Wirral Personal Assistant Register - Employer 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?

Employers, Direct Payment recipients or individuals funding their own support who have a vacancy for a personal assistant register with the Wirral Personal Assistant Register using this form. WIRED will then email the employer the name and contact details of personal assistants that match the employers needs based on the registration information provided by both the employer and the personal assistant. This will enable the employer to contact the personal assistants directly and make arrangements for interviews etc. WIRED will not share employers details with personal assistant candidates.

Please note - Personal assistants and employers are matched only using the information provided by each at registration. WIRED is not in anyway endorsing or recommending either personal assistants or employers.

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

Very important information for carers completing this registration on behalf of the person they care for.

Questions 1-36 relate to the recipient of the direct payment, ie, the person who will receive the services funded by the direct payment. If you are a carer completing this form on behalf of the person you care for, there is a section at the end of the form to provide us with your details

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* 1. Your first name

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* 2. Your last name

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* 3. What is your gender?

Male

Female

Transgender

Non-binary

Prefer not to say

Other (please specify)

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* 4. Do you smoke?

Smoker

Non Smoker

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* 5. Advert summary - Short statement about yourself (50 words max)

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* 6. Full advert - this should expand on the information that you have put in your advert summary and should include information about your family, any pets you have, any hobbies or social activities that you do etc.

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* 7. What tasks do you require your personal assistant to do? Tell us about the type of work you would like your PA to do. (please tick all that apply)

Personal care

Domestic assistance

Social and leisure Activities

Work or study

Other (please specify)

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* 8. Additional information - please provide any further details about particular support that you require in the areas chosen in question 5, for example, support with preparing meals, assistance to eat meals, driving me to football, assist me to look after my pets etc

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* 9. What type of driving licence (car) do require your personal assistant to hold?

Full clean licence

Full licence with points

I don't require my personal assistant to have a licence

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* 10. Do you require your personal assistant to use their own car for work?

Yes

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* 11. Skills and experience - Do you require your personal assistant to have any previous experience as a personal assistant?

Yes

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* 12. If you answered yes to question 9 please summarise what previous experience you require your personal assistant to have.

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* 13. What work related training do you require your personal assistant to have completed? (please tick all that apply)

I don't need my personal assistant to have completed any training

Health & Safety

First Aid 1 day course

First Aid 3 day course

Paediatric first aid

Manual handling

Infection prevention and control

Medication management

Safeguarding

Fire safety

condition specific training (if yes please specify which condition in "other" below)

Other (please specify)

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* 14. What areas do you require your personal assistant to be experienced in? (please tick all that apply)

Autism

Children & Young People

Learning difficulties

Long term conditions

Mental health

Older people

Physical impairment

Sensory impairment

no previous experience required

Other (please specify)

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* 15. Which Wirral locations do you require your personal assistant to work in? (please tick all that apply)

Area 1. Moreton/Meols/Hoylake (CH46/CH47)

Area 2. Wallasey (CH44/CH45)

Area 3. West Kirby/Greasby/Upton (CH48/CH49)

Area 4. Birkenhead (CH41/CH42/CH43)

Area 5. Pensby/Heswall (CH60/CH61)

Area 6. Bebington/Bromborough (CH62/CH63)

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* 16. Which days and times do you require your personal assistant to work? (Please select all that apply)

	Morning	Afternoon	Evening	Night
Monday	Monday Morning	Monday Afternoon	Monday Evening	Monday Night
Tuesday	Tuesday Morning	Tuesday Afternoon	Tuesday Evening	Tuesday Night
Wednesday	Wednesday Morning	Wednesday Afternoon	Wednesday Evening	Wednesday Night
Thursday	Thursday Morning	Thursday Afternoon	Thursday Evening	Thursday Night
Friday	Friday Morning	Friday Afternoon	Friday Evening	Friday Night
Saturday	Saturday Morning	Saturday Afternoon	Saturday Evening	Saturday Night
Sunday	Sunday Morning	Sunday Afternoon	Sunday Evening	Sunday Night

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* 17. What hours do you require your personal assistant to work? (Please tick all that apply)

Full time

Part time

Occasional hours

Live in

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* 18. Please provide any additional information about the days/times you require your personal assistant to work, e.g. any specific days etc.

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* 19. Do you require your personal assistant to work at short notice?

Yes

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* 20. Do you require your personal assistant to work in school holidays?

Yes

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* 21. Do you require your personal assistant to provide cover for sickness and holidays?

Yes

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* 22. What languages do you require your personal assistant to speak? (Please list below)

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* 23. Please provide details of the rates of pay that you will be paying your PA and any other necessary information about payments.

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* 24. Further details - your title

Mrs

Miss

Other (please specify)

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* 25. Your address

Address line 1

Address line 2

Town

County

Postcode

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* 26. Your daytime telephone number

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* 27. Your evening telephone number

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* 28. Your mobile phone number

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* 29. Your email address

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* 30. Confirm your email address for validation?

Email Address

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* 31. Data Storage Consent - Do you consent to WIRED storing the data that you have provided in this form on WIRED's confidential survey monkey account and PA finder system in order to help you identify personal assistant candidates?

Yes

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* 32. Data Processing Consent - Do you consent to WIRED processing the data that you have provided in this form on WIRED's confidential survey monkey account and PA finder system in order to help you identify personal assistant candidates?

Yes

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* 33. Where did you hear about the Wirral personal assistant register?

