Personal Assistant Application Form Submission

Title *:
First Name *:
Last Name *:
Address 1 *:
Address 2:  *: Barry
County *: Wales
Postcode *: Cf63
Phone number *:
Please enter your email address for submission confirmation. *:
Reference number of job being applied for *: VOG 621
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 been supporting a visually impaired boy for over 3 years in a mainstream school . I have worked with children and young adults with a variety of additional needs for over 20 years . I have accessed and keep my training Current, including lots with the VI team who would we willing to provide references for you .
What qualities do you think are important when working as a personal assistant with a disabled person? *: Reliability. Understanding. Compassion. Sense of humour.
How do you think you can contribute towards the needs and the independence of a disabled person? *: Clean driving license Food hygiene certificate First aid qualification Lots of other training courses and qualifications ( available to view) Current dbs online
What is it about PA work which appeals to you? *: I already do respite care for Dewis .and saw the advert and the job appealed to me as I know it’s similar to my main job. I know it will be rewarding.
What are your hobbies/interests?: My children are grown up now but I enjoy swimming fitness beach walks . Cinema socialising with friends .
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? *: After school hours term time . Flexible in school holidays . Weekends I’m available around my other respite work
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.: My contracted hours in my school job are to 3.30 and if I had other respite commitments. But would always try and be accommodating to reschedule

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?: Barry Cardiff vale
How many hours of work can you offer per week?: 3 -5 although more in school holidays
Please indicate the approximate times that you are available for work throughout the week.: Monday PM/Tuesday PM/Wednesday PM/Thursday PM/Friday PM/Saturday AM/Saturday PM/Sunday AM/Sunday PM /
Further Information: