453RCT 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 currently work for dewis as a Pa for a gentleman in rhydfelin but looking to add extra hours. Also did have a cleaning /dog walking business but finished last summer. What qualities do you think are important when working as a personal assistant with a disabled person? (required): Compassionate, friendly, trustworthy, caring & loyal How do you think you can contribute towards the needs and the independence of a disabled person? (required): Since I’ve worked for dewis & when I had my cleaning business I realised I have a passion for the care sector, I love helping & making a difference to a persons life. I’m very chatty & friendly & I think it’s important for someone to have someone like that in their home. I love caring for people especially elderly/disabled. What is it about PA work which appeals to you? (required): I just love knowing I’m making a difference to someone’s day even if it’s a huge difference or only slightly I want to make their life easier & more enjoyable. What are your hobbies/interests?: I love helping & caring for family & friends, but I’m my own time I like walking, watching tv, cleaning shopping & going for long walks with my dogs, I absolutely love animals Would you consider a casual position if you are unsuccessful with this job? (required): YesDo you drive? (required): YesAre you a vehicle owner? (required): YesDo you smoke? (required): NoAre you able to undertake training? (required): YesWhat days/nights are you able to work, or prefer to work? (required): Most days between 8:30 - 2:30 Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): NoIs 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?: Pontypridd How many hours of work can you offer per week?: 6Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Monday PM/Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/Thursday AM/Thursday PM/Friday AM/Friday PM/Further Information: