Personal Assistant Application Form
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Job Ref Number *
Where did you see the vacancy advertised? *
Full name (first and surname) *
Any previous names you have been known by
Address and postcode *
Email *
Phone number  *
National Insurance Number 
Gender *
Do you need a work permit to work in the UK? *
Do you hold a current full British driving licence? *
Has your driving licence ever been endorsed?
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If yes, please give details 
Do you have your own transport? *
Please provide brief details of any relevant work (paid or voluntary) undertaken, including dates.  Start with the most recent first.
 *
Please give details of any training/qualifications
 *
Tell us a bit about you - what makes you a good candidate for the post?
 *
What is your availability, tick all that apply
Mornings
Afternoons
Evenings
Over night
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are you able to provide details of two people (who are not related to you) who could give you a reference?
 *
DECLARATION
Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(20) 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 confidential
Have you ever had any criminal convictions? *
If yes, please give full details
ON SUBMISSION OF THIS FORM...
By submitting this form, I confirm to the best of my knowledge, the information on this form is accurate and that I have not omitted any facts which may have any bearing on my application.
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