181VOG 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): Level 1&2 learning support assistance & working with autistic children What qualities do you think are important when working as a personal assistant with a disabled person? (required): Let them lead the way and support them in there needs How do you think you can contribute towards the needs and the independence of a disabled person? (required): Help and show them and guide them What is it about PA work which appeals to you? (required): I like to help others and to give them the ability and confidence they need What are your hobbies/interests?: Going to the gym and family holidays and outings with my 3 children 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): Monday-Friday 8am -3pm 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?: How many hours of work can you offer per week?: 20Please 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: Able to work Monday-Friday 8am till 3pm