Reference #

4758976 / 04VOG

Status

Complete

Title

Miss

First Name

Last Name

Address 1

Address 2

Town

Barry

County

Vale of Glamorgan

Post Code

CF63 

Phone

Email Address

Job reference number

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 Worked in health and social care sector since 2015 being a carer for 3 years and now an assessor for nvq. I am experienced with dementia through my customers I used to work for and whilst observing my learners in their work place, I have come across different types of dementia. I have had plenty of experience of escort calls such as taking service users shopping, for coffee, to church, for a walk etc.

What qualities do you think are important when working as a personal assistant with a disabled person?

You need to be very patient, empathetic, compassionate, friendly, calm and have a willingness to promote their independence and wellbeing.

How do you think you can contribute towards the needs and the independence of a disabled person?

I am a very patient and calm person. I believe my knowledge and practical experience will fill an individual with confidence that they are in good hands. I am aware of how to communicate with someone with dementia and what needs they may have. I love the outdoors and going for long walks, which helps the individual feel included in the world outside of their home.

What is it about PA work which appeals to you?

I miss supporting individuals in personal or social aspects. I miss going into peoples homes and putting a smile on their face, leaving knowing I have made a difference

What are your hobbies/interests?

I love singing, going for walks, shopping, going for lunch/coffee, I play the piano, I love drawing and taking pictures.

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 will be remaining in my full time job which is Monday to Friday so I can work anytime from 5 in the evenings and weekends.

Are there any circumstances which would prevent you from providing cover or swapping a shift?

Yes

Would you like to expand on the answers given above? Please use the box below.

I have children and would need advance notice so I can organise childcare.

Name

Title

Address

Phone

In what capacity do you know this person (should not be a family member)?

Name

Title

Address

Phone

In what capacity do you know this person (should not be a family member)?

Rehabilitation of Offenders Act 1975 * Within the nature of the work for which you are applying this position is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1975 (Exemptions Order). Applicants are therefore not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of this Act. In the event of employment, any failure to disclose such convictions could result in dismissal. Information given is confidential and will only be considered for the purposes of the application. If there is any such information you wish to provide?

No

I agree that there is nothing which would prevent me from doing this job.

Yes

The organisation will hold your data on file for twelve months after the end of the relevant recruitment process if you provide consent. The purpose of retaining your data with your consent is to allow you to apply easily for other jobs we may have available. At the end of the twelve months period you will be required to complete a new application form in order to remain on our system. You may withdraw your consent for us to hold your data at any time after the initial recruitment process is completed. I consent for my personal data to be held and agree that Dewis CIL may keep this application form on file for twelve months. It may be used for future prospective employers. I understand that you will contact me in due course should any such person make themselves known to you.

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?

Any of vale. Llantwit, rhoose, barry, st.athan , penarth

How many hours of work can you offer per week?

10

Please indicate the approximate times that you are available for work throughout the week.

  Early Morning

·         Saturday

·         Sunday

  Late Morning

·         Saturday

·         Sunday

  Early Afternoon

·         Saturday

·         Sunday

  Late Afternoon

·         Saturday

·         Sunday

  Evenings

·         Monday

·         Tuesday

·         Wednesday

·         Thursday

·         Friday

·         Saturday

·         Sunday

Last Update

2019-08-01 14:23:28