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Personal Assistant Application Form Submission

Title *: Mr.
First Name *:
Last Name *:
Address 1 *:
Address 2: Tonypandy
Town *: RCT
County *: RCT
Postcode *:
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 previous experience working as a Personal Assistant. I was employed by Dewis from October 2017 - September 2019 and my job entailed helping a 17 year old boy recover from a severe brain injury. The job came to an end as he improved greatly and felt ready to stand on his own two feet. I feel my experience in that role will help greatly in this same role. In my 2 years I took my client to London for 3 days and Silverstone circuit for 2 days as part of his development and promoting of independence.

What qualities do you think are important when working as a personal assistant with a disabled person? *: From my last role I understood the importance of communication, befriending and making them feel as comfortable and relaxed as possible with the importance of being a good listener. Also promoting independence but being aware of the clients limitation.

How do you think you can contribute towards the needs and the independence of a disabled person? *: I’m a very patient, caring person who understands the need to be a positive, encouraging role model to my client.

What is it about PA work which appeals to you? *: I have 2 previous years of experience as working as a PA and found it a very rewarding job. I feel I have all the correct attributes to be successful at this role and enjoy spending time with people from all walks of life.
What are your hobbies/interests?: I enjoy sport, cinema, travelling, adventures, gym.

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

Are there any circumstances which would prevent you from providing cover or swapping a shift? *: Yes

Name *:
Job Title *:
Address *:
Phone Number *:
In what capacity do you know this person (should not be a family member)? *:
Name *:
Job Title *:
Address *:
Phone Number *:
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

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?: Rhondda, Vale of Glamorgan

How many hours of work can you offer per week?: 20

Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/Thursday AM/Thursday PM/Friday AM/Friday PM/Sunday AM/Sunday PM /