PA Registration – Instream Partnership

Registration

Please use this form to register as a Personal Assistant.

Local authorities

BURYLIVERPOOLMANCHESTEROLDHAMROCHDALETAMESIDE

First name*

Surname*

Gender*

Address line 1*

Address line 2

Town*

County*

Post code*

Phone

Mobile phone

Email*

Marital status

Date of birth

Interests

Driving licence*

More information about your driving licence

Moving handling training*

More information about your moving and handling training

Computer skills*

More information about your computer skills

DBS check*

How far are you willing to travel to work from your home address?

Days available

MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Available for emergency support?

More information about your availability

Spoken languages

To select multiple options, use the Ctrl key on Windows or the command key on Apple computers

Religion

Experience

Additional information

Date entered

Date updated

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