521RCT Personal Assistant Application Form Submission Title (required): Mrs.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): pa to a lady with autisumWhat qualities do you think are important when working as a personal assistant with a disabled person? (required): patience, understanding reliable How do you think you can contribute towards the needs and the independence of a disabled person? (required): being supporting, encouraging & helpful What is it about PA work which appeals to you? (required): I have done caring for most of my adult life has having 2 disabled sisters until they moved to supportive living a few years ago, helped look after my Late mother & her late partner with dementia until he was no longer able to live at home I find it rewarding, and helping them to achieve their goalsWhat are your hobbies/interests?: holidays, crafts & my grandchildren Would you consider a casual position if you are unsuccessful with this job? (required): YesDo you speak any other languages? (required): noDo you drive? (required): YesAre you a vehicle owner? (required): YesDo you smoke? (required): NoAre you able to undertake training? (required): NoWhat days/nights are you able to work, or prefer to work? (required): week days not weekends 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.: having to take my disabled sister for appointmentsDo you have portable DBS (which has been paid for and renewed for the current year)? (required): No/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?: How many hours of work can you offer per week? (required): 15Please 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/Friday AM/Further Information: