Personal Assistant Application Form Submission


Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: Abercynon
County *: Rct
Postcode *: Cf45
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’m currently working in a special needs school based in Aberdare. I’m currently in a class with 3-7 year olds helping them with basic needs. I’ve also worked in other classes within the school with other needs such as dealing with children who need extra such a pmld class were I’d be feeding children who are peg fed, hoisting children from theirs chairs into the pool for an example and changing them. My responsibilities are to make sure all children are safe, happy, having my help when needed and also making sure their needs are being meet.
What qualities do you think are important when working as a personal assistant with a disabled person? *: Teaching assistant level 2 Childcare level 3
How do you think you can contribute towards the needs and the independence of a disabled person? *: With my experience I feel though I would fit into this role really well as I deal with adults and children with special needs and also behaviour issues.
What is it about PA work which appeals to you? *: All pa work appeals to me ask im a very out going and bubbly person so I love to meet new people and do fun things. Im