APPLICATION FOR EMPLOYMENT

                                                Form AP2

PRIVATE AND CONFIDENTIAL

Return this form to:   Operations, Manager, Age UK Rotherham, Eastwood Trading
Estate, Fitzwilliam Road, Rotherham, S65 2SL
Or email to: hannah.massey@ageukrotherham.org

Ref: PA 16hrs

POSITION APPLIED FOR

Personal Assistant 16 hours

  Surname

Address

Forename(s)

Title

                                                                                                       Postcode

Date of birth

NI No.

Telephone

   number

Email address:

Current driving licence?         Yes/No
Groups:                        Expiry Date:

Details of
endorsements

  Are there any restrictions on you taking up employment in the UK?      Yes           No           (please delete as appropriate)
  (If yes, please provide details)

EDUCATION HISTORY

Schools                                                                              Qualifications gained

Colleges/Universities                                                          Qualifications gained

Other training

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OTHER EMPLOYMENT

Please note any other employment you would continue with if you were to be successful in obtaining this position.

EMPLOYMENT HISTORY (Please complete in full and use a separate sheet if necessary)

FROM - TO

NAME AND ADDRESS
OF EMPLOYER

JOB TITLE AND DUTIES

START/FINISH
SALARY

REASON FOR
LEAVING

Notice required in current post:

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positions/PA Role/APPLICATION FORM Personal Assistant 16 hours_2022.doc

REFERENCES
Please note here the names and addresses of two persons from whom the company may obtain both character and work experience
references. (One must be from your most recent employer.)

1.

2.

LEISURE

Please note here your leisure interests, sports and hobbies, other pastimes etc.

CRIMINAL RECORD

Please note any criminal convictions except those 'spent' under the Rehabilitation of Offenders Act 1974.  If none please state.  In
certain  circumstances  employment  is  dependent  upon  obtaining  a  satisfactory  basic  disclosure  from  the  Criminal  Records
Bureau/Scottish Criminal Records Office.

GENERAL COMMENTS

Please detail here your specific reasons for this application, your main achievements to date and the strengths you would bring to
this post.

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Have you had any periods of absence within the last three years?  State length of absence and reason.

DECLARATION (Please read this carefully before signing this application)

1.

2.

I confirm that the above information is complete and correct and that any untrue or misleading information will give my
employer the right to terminate any employment contract offered.

I  agree  that  the  organisation  reserves  the  right  to  require  me  to  undergo  a  medical  examination.    (Should  we  require
further  information  and  wish  to  contact  your  doctor  with  a  view  to  obtaining  a  medical  report,  the  law  requires  us  to
inform you of our intention and obtain your permission prior to contacting your doctor).  I agree that this information will
be retained in my personnel file during employment and for up to six years thereafter and understand that information will
be processed in accordance with the Data Protection Act.

3.    I  agree  that  should  I  be  successful  in  this  application,  I  will,  if  required,  apply  to  the  Criminal  Records  Bureau/Scottish
Criminal Records Office for a basic disclosure.  I understand that should I fail to do so, or should the disclosure not be to the
satisfaction of the company any offer of employment may be withdrawn or my employment terminated.

Signed:                                                                                                  Date:

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EQUAL OPPORTUNITY MONITORING

Form EO

We are an equal opportunity employer.  The aim of our policy is to ensure that no job applicant or employee receives less favourable
treatment  on  the  grounds  of  race,  colour,  ethnic  or  national  origin,  religious  belief,  political  opinion  or  affiliation,  sex,  marital  status,
sexual orientation, gender reassignment, age or disability, or is disadvantaged by conditions or requirements which cannot be shown to
be justifiable.

Our selection criteria and procedures are frequently reviewed to ensure that individuals are selected, promoted and treated on the basis
of their relevant merits and abilities.

All employees are given equal opportunity and are encouraged to progress within the organisation.

We are committed to an ongoing programme of action to make this policy fully effective.  To ensure that this policy is fully and fairly
implemented and monitored, and for no other reason, would you please provide the following information:-

I would describe my ethnic group and sex as:- (please insert  tick  for your ethnic group and one tick for your sex)

A)  White

 English
 Scottish
 Irish
 Welsh
  Any other White background, please specify

B)  Mixed

 White and Black Caribbean
 White and Asian
 Any other Mixed background, please specify

  White and Black African

C)  Asian, Asian British, Asian English, Asian Scottish or Asian Welsh

 Indian
 Bangladeshi
 Any other Asian background, please specify

  Pakistani

D)  Black, Black British, Black English, Black Scottish or Black Welsh

 Caribbean
 Any other Black background, please specify

    African

E)  Chinese, Chinese British, Chinese English, Chinese Scottish, Chinese Welsh or other Ethnic Group

 Chinese
 Any other background, please specify

F)  Sex

  Male

 Female

Name:

Date:

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Job opportunity page

Personal Assistant (16 Hours)

Location:Community based to travel throughout Rotherham

Responsible to: Operations Manager

Hours per week: 16 hours per week basic contract. Available to work between the hours of 9am & 4pm Monday – Friday but these can be flexible and negotiable. Please ring for further information about the hours.

Salary: AUKR Scale 9 £12.21 per hour plus travel time and mileage costs

Closing Date: Ongoing

Interviews: TBC

About the role

We are looking for people with the enthusiasm, commitment and dedication to contribute to the excellence of our existing service. The successful candidate will provide an accessible, high quality service supporting older people to remain independent within their own home and community.

About you

Are you:

• Skilled and enthusiastic about caring for others?

• Patient and enjoy supporting older people in their own home and community?

Community based travel throughout Rotherham, working to individual care plans, risk assessments, maintaining accurate records in line with Age UK Rotherham standards, basic household duties including cleaning, shopping, laundry etc, providing a high quality service to suit the ever changing needs of the older person for example, support with meal preparation, escort to appointments, encourage to join in their local community and activities, providing companionship to alleviate social isolation and loneliness, continuing to promote independence, confidence within the person's home, working as part of a team to ensure continuity to aid the review and monitoring process

Do you want to join our experienced, flexible and dedicated team? If you think this role could be right for you take a look at the job description and person specification to understand more about what we’re looking for in our Personal Assistants.

How to apply

If you’re interested in applying, download an application pack below or email hannah.massey@ageukrotherham.org for an application form.

For enquiries about this role call us on 01709 786 955

Instructions for returning application forms.

Our Application forms are available in Microsoft Word or PDF format. Unfortunately at the moment they cannot be completed online.

If you have Microsoft Word, Works or any compatible editor you can download the word document, complete it and email it back to the address on the form.

If you are unable to email the forms back they can be printed and completed manually then posted back to us at the address on the form.

PA 16 hours Job Description April 24.doc

APPLICATION FORM Personal Assistant 16 hours_2022.pdf

Personal Assistant - Zero hours

JOB PURPOSE

To provide practical help and assistance to older people enabling them to live independently within their own home and supporting them to access their local community.

RESPONSIBE TO:     CSS Operations Manager

LOCATION:     Throughout the Rotherham Borough

HOURS:     Zero hours contract. Mon – Fri between hours of 9 – 4

SALARY:     Scale 9  £12.21 plus mileage and travel time

Roles & Responsibilities

• Service Delivery

• To follow support plans and risk assessments to ensure the safe and effective delivery of the service, by providing household duties, including meal preparation and shopping and prompt Health & wellbeing of the service user.
• Provide a high quality service encouraging independence where appropriate to the service user
• To support the service user to access primary care and support with appointments.
• Support the service user to be less lonely/isolated by supporting to attend community activities and groups and taking them on outings and trips.
• To be proactive as ambassadors of Age UK Rotherham offering information in relation to and providing support to access other Age UK services
• To liaise with appropriate staff re changes or issues regarding their service user.
• Liaise with family members and other professionals as directed by manager.
• Initial planning of cover for own service users during holidays

• Reports and monitoring

• Complete and submit relevant service user information in line with procedures and deadlines to aid the smooth running of the service.
• Provide and receive written information regarding service users conditions and their abilities.
• To continually monitor and review service users to ensure the support plans suit any changing need and alert manager to any changes.

3. Health & Safety

• Ensure the service is delivered in line with each service users individual support plan and risk assessments.
• Report any Health & Safety incidents or issues promptly to the operations manager using AUKR procedure

4. Finance

• Be responsible for handling small amounts of money, collecting appropriate fees for service and issuing receipts whilst following Age UK Rotherham’s financial procedures

5. Personal Development

• Undertake training as required by AUKR and for personal self development.

Equal Opportunities

Act in accordance with the ACR Equal Opportunities Policy, which is designed to prevent discrimination of any kind, and ensure equality of opportunity is a key principle that is continually embraced.

This post is subject to an appropriate DBS check

PA zero hours Job Description August 25.doc

For more information email Hannah Massey or complete the attached application form and email to apply. hannah.massey@ageukrotherham.org

APPLICATION FORM Personal Assistant Zero hours_2022.pdf