Personal Assistant Application Form Submission


Title *: Ms.
First Name *:
Last Name *:
Address 1 *:
Address 2: Clydach Vale
Town *: Tonypandy
County *: Rhondda Cynon Taf
Postcode *: CF40 
Phone number *: 01443 436463
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 five CSE and five GCE passes and a city and Guild Part 1 I was in the WRAF for 12 yrs 1977-89 and have worked in various oter jpbs including with Broitish Airways Logistics, Homeworld Dept Store, Hotel Cleaning, Ipsos Field Interviewing.
What qualities do you think are important when working as a personal assistant with a disabled person? *: I am of the same generation as the lady who wants an assistant and I am also interested in crafting. I live fairly nearby .. 3-4 miles, used to live in Gilfach Goch and I know Tonyrefail and the area quite well.
How do you think you can contribute towards the needs and the independence of a disabled person? *: Hopefully enrich their lives by enabling that person to do more .
What is it about PA work which appeals to you? *: I think you get to know that person well and vice versa. There has to be a lot of trust.
What are your hobbies/interests?: I have cats and am involved with cat rescue. I also raise cat rescue funds online. I also knit and crochet when I can find time and I enjoy reading. I always have a book on the go.
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 afternoon or evening
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.:

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?: CF40 AND CF39 POSTCODES within approx 20 miles of Tonypandy
How many hours of work can you offer per week?: up to 16
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 PM/Sunday PM /
Further Information: