Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: Neath
County *: Neath Port Talbot
Postcode *: SA11
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. *: In the last year I have been a PA for a visually impaired family in my local area . During my role I assisted by guiding my client and his wife to be able to access activities out in the community ( such as shopping , walking , and local play centres for the children ) . This role give me such an deep insight of how rewarding a PA job can be as i was able to provide support in order for this family to gain independence again . I empowered these individuals by simply being there as a visual support and ensured that I gave them the freedom and independence and respect they deserve . I assisted in dressing and getting the children ready for school and getting both parents and children to school on time each morning . This is a position i thoroughly enjoyed and would love to gave the opportunity to continue this support
What qualities do you think are important when working as a personal assistant with a disabled person? *: I believe that when working as a PA one must have an understanding approach , be empathetic and understand that each client has individual needs . One must be an excellent communicator , kind and reliable . One must not be judgement and be there to offer support in any way that would be beneficial to the client The individual must be polite , and working and trustworthy
How do you think you can contribute towards the needs and the independence of a disabled person? *: I am able to transfer my calm and helpful manner in order to make a difference to an individuals life I am able to listen carefully to the client when expressing their needs and preferences I understand that a disabled person needs to be empowered , to feel respected and dignified
What is it about PA work which appeals to you? *: Helping an individual in their own home to be able to maintain independence is one aspect that i like about PA work I like making a difference to peoples lives whilst also allowing them to still have freedom , choice and independence
What are your hobbies/interests?: I love to walk outdoors when I am able to I participate in weekly yoga sessions I like chatting and watching TV
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? *: I AM AVAILABLE TO WORK AT ANY TIME
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?: Rhondda Cynon Taff
How many hours of work can you offer per week?: 20 hours
Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/Thursday AM/Friday AM/Friday PM/Saturday AM/Saturday PM/Sunday AM/Sunday PM /
Further Information: