Personal Assistant Application Form Submission


Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: Barry
County *: vale of glamorgan
Postcode *: CF63 
Phone number *:
Please enter your email address for submission confirmation. *:
Reference number of job being applied for *:
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. *: 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. *: I have worked as a support worker for 4 years, including tasks such as medication administration, documentation, using hoists, personal care etc. I have worked with a range of different conditions, such as epilepsy, mobility issues, challenging behaviour, dementia and mental health. I am a polite and bubbly individual who is always smiling. I always go the extra mile, by asking if there is anything else that needs doing before I finish up for the day.
What qualities do you think are important when working as a personal assistant with a disabled person? *: I believe the most important qualities to have are patience, kindness and the ability to preserve ones dignity. Completing tasks in a person centered manner and great timekeeping are also vital.
How do you think you can contribute towards the needs and the independence of a disabled person? *: First, ask the individual how they like their tasks to be done, eg if it is an individual with a particular routine, follow that - if it works and the client is happy with it that way, dont change it (eg the order of a personal care routine). When assisting the individual with tasks, give them as much or as little assistance as they need, dont over-support as they could lose valuable skills and independance. I would really follow what needs to be done, in the way they want it done, and in a cheerful manner- Im a very smiley person!
What is it about PA work which appeals to you? *: After working in residential homes and supported living for a couple of years, I really want to focus on particular individuals and make a difference to their life.
What are your hobbies/interests?: I sing, play guitar and piano, I write and perform my own music too! I love jigsaw puzzles and sudoku. I have an aquarium, and I love cooking, especially Asian and Mediterranean food.
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? *: Any days till 6pm.
Are there any circumstances which would prevent you from providing cover or swapping a shift? *: Yes
If you would like to expand on the answers given above? Please use the box below.: I often perform my music, but dates that I am booked have at least a months notice, normally two months.

Is there is any such information you wish to disclose, relating to any cautions or convictions which will appear on your mandatory DBS check? *: No/
Please provide details if necessary:
I agree that there is nothing which would prevent me from doing this job. *: Yes
I consent to the above *: 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
How many hours of work can you offer per week?: 26
Please 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/Saturday AM/Saturday PM/Sunday AM/Sunday PM /
Further Information: