Become a Personal Assistant

Contact details
1. First name*
2. Last name*
3. Telephone*
4. Mobile*
5. Email*
Your Availability and Preferences
1. Work Location Area*
2. Are you currently, or would you like to be self-employed, or employed by the family/families you support?*
  
  Self-Employed
  
  Employed by family
  
  Unsure/no preference
3. Essential Documents
  1. Do you have the right to work in the UK?*
    
    Yes
    
    No
  2. Do you hold a full UK driving licence?*
    
    Yes
    
    No
  3. Do you have access to your own vehicle?*
    
    Yes
    
    No
  4. Are you barred from working with children and/or vulnerable adults?*
    
    Yes
    
    No
  5. Are you willing to undertake a new DBS carried out and funded by Powys CC?*
    
    Yes
    
    No
Relevant Training and Experience
1. Do you have experience supporting children or adults with disabilities and/or additional needs? Please briefly outline your experience.*
2. Have you completed any prior training which may be relevant to your role? Please list, including expiry dates if possible.*
Declaration
1. Your declaration
  
  I understand the following:
  
  You will use the information I have provided to process my request / report.
  
  You may check some of the information with other sources within the council or other councils and government departments.
  
  You may also get information about me from certain other organisations, or give information about me to them to: make sure the information is accurate; prevent or detect crime; and protect public funds. These other organisations include government departments and other local authorities
2. I understand that I will be contacted twice a year to see if you still want your information held, you can contact IDS@powys.gov.uk to ask for your information to be removed at any time.*
3. I understand the statement above and I declare that the information I have given on this form is correct and complete.*

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Become a Personal Assistant