Personal Assistant Application Form Submission


Title *: Miss.
First Name *:
Last Name *:
Address 1 *:  
Address 2:
Town *: Mountain ash
County *:
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. *: Personal experience with children who have learning and behavioural issues
What qualities do you think are important when working as a personal assistant with a disabled person? *: to be open minded and listen to their thoughts and most of all pay attention to them at all time as they may want to tell u something but in their own way of communicating
How do you think you can contribute towards the needs and the independence of a disabled person? *: by doing usual tasks and making the client feel as if they can be as capable as anyone else in their own way and finding ways to help them contribute to day to day tasks finding different ways around them.
What is it about PA work which appeals to you? *: Helping people in need and making them feel happy and confident in any situation.
What are your hobbies/interests?: reading, music, being social
Would you consider a casual position if you are unsuccessful with this job? *: Yes
Do you drive? *: No
Are you a vehicle owner? *: No
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
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?: Mountain ash
How many hours of work can you offer per week?: 36
Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Monday PM/Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/Thursday AM/Thursday PM/Friday AM/Friday PM/Saturday AM/Saturday PM/Sunday AM/Sunday PM /
Further Information: