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[For OACP use only] Approval Number APP/SWC/PA/183/0117

To be added to the approved Support with Confidence Personal Assistant listings, all of the information must be provided. Checks will be carried out to verify it. The details in the bold boxes will make up your public profile and will be displayed to the public on the OACP website.

Title Mr X Mrs X Miss X Ms X Dr X Prof X

Your Full Name

First Name Gladys

Family Name Pastore-Jones

Gender Male X Female x

Daytime Telephone Number 01865 803625

Mobile 07902392039

Email [email protected]

1 | P a g e Date of last DBS check, or state never 18/09/2016 Relevant training undertaken and dates QFC LEVEL 5 DUE TO START

Course type Completed ddmmyyyy 1. Nursing Auxilliary 09/2000 2. Cannulation and venepuncure 10/2002 3. Operating Department Practititoner 05/2008 4. Advanced Airway management in both adults and paediatrics 05/2015

5. Manual handling and Basic Life support 03/2016 6. Traceostomy, stoma care, Hickman line Workshop based 06/2014 7. Diabeties study day 10/2014

Car Driver Yes X No X

Approximate charges:

Per hour 8am – 8pm Monday to Friday £16-25 Per hour 8am – 8pm Weekends and Bank Holidays £negotiable Per hour 8pm – 8am Overnight care £negotiable

Per task if appropriate Will depend on distance travelled and what it may be

Short description about you – max 100 words [a summary of your personal qualities] I am smart, kind, caring, honest person with a good sense of humour. I enjoy everything I do as I work as a qualified operating theatre practitioner. Helping other people in need where I can and also am a good listener, this is one of my strengths. I cope well with stress as am I working mother of two teenage children. Am always punctual with time and reliable and able to

2 | P a g e work on my own. Being clean and tidy around me is part of my qualities During my free time I can do some volunteer work mostly teaching, reading, and most of all I like swimming as this relaxes me.

Which tasks are you interested in doing as a Personal Assistant? Personal care X Social & Leisure activities X Domestic Assistance X Work or study support X Other, please state

3 | P a g e Which area[s] are you planning to work in? Tick Postcode Including  OX1 Boars Hill, (Central and South), Kennington, New Hinksey, Osney, South Hinksey  OX4 Blackbird Leys, Cowley, Oxford (East), Iffley, Littlemore, Rose Hill, Sandford-on-Thames  OX5 Begbroke, Charlton-on-Otmoor, Fencott, Islip, Kidlington, Murcott, Tackley, Yarnton,  OX7 Bledington, Chadlington, Charlbury, Chipping Norton  OX9 North Weston, , ,  OX10 , , Dorchester, Wallingford  OX11 , , Blewbury, Chilton, , Harwell, , Upton  Ardington, Charney Bassett, Childrey, Challow (East & West), Denchworth, Farnborough (Berks), Fawley, Ginge (East & OX12 West), Grove, Hanney (East & West), Hendred (East & West), Kingston Lisle, Letcombe Bassett, Letcombe Regis, Lockinge (East &West), Lyford, Sparsholt, Wantage  Appleton, Bayworth, Besselsleigh, Cothill, Dry Sandford, Frilford, Garford, Longworth, Marcham, Shippon, Steventon, OX13 Southmoor, Sunningwell  Abingdon, Appleford-on-Thames, Burcot, , , Drayton, , , OX14 Milton, Radley, Sutton Courtenay  Forest Hill, Holton, , Horton-cum-Studley, Littleworth, Milton Common, Stanton St. John, , OX33 , Wheatley, Woodperry  OX39 , Crowell, , Henton, , Sydenham  Ascott, , Chippinghurst, , , Denton, , , , Little OX44 Baldon, Little Haseley, Little Milton, , , , , , , , , Easington, , , OX49 , Watlington

4 | P a g e On which days and times would you like to work? Add specific hours if needed.

Day Morning Afternoon Evening Night

Monday 7-12 12-17 18-21 21-7

Tuesday 7-12 12-17 18-21 21--7

Wednesday 7-12 12-17 18-21 21-7

Thursday 7-12 12-17 18-21 21-7

Friday 7-12 12-17 18-21 21-7

Saturday 7-12 12-17 18-21 21-7

Sunday 7-12 12-17 18-21 21-7

5 | P a g e