Personal Assistant Application Form Submission

Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: Ystradowen
County *: Vale of Glamorgan
Postcode *: CF71 
Phone number *:
Please enter your email address for submission confirmation. *:
Reference number of job being applied for *:
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. *: Yes
Please 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. *: i have taken part in The Befriending Scheme in rural Vale of Glamorgan. I visited one elderly client in their own home for companionship.
What qualities do you think are important when working as a personal assistant with a disabled person? *: I would say the qualities when working a disabled person would be the correct training, reliable, good sense of humour, being able to adapt to the individuals needs.
How do you think you can contribute towards the needs and the independence of a disabled person? *: To make a disabled person feel more included in society, to carry out daily activities, personal care, cleaning and coooking.
What is it about PA work which appeals to you? *: The roles matches my past experience but would allow me to take on greater responsibility.
What are your hobbies/interests?: I like keeping myself fit, o like walking and doing research and some reading.
Would you consider a casual position if you are unsuccessful with this job? *: Yes
Do you drive? *: Yes
Are you a vehicle owner? *: Yes
Do you smoke? *: No
Are you able to undertake training? *: Yes
What days/nights are you able to work, or prefer to work? *: I am flexible to my work pattern
Are there any circumstances which would prevent you from providing cover or swapping a shift? *: No
If you would like to expand on the answers given above? Please use the box below.:

Is there is any such information you wish to disclose, relating to any cautions or convictions which will appear on your mandatory DBS check? *: No/
Please provide details if necessary:
I agree that there is nothing which would prevent me from doing this job. *: Yes
I consent to the above *: Yes
I agree that the information I provide will be posted to the Dewis CIL PA noticeboard (all personal information will be withheld).: Yes
What geographical area’s are you able to cover?: Vale of Glamorgan would prefer to work only in rural Wales, no further than Penarth if at all possible please.
How many hours of work can you offer per week?: part time or full time
Please indicate the approximate times that you are available for work throughout the week.:
Further Information: