446RCT

Personal Assistant Application Form Submission

Title (required): Mrs.
Town (required): Aberdare
County (required): Mid 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): English maths history gcse
What qualities do you think are important when working as a personal assistant with a disabled person? (required): I have had 20 experiences working in the NHS
How do you think you can contribute towards the needs and the independence of a disabled person? (required): Give as much independence as possible and always respect service users
What is it about PA work which appeals to you? (required): It will be more personal to get to know one on one
What are your hobbies/interests?: Reading art work
Would you consider a casual position if you are unsuccessful with this job? (required): Yes
Do you drive? (required): Yes
Are you a vehicle owner? (required): Yes
Do you smoke? (required): Yes
Are you able to undertake training? (required): Yes
What days/nights are you able to work, or prefer to work? (required): Night
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?: Aberdare
How many hours of work can you offer per week?: 30
Please indicate the approximate times that you are available for work throughout the week.: Monday Overnight/Tuesday PM/Tuesday Overnight/Wednesday PM/Wednesday Overnight/Thursday PM/Thursday Overnight/Friday PM/Friday Overnight/Saturday PM/Saturday Overnight/Sunday PM /Sunday Overnight/
Further Information:

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