobbies
   
Do you have any of the following certificates:
 
First aid
If yes,the date?
   
Manual Handling
If yes,the date?
   
Food Hygiene
If yes,the date?
   
 
 
What interests you in doing this job?
Tell us a bit about yourself and your interests? This information will provided to the employer in the form of an advert.
   

Availability
Please indicate on which days you are available

Monday
 
Tuesday
 
Wednesday
 
Thursday
 
Friday
 
Saturday
 
Sunday
 

   

When are you available to start?
   

   

References

Please provide the names and addresses of two people who could give you a reference, one of whom should be your current or most recent employer.
 
Name
Address
Suburb
Town
County
Postcode
Telephone Number
Relationship to you
   
Name
Address
Suburb
Town
County
Postcode
Telephone Number
Relationship to you
   

Do you have any criminal convictions? If so, please detail below:
Password
re-type Password:
PLEASE NOTE: Because of the nature of the work for which you are applying, this post is exempt from the provisions of the Section 4(2) of the Rehabilitation of Offenders Act 1974 (Exemptions Order 1975). Applicants are not entitled therefore to withhold information about convictions which, for other purposes, are 'spent' under the provisions of the Act. Any information given will be completely confidential.
   

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