Personal Assistant Application Form Submission

Title *: Miss.
First Name *:
Last Name *:
Address 1 *:  
Address 2: Aberdare
Town *: Aberdare
County *: Mid Glam
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. *: My close family member was given a 4 for care ,due to a brain injury ,but sadly passed away . I had experience caring for her for a short time mainly feeding purée food and wetting her lips with the back of a toothbrush . Previous employment brand Amassador for CPM uk , changed due to covid19.
What qualities do you think are important when working as a personal assistant with a disabled person? *: Respect ,Understanding for illnesses .
How do you think you can contribute towards the needs and the independence of a disabled person? *: By helping with their needs independently.
What is it about PA work which appeals to you? *: Caring for others.
What are your hobbies/interests?: browsing online , decorating , caravan holidays , cooking recipes
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? *: All days/nights
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)? *: Work realated
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?: Drive
How many hours of work can you offer per week?: Flexible
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: