Personal Assistant Application Form Submission


Title *: Mr.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: Llantwit Fardre
County *: Pontypridd
Postcode *: CF38 
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 previous experience was working for Radis community care, duties included personal care bath toileting meal prep assisting with medication, also some light hope work involved and shopping calls
What qualities do you think are important when working as a personal assistant with a disabled person? *: Having respect and an understanding of their disability, being honest calm and patient treat every as an individual and with dignity
How do you think you can contribute towards the needs and the independence of a disabled person? *: Helping them through daily activities assisting their individual through their every day lifestyle
What is it about PA work which appeals to you? *: I love to meet new people I am a very caring and understanding person, love to help others, I’m very calm trust worthy and caring/PA is my passion knowing I’ve made a difference in someone’s life for the time of my shift
What are your hobbies/interests?: I like to go swimming, cinema theatre. Love my music watching shows walks theme parks holidays and spending time with my family and holidays abroad
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? *: Yes
Are you able to undertake training? *: Yes
What days/nights are you able to work, or prefer to work? *: Day time hours as I’m currently a PA for dewis every other weekend
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.:

In what capacity do you know this person (should not be a family member)? *: She is also my manager
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?: Rhonda Cynon Taff
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/
Further Information: I currently work for dewis as a PA every other weekend, so unfortunately I am no available on weekends