Personal Assistant Application Form Submission

Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2: Clydach Vale
Town *: RCT
County *: Rhondda Cynon Taff
Postcode *: CF40
Phone number *:
Please enter your email address for submission confirmation. *:
Reference number of job being applied for *: DP376
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 3 years experience in the healthcare industry. I have worked in a care home setting as a senior care assistant and a support worker with a care agency travelling to different care homes to attend various different shift patterns. My duties were: Assisting with the activities of daily living, supervising a team of carers, providing support and assistance, providing with PPE and documents as and when needed. Transferring service users to and from chairs to bed etc. Assisting clients with personal care tasks, such as washing, dressing, eating and all aspects of continence care. Preforming housekeeping tasks, such as dusting, vacuuming and changing bed linens. Assisting in the safe lifting, transferring, repositioning and movement of clients following up to date manual handling procedures.
What qualities do you think are important when working as a personal assistant with a disabled person? *: I am a hardworking, reliable and trustworthy person who has a real passion for the care of others. I work well as part of a team as well as on my own with the confidence to use good initiative. As a person/personal assistant I am there to support and help the service users to the best of my ability with the understanding and respect for the dignity and wellbeing of each individual. I am enthusiastic, self-motivated and responsible.
How do you think you can contribute towards the needs and the independence of a disabled person? *: If successful for this post I can contribute by assisting the lady with all her required daily activities and ensure she is safe at all times, and that all her wellbeing needs are met.
What is it about PA work which appeals to you? *: As a child I had a close relationship with my grandparents which inspired me to pursue this rewarding career.
What are your hobbies/interests?: I have 3 children who are my world, we enjoy being creative doing arts and crafts in our spare time and spending time as a family, I have 4 cats and a French bulldog who loves going on her daily walks. I have a real loving bond with my little fur babies.
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? *: After school run in the mornings preferablly but not essential as i can be flexible. Weekends absolutley fine any time. I can do some mornings/days/evenings through the week.
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? *: Yes/
Please provide details if necessary: overpayment of benefits in 2011, received a letter in the post October 2015 for me to attend a hearing for benefit fraud, outcome - 120 hours community service and a fine, all completed and case closed. Can explain in more detail if required, just a small misunderstanding that happened some years ago.
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?: 15 mile radius
How many hours of work can you offer per week?: 16-28
Please indicate the approximate times that you are available for work throughout the week.: Tuesday PM/Tuesday Overnight/Wednesday AM/Wednesday PM/Wednesday Overnight/Friday AM/Friday PM/Friday Overnight/Saturday AM/Saturday PM/Saturday Overnight/Sunday AM/Sunday PM /Sunday Overnight/
Further Information: