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Wirral Personal Assistant Register - PA registration form

What is the Wirral Personal Assistant Register?

The Wirral Personal Assistant Register is a free service offered by Wirral based charity WIRED to connect employers with personal assistants in Wirral.

How does it work for personal assistants looking for employment?
Personal assistants seeking employment opportunities register with the Wirral Personal Assistant Register using this form. WIRED will then email employers who have PA vacancies the name, contact details relevent skills and experience information of personal assistants that match that particular employers needs, enabling the employer to contact the personal assistants directly and make arrangements for interviews etc

Direct Payments Payroll and Managed Budget Services
WIRED also provide Direct Payments Payroll and Managed Account Services. For more information about these services please email wiredpayroll@wired.me.uk
1.Your first name(Required.)
2.Your last name(Required.)
3.What is your gender?(Required.)
4.Do you smoke?(Required.)
5.Short statement about yourself  - this should be no more that 50 words(Required.)
6.Personal statement - this should include information about your likes and dislikes, why you are interested in working as a PA as well as hobbies or social activities you do.(Required.)
7.What tasks are you interested in doing as a personal assistant? (please tick all that apply)(Required.)
8.Which age groups are you interested in working with? (please tick all that apply)(Required.)
9.What type of driving licence (car) do you hold?(Required.)
10.Would you be prepared to use your car for work?(Required.)
11.Your skills and experience - Do you have any previous experience as a personal assistant?(Required.)
12.If you answered yes to question 9 please summarise your previous experience working as a personal assistant(Required.)
13.Please outline your employment history below, for each employer please include name of employer, your role, dates of employment and reason for leaving(Required.)
14.What work related training have you completed? (please tick all that apply)(Required.)
15.What areas are you experienced in? (please tick all that apply)(Required.)
16.Which Wirral locations would you like to work in as a personal assistant? (please tick all that apply)(Required.)
17.Which days and times are you able to work? (Please select all that apply)(Required.)
Morning
Afternoon
Evening
Night
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
18.What hours are you interested in working? (Please tick all that apply)(Required.)
19.Are you prepared to work at short notice?(Required.)
20.Are you willing to work in school holidays?(Required.)
21.Are you willing to provide cover for sickness and holidays?(Required.)
22.Further details - your title(Required.)
23.Your address(Required.)
24.Your daytime telephone number(Required.)
25.Your evening telephone number(Required.)
26.Your mobile phone number(Required.)
27.Your email address(Required.)
28.Are you a UK citizen?(Required.)
29.Are you eligible to work in the UK?(Required.)
30.Are you prepared to complete a DBS (Disclosure and Barring Service) check?(Required.)
31.Do you have a current DBS registration?(Required.)
32.What languages do you speak? (Please list below)(Required.)
33.Data storage consent - Are you happy for WIRED to store the data you have provided within this form within WIRED's confidential survey monkey account in order for WIRED to be able to match you with potential employment opportunities?(Required.)
34.Data processing consent - Are you happy for WIRED to process the data you have provided within this form within WIRED's confidential survey monkey account in order for WIRED to be able to match you with potential employment opportunities?(Required.)
35.Data sharing consent - Are you happy for WIRED to share your name, preferred contact information and skills and experience information with a potential employer without contacting you first? (This is an essential requirement of the service)(Required.)
36.What is your preferred method for employers with vacancies to contact you? (We will only provide the employer with your name and preferred contact details so please only tick one option)
37.Where did you hear about the Wirral personal assistant register?(Required.)
38.Identification question 1 - What city were you born in? (This information will not be shared)(Required.)
39.Identification question 2 - What was the name of your first pet or animal? (This information will not be shared)(Required.)
40.Terms and conditions of use

The Wirral Personal Assistant Register is owned and administered by WIRED. The service is designed to help personal assistants to find jobs and Employers to find personal assistants. It provides details of personal assistants looking for work to employers with vacancies. In order to use the facilities of the service you need to complete this registration form. Once registered, you are agreeing to the terms and conditions below.
  • Your name and information about your preferred methods of contact will only be supplied to registered users of the service who have vacancies.
  • Employers will only contact you regarding your suitability for their vacancy
  • WIRED will, on occasion contact you to let you know about other WIRED services that may be of interest to you.
  • By agreeing to register for the Wirral Personal Assistants Register you are agreeing that your details will be available to all registered employer users.
  • WIRED does not take any responsibility for vetting the suitability of employers or their practices and you should ensure that you undertake your own checks where appropriate.
  • As a PA you should ensure that your Employer provides you with a contract of employment setting out your terms and conditions which you both should sign. WIRED also recommend that you should request a job description setting out the main duties of your role.
  • WIRED reserves the right to remove any user who uses this service, including the information made available through this service, inappropriately.
  • WIRED reserves the right to refuse to publish details posted by users.
Do you agree to the above term and conditions?(Required.)
Current Progress,
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