Personal Assistant Application Form Submission

Title *: Mrs.

First Name *: Joanne

Last Name *: Lewis

Address 1 *:

Address 2: Church Village

Town *: Pontypridd

County *: Mid Glamorgan

Postcode *:
Phone number *:

Please enter your email address for submission confirmation. *:

Reference number of job being applied for *: DPC1321, DP1442, DCP1400, CDP1144

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 am a mother to 3 children. I am a qualified nursery nurse with over 20 years of childcare experience. Past 6 years I have been employed as a childrens nanny. I enjoy going to activities and interacting in the community.

What qualities do you think are important when working as a personal assistant with a disabled person? *: Caring nature, friendly, calm, trustworthy, happy nature, sociable, polite, patient, positive nature, confident person, organised, plenty of energy, good time keeper and a honest person, be alert.

How do you think you can contribute towards the needs and the independence of a disabled person? *: Be positive, be encouraging, praising, offer support, encourage independence. Have a can do attitude. Offer emotional support, physical support. Provide quality care and guidance.

What is it about PA work which appeals to you? *: I enjoy being with other people. PA work is very similar to the job role I am presently in now. I have always worked with children. My vast experience in childcare would be similar work and I enjoy going to activities and being sociable.

What are your hobbies/interests?: Yoga, walking, shopping, travelling, walking the dog, swimming.

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? *: Monday, Thursday, Friday, Saturday and Sunday day hours. Unable to work nights at present.

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.: At present employed on a Tuesday and Wednesday as a Private Nanny. Unable to work night shifts at present time.

Name *:
Job Title *:
Address *:

Phone Number *:
In what capacity do you know this person (should not be a family member)? *: Present Employer (past 2 years)

Name *:
Job Title *:
Address *: 07957462148

In what capacity do you know this person (should not be a family member)? If there is any such information you wish to provide? *: 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?: Church Village, Tonteg, Beddau, Llantristant, Pontypridd, Creigiau, Radyr, Talbot Green, Miskin
How many hours of work can you offer per week?: 30, 40 hours

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