Personal Assistant Register                   

 Personal Assistant/Carer Register Consent Form        

By completing this form and returning it, you are agreeing to your name and details being used for future employment opportunities.

Ref:    	
Date: 		
Name: 
	
Address:

Postcode: 	
Telephone:  Home                           Mobile 	
E-mail Address: 
(To keep you informed of new vacancies)	
Do you wish to support a: Child  /  Adult /   Both 	
Do you wish to be contacted for
permanent positions available?                                             Yes    No   
	
Do you wish to be contacted for
temporary positions available?  
                                                                                                                Yes    No              
                                                                                                                          	
How many hours are you available to work per week?
	
Availability? (please tick those applicable)
Mornings    Afternoons    Weekends      Nights    	
Are you available to provide contingency cover?  
Contingency cover is providing temporary and/                                                           Yes    No              
or emergency cover for holidays/sickness/maternity etc:                                                                                                                           	
Are you available for contingency cover at short notice?        
                                                                                               Yes    No   	
Are you available to cover various locations across
Peterborough?                                                                        Yes    No              

If no which area do you wish to cover?    

	

Do you have a full driving licence?                                      Yes    No   

Do you have access to your own vehicle 
and are willing to use it for work purposes?                         Yes    No   
	
Please indicate any skills or previous experience you have relevant to a PA/Carer role:

	
What languages are you fluent in?

On completion of this form an application pack will be sent out via email for you to complete and return for the approval process to commence. Alternatively, you can request a copy by post.

The approval process includes taking up two references, completing some basic Safeguarding Training and either having or signing an agreement to have an enhanced DBS check on condition of employment.

If you require further information, please contact:
Faith Boys on 01733 342683 Ext 120
or email paregister@pcvs.co.uk 

Please note: PCVS is acting on behalf of a third party and will not be your employer or be liable for any issues arising out of your employment.