Darlington Association on Disability Logo showing the letters D.A.D. breaking through a wall

Personal Assistant Register

 

All fields marked with an * are mandatory

Personal Details

*
*
*
*
*
*
*

Please enter at least one telephone number in the two fields below

Work details

*
*

Tick at least one area you are looking to work in

- Darlington
- Durham
- Redcar and Cleveland

Tick at least one availability you are able to work in

- Evenings
- Extra Hours if necessary
- Sleep Overs
- Weekends
- Work at short notice

Tick at least one age group you'd be interested in working with

- 0 - 15
- 16 - 25
- 25+

Tick at least one option you'd be able to assist with

- Accessing the Community
- Housework
- Personal Care
- Shopping
- Supporting with hobbies and interests

Briefly explain your skills, experience and training which you can offer. Do not add any personal information.

(What is a PA?)

*
Maximum of 500 words.

Consent

Please place me on your register of personal (care) assistants / support workers. I understand that my details will be displayed to employers online (without personal contact details). I understand that my details will be stored on a database and my details may be passed onto potential employers. I am happy for you to use all the information I have supplied on this form. I understand that there is no guarantee of work and it is the direct payment employers who choose who they wish to employ.

I also understand that I will not be employed by either the Local Authority or DAD and would be employed by the direct payment user or a person that they have pointed.

I understand I will need to undertake an Enhanced DBS check and references will be required and other employment checks.

 
 

How you can support us

As a local organisation we very much rely on the support of our local community. We support over 2,000 people every year to have greater choice and control and remove the barriers that disabled adults and children experience in their everyday lives. But we need YOUR help.

Click here to find out how you can support us

 
Return to top of Page