Personal Assistant Application Form Submission


Title: Miss
Town (required): Cardiff
County (required): South Glamorgan
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): 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. (required): I am currently a personal assistant and have worked for many years as a support worker supporting children and adults with a range of illnesses, disabilities and learning difficulties.
What qualities do you think are important when working as a personal assistant with a disabled person? (required): I think it’s very important to be kind, compassionate, happy, punctual and trustworthy.
How do you think you can contribute towards the needs and the independence of a disabled person? (required): I always do my best to help in anyway I can, whilst listening to the needs and wants of other to promote independence.
What is it about PA work which appeals to you? (required): I love to help people.
What are your hobbies/interests?: I enjoy spending time with my family, walking my dogs, going to the cinema and theatre and socialising.
Would you consider a casual position if you are unsuccessful with this job? (required): Yes
Do you speak any other languages? (required): No
Do you drive? (required): Yes
Are you a vehicle owner?  (required): Yes
Do you smoke? (required): No
Are you able to undertake training? (required): Yes
What days/nights are you able to work, or prefer to work?  (required): Monday, Tuesday, Wednesday and Friday.
Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): Yes
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? (required): No/
Please provide details if necessary:
I agree that there is nothing which would prevent me from doing this job. (required): Yes
I consent to the above (required): 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 and Cardiff
How many hours of work can you offer per week? (required): 6-12
Please indicate the approximate times that you are available for work throughout the week.: Monday PM/Tuesday PM/Wednesday PM/Friday PM/