Personal Assistant Application Form Submission

Title *: Mrs.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: Aberdare
County *: Rct
Postcode *: CF44 
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. *: To promote and deliver all the services required to ensure that a service user can live safely and independently in their own home within their local community. Duties involved personal care services including dressing, undressing, bathing, showering, toilet assistance, oral hygiene, and night-sitting and medication management. Further services included domestic tasks such as meal preparation, cleaning, laundry, shopping and social escorts. In addition my role as a Support Workers was to rely on my ability to listen and reassure service users, encourage and motivate them to achieve their maximum capabilities and offer emotional support when required.
What qualities do you think are important when working as a personal assistant with a disabled person? *: Promote independence privacy
How do you think you can contribute towards the needs and the independence of a disabled person? *: Im happy chatty easy going person I have lots of experience working with disabled people I enjoy it
What is it about PA work which appeals to you? *: Gaining a good relationship with 1 person
What are your hobbies/interests?: Chatting walking keeping busy
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? *: Days
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.:
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?: Rct
How many hours of work can you offer per week?: 10 -20 hours
Please indicate the approximate times that you are available for work throughout the week.: Tuesday AM/Tuesday PM/Wednesday AM/Thursday AM/Thursday PM/Friday AM/Friday PM/Sunday Overnight/
Further Information: