Personal Assistant Application Form Submission


Title (required): Miss.
First Name (required): 
Last Name (required): 
Address 1 (required): 
Address 2: Ferndale
Town (required): RCT
County (required): Mid glam
Postcode (required): Cf43 
Phone number (required): 
Please enter your email address for submission confirmation. (required): 
Reference number of job being applied for (required): 
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. (required): 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. (required): I have worked for Dewis for many years, looking after various people, I enjoy supporting people to live a full happy life.
What qualities do you think are important when working as a personal assistant with a disabled person? (required): I am patient, caring and understanding, I have a calming effect on people, I’m a good listener and fun to be with.
How do you think you can contribute towards the needs and the independence of a disabled person? (required): The people that I have supported were not able to go out without me, with my support I was able to take them to various places to fulfil their lives.
What is it about PA work which appeals to you? (required): I like to support people, take them out places and enjoy meeting new people.
What are your hobbies/interests?: I love children and animals, I enjoy meeting new people, I enjoy shopping, cleaning, keeping fit and helping others.
Would you consider a casual position if you are unsuccessful with this job? (required): Yes
Do you drive? (required): Yes
Are you a vehicle owner?  (required): Yes
Do you smoke? (required): No
Are you able to undertake training? (required): Yes
What days/nights are you able to work, or prefer to work?  (required): School hours
Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): No
If you would like to expand on the answers given above? Please use the box below.: I am a fit healthy non smoker who lives local.

Is there is any such information you wish to disclose, relating to any cautions or convictions which will appear on your mandatory DBS check? (required): No/
Please provide details if necessary:
I agree that there is nothing which would prevent me from doing this job. (required): Yes
I consent to the above (required): 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?: Local to Ferndale Rct
How many hours of work can you offer per week?: 16
Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Monday PM/Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/Thursday AM/Thursday PM/Friday AM/Friday PM/
Further Information: I would rather weekday school hours but may be flexible for nights and weekend.