Personal Assistant Application Form Submission


Title *: Miss.
First Name *: 

Last Name *:
Address 1 *:
Address 2:
Town *: Barry
County *: Vale of glamorgan
Postcode *: Cf62
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 experience in care work In the community from working at green banks some years ago. I have done training with green banks and worked in the community giving personal care and also social care
What qualities do you think are important when working as a personal assistant with a disabled person? *: Compassion, care , understanding personal independence , friendly .
How do you think you can contribute towards the needs and the independence of a disabled person? *: I feel I can offer support and friendship, build a trust and generally brighten up the Outlook of the day to day living
What is it about PA work which appeals to you? *: I like to help people live to the best of their ability. Feeling a sense of achievement by seeing someone smile and appreciate life . I Like to be dependable and reliable
What are your hobbies/interests?: I like walking , horse riding , swimming , cycling , talking , listening , reading
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’m completely flexible although I do have a 16 year old daughter so I would be unable to work through the night at the moment
Are there any circumstances which would prevent you from providing cover or swapping a shift? *: No
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? *: 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?: Unlimited
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: I am fully flexible in hours I can do . At The moment I cannot do any overnight shifts as i have a daughter at home