Personal Assistant Application Form Submission


Title *: Mrs.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: Porth
County *: Rhondda Cynon Taff
Postcode *: CF39 
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 worked in the care sector for over 30 years working with a variety of different people with different needs i started off working in a hospital with the elderly social services working with the elderly care homes working with young people and at present i am a support worker working with adults with disabilities i have worked completed all training manual handling etc and I am on the social care register after completing my nvq in social care i have also done a course counselling lots of voluntary work working with the elderly and young adults and children i also worked voluntary with the young cares
What qualities do you think are important when working as a personal assistant with a disabled person? *: The most important things would be patience lots of empathy respect dignity kindness good listener and understanding
How do you think you can contribute towards the needs and the independence of a disabled person? *: Because of the many years i have been lucky to have been give a chance to work in the care industry have had many years of experience what i have learnt i could use my experience promoting choice giving as much support as possible to lead a independent life with the knowledge i have
What is it about PA work which appeals to you? *: Because i started off doing this kind of work i enjoyed meeting people on a one to.one having time just for them I'm a good listener and have a friendly approach i have been lucky to have worked with some pa in my present job and i could see a different a pa could make to a person life this i could do giving it the best i can
What are your hobbies/interests?: first i love chatting I'm a good listener i.love reading knitting films walking
Would you consider a casual position if you are unsuccessful with this job? *: Yes
Do you drive? *: No
Are you a vehicle owner? *: No
Do you smoke? *: No
Are you able to undertake training? *: Yes
What days/nights are you able to work, or prefer to work? *: anything
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.: If i am lucky to be your pa i would do my best to make a difference to your life from the experience i have gained over the years

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. *: No
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?: rct
How many hours of work can you offer per week?: any
Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Monday PM/Monday Overnight/Tuesday AM/Tuesday PM/Tuesday Overnight/Wednesday AM/Wednesday PM/Wednesday Overnight/Thursday AM/Thursday PM/Thursday Overnight/Friday AM/Friday PM/Friday Overnight/Saturday AM/Saturday PM/Saturday Overnight/Sunday AM/Sunday PM /Sunday Overnight/
Further Information: I have currently received a up to date dbs