Personal Assistant Application Form Submission


Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2: Tonteg
Town *: Pontypridd
County *: Rct
Postcode *:
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 previous experience working with family members and my friends children.
What qualities do you think are important when working as a personal assistant with a disabled person? *: I feel the most important qualities to have whilst working with a disabled person would be, to be happy, fun and energetic, to be able to build a rapport quickly and take the time to get to know the client, to respect the clients wishes at all times and always go above and beyond for them. I am very kind and bubbly and I am very friendly.
How do you think you can contribute towards the needs and the independence of a disabled person? *: I feel I can contribute very well as I have a can-do attitude, I am very kind and friendly and I would be able to make anyone feel very welcome and comfortable around me.
What is it about PA work which appeals to you? *: I love helping people and getting to know new people, and letting people get to know myself, which I feel is very important. This is a very rewarding and amazing job that I would be honoured to have.
What are your hobbies/interests?: I love the gym, I love music and the outdoors, I like cars and going for walks and constantly being 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? *: Yes
Are you able to undertake training? *: Yes
What days/nights are you able to work, or prefer to work? *: I am available all times and I am flexible. I am able to work with short notice.
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?: I have my own vehicle and licence to able to cover most areas of RCT.
How many hours of work can you offer per week?: As many as needed.
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 an up to date DBS, if there are any questions at all please don’t hesitate to contact me. I’d love to hear from you!