PERSONAL ASSISTANT/CARER DATA 2023
Support Choices plays a crucial role in connecting individuals with our exceptional team of Personal Assistants (PAs)/Carers. To maintain the accuracy and currency of our records, we kindly ask for your cooperation in providing us with your updated data. We genuinely appreciate your valuable time and assistance in this matter, as it greatly contributes to the effectiveness of our services.
Name:
First Name
Last Name
Address:
Street Address
Street Address Line 2
City
County
Post code
Phone Number:
-
Area Code
Phone Number
Mobile Number:
Email:
example@example.com
Gender:
Please Select
Female
Male
Non-binary
Prefer not to say
Qualifications and Experience:
Work status:
Please Select
Employed
Self employed
Both
Not currently working
Current working hours:
e.g. 12noon - 17.00 - 20.00 - 21.30.
Current Availability:
Areas you are happy to travel to:
Drivers licence:
Yes
No
Further training, information, or support you would like or require:
Any other relevant details: (please tell us about any personal preferences)
Would you be interested in attending a PA/Carers event:
Please Select
YES
NO
In order to comply with data protection regulations, we kindly request your confirmation that you grant Support Choices permission to retain your details on record. Rest assured that we prioritise your privacy and will only use this information to email you relevant PA/Carer information, and we will never share it with third parties. You have the right to request that we remove your data from our records at anytime’
Yes
No
If you haven't already joined our mailing list to receive our newsletter, please indicate your interest by checking the box below to subscribe.
Yes
No
Are you a member of the PVG scheme? As we have been asked by PKC who allocate SDS funding, to ensure that employers check this as part of their funding agreement with PKC.
Please Select
Yes
No
Submit
Should be Empty: