To request further information or to arrange an interview please Click here

Personal Assistant Application Form Submission

Title *: Mrs.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: Caerphilly
County *: Gwent
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 currently work within a special needs school based in Merthyr supporting young learners within their local community/area. I have worked with special needs for the past 10 years and find it a very rewarding job. I have worked with a variety of special needs which include ADHD, Autism, social emotional behaviour and PMLD. I have worked 1:1 and taken care of any personal needs that the service user required.

What qualities do you think are important when working as a personal assistant with a disabled person? *: I believe confidentiality between service user and pa are essential. Good communication skills and strong relationships are paramount. A fun, friendly and reliable person is key to succeeding in this role

How do you think you can contribute towards the needs and the independence of a disabled person? *: As I do this on a daily bases within a speaking school I believe that my skills that are used within that setting can be transferred to the service user.

What is it about PA work which appeals to you? *: I enjoy spending time with others and trying new things. I am wanting more hours to help support my family

What are your hobbies/interests?: Singing, walking , shopping, cinema, cooking

Would you consider a casual position if you are unsuccessful with this job? *: No

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, Tuesday, Thursday, Friday, Saturday , Sunday

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.:
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
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?:

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

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