452RCT Personal Assistant Application Form Submission Title (required): Miss.I confirm that I have the right to work in the UK and am able to prove my eligibility status when required to do so. (required): YesPlease read the Job Description carefully before providing information in this Section of the Application Form. Give details of your previous employment or experience which you think would help you to do this job. (required): I am qualified in Health and social care. My placements have been in day centres and hospitals.What qualities do you think are important when working as a personal assistant with a disabled person? (required): A lot of guidance, positivity and effective communication to deliver a person-centred approach of care.How do you think you can contribute towards the needs and the independence of a disabled person? (required): I would be able to help with their mental well being by being a reliable, friendly support for them. What is it about PA work which appeals to you? (required): I would like to be able to support individuals to remain in their own homes by contributing to their quality of life.What are your hobbies/interests?: My hobbies and interests are being active in my local community. I am part of a project that helps minimises the effects of poverty and is part of the councils warm hubs areas running a weekly coffee morning. Would you consider a casual position if you are unsuccessful with this job? (required): YesDo you drive? (required): NoAre you a vehicle owner? (required): NoDo you smoke? (required): NoAre you able to undertake training? (required): YesWhat days/nights are you able to work, or prefer to work? (required): School hours Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): YesIf you would like to expand on the answers given above? Please use the box below.: I have a 6 year old child who attends the local primary school Is there is any such information you wish to disclose, relating to any cautions or convictions which will appear on your mandatory DBS check? (required): No/Please provide details if necessary: I agree that there is nothing which would prevent me from doing this job. (required): YesI consent to the above (required): YesI agree that the information I provide will be posted to the Dewis CIL PA noticeboard (all personal information will be withheld).: YesWhat geographical area’s are you able to cover?: Aberdare, Aberaman, Cwmaman and Trecynon.How many hours of work can you offer per week?: 16Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Wednesday AM/Further Information: 9:00-2:00