117VOG Personal Assistant Application Form Submission Title *: Mrs.First Name *: Last Name *: Address 1 *:Address 2: Town *: Penarth County *: Vale of Glamorgan Postcode *: CF64 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. *: YesPlease 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 am currently working for Bluebird Care as a domiciliary care assistant which I’m enjoying very much. However I’ve come to realise I am better suited to working with one individual where I can give my full attention, rather than rushing round trying to meet the needs of many and feeling under pressure. Prior to moving to Penarth in March this year, I ran a small B&B business and cared for an elderly neighbour. I went in everyday, helped her shower, dress, cleaned, prepared food, shopped, took her to appointments, fetched prescriptions and helped her do the daily crossword. We became very close and remain great friends. What qualities do you think are important when working as a personal assistant with a disabled person? *: Kindness, reliable, calm, organised, excellent communication, patient, encouraging, friendly, happy. How do you think you can contribute towards the needs and the independence of a disabled person? *: To maintain some independence is so important for wellbeing. I would always be supportive and encouraging, led by the needs & wishes of the individual. What is it about PA work which appeals to you? *: The opportunity to form a relationship together. What are your hobbies/interests?: Running, home & family, jive dancing, live music, gardening Would you consider a casual position if you are unsuccessful with this job? *: YesDo you drive? *: YesAre you a vehicle owner? *: YesDo you smoke? *: NoAre you able to undertake training? *: YesWhat days/nights are you able to work, or prefer to work? *: Week daysAre there any circumstances which would prevent you from providing cover or swapping a shift? *: YesIf you would like to expand on the answers given above? Please use the box below.: At the moment we still have a property On the market in Shropshire that we have to go back and tend to or facilitate viewing 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. *: YesI consent to the above *: YesI agree that the information I provide will be posted to the Dewis CIL PA noticeboard (all personal information will be withheld).: YesWhat geographical area’s are you able to cover?: Penarth How many hours of work can you offer per week?: 15Please indicate the approximate times that you are available for work throughout the week.: Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/Thursday AM/Thursday PM/Further Information: I have a CV which I am happy to forward onto you.