Text message from WIRED

Email from WIRED

Facebook

Twitter

Wirral Carers Health and Wellbeing Service

Wirral Council - Adult Services

Wirral Council - Childrens Services

Other (please specify)

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* 34. Please tick a maximum of 4 essential criteria that you require from your PA. WIRED will use the 4 essential criteria you have selected along with the time slots and other information that you have indicated earlier in this registration form to match you with PA's who meet your essential criteria. (Please note, if you do not answer this question we can't match you with personal assistant candidates)

I require my PA to be male

I require my PA to be female

I require my PA to be a non smoker

I require my PA to have their own car that they can use in their role as a PA

I require my PA to have previous experience of working as a PA

I require my PA to have already completed health and safety training

I require my PA to have already completed first aid training

I require my PA to have already completed manual handling training

I require my PA to have already completed paediatric first aid training

I require my PA to have completed infection control training

I require my PA to have completed safeguarding adults training

I require my PA to have completed safeguarding children training

I require my PA to have completed fire safety training

I require my PA to have previous experience of working with Autism

I require my PA to have previous experience of working with learning difficulties

I require my PA to have previous experience of working with children and young people

I require my PA to have previous experience of working with older people (aged 65 or over)

I require my PA to have previous experience of working with mental health

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* 35. Identification question 1 - What city were you born in?

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* 36. Identification question 2 - What was the name of your first pet or favourite animal?

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* 37. 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.

The information on personal assistants will only to be used for your own purposes and relevant to finding a personal assistant

You will not divulge personal details of personal assistants to any other sources

You will not contact the personal assistant's referees until you have made a firm job offer to that personal assistant and they have given you permission to do so

WIRED does not take any responsibility for vetting the suitability of personal assistants or their qualifications and you should ensure that you undertake your own checks and take up references in all instances

As an Employer you should ensure that you provide your personal assistant with a Contract of Employment setting out the terms and conditions which you both should sign. We also strongly recommend that you should provide a Job Description setting out the main duties of your personal assistant's role

We recommend that you undertake Disclosure and Barring Service (DBS) Checks on anyone you plan to employ before they start working for you

We recommend that you do not interview applicants in your own home

We recommend that you obtain and check at least 2 references for anyone you are considering employing, one of which should be a previous employer

We recommend that you obtain proof of identity for anyone you are considering employing that includes picture ID (Passport, driving licence et) and a recent household bill (not more than 3 months old) that includes proof of address

We recommend that you check that anyone you are considering employing has the right to work in the UK

We recommend that you ask the applicant to bring details of their qualifications listed with them to interview

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.

By sending you details of individuals who have matched your recruitment criteria WIRED is not in any way giving you as the employer any assurance of that individual's suitability, skills or legal status in relation to the vacancy you are looking to fill. By agreeing to these terms and conditions you accept full responsibility for the decision to employ and to carry out the appropriate checks as mentioned earlier these terms and conditions

Do you confirm that you have read and agree to the above term and conditions?

Yes

Wirral Personal Assistant Register - Employer registration form

What is the Wirral Personal Assistant Register?

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* 1. Your first name

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* 2. Your last name

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* 3. What is your gender?

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* 4. Do you smoke?

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* 5. Advert summary - Short statement about yourself (50 words max)

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* 6. Full advert - this should expand on the information that you have put in your advert summary and should include information about your family, any pets you have, any hobbies or social activities that you do etc.

Question Title

* 7. What tasks do you require your personal assistant to do? Tell us about the type of work you would like your PA to do. (please tick all that apply)

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* 8. Additional information - please provide any further details about particular support that you require in the areas chosen in question 5, for example, support with preparing meals, assistance to eat meals, driving me to football, assist me to look after my pets etc

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* 9. What type of driving licence (car) do require your personal assistant to hold?

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* 10. Do you require your personal assistant to use their own car for work?

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* 11. Skills and experience - Do you require your personal assistant to have any previous experience as a personal assistant?

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* 12. If you answered yes to question 9 please summarise what previous experience you require your personal assistant to have.

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* 13. What work related training do you require your personal assistant to have completed? (please tick all that apply)

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* 14. What areas do you require your personal assistant to be experienced in? (please tick all that apply)

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* 15. Which Wirral locations do you require your personal assistant to work in? (please tick all that apply)

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* 16. Which days and times do you require your personal assistant to work? (Please select all that apply)

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* 17. What hours do you require your personal assistant to work? (Please tick all that apply)

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* 18. Please provide any additional information about the days/times you require your personal assistant to work, e.g. any specific days etc.

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* 19. Do you require your personal assistant to work at short notice?

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* 20. Do you require your personal assistant to work in school holidays?

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* 21. Do you require your personal assistant to provide cover for sickness and holidays?

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* 22. What languages do you require your personal assistant to speak? (Please list below)

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* 23. Please provide details of the rates of pay that you will be paying your PA and any other necessary information about payments.

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* 24. Further details - your title

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* 25. Your address

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* 26. Your daytime telephone number

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* 27. Your evening telephone number

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* 28. Your mobile phone number﻿

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* 29. Your email address

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* 30. Confirm your email address for validation?

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* 31. Data Storage Consent - Do you consent to WIRED storing the data that you have provided in this form on WIRED's confidential survey monkey account and PA finder system in order to help you identify personal assistant candidates?

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* 32. Data Processing Consent - Do you consent to WIRED processing the data that you have provided in this form on WIRED's confidential survey monkey account and PA finder system in order to help you identify personal assistant candidates?

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* 33. Where did you hear about the Wirral personal assistant register?

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* 35. Identification question 1 - What city were you born in?

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* 36. Identification question 2 - What was the name of your first pet or favourite animal?

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* 28. Your mobile phone number