Personal Assistant Application Form Submission


Title (required): Ms.
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): O level English lang/lit. Geography. Cookery Typing. Reflexologist. Reiki
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Understanding, patience and above all kindness and compassion. Respect for person their disability and their home. Good sense of humour.
How do you think you can contribute towards the needs and the independence of a disabled person? (required): I have worked with cerebal palsy and someone who was blind. Experience of working in independent living care home. Taking care of personal needs and assisting wheelchair users. Experience in all aspects of care and assistsnce.
What is it about PA work which appeals to you? (required): I have always worked in support roles with both children and adults. I enjoy helping people and interacting. I am very sociable, friendly and enjoy chatting. I like to make a difference to someones life.
What are your hobbies/interests?: Walking. Gardening. Travel. Eating out and cooking.
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): No
Are you able to undertake training? (required): Yes
What days/nights are you able to work, or prefer to work?  (required): No nights or weekends
Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): No
If you would like to expand on the answers given above? Please use the box below.: Currently on zero hours in care home. I would like 12 hours per week to be worked Mon to Fri.
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 Mountain Ash
How many hours of work can you offer per week?: 12
Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Tuesday AM/Wednesday AM/Thursday AM/Friday AM/
Further Information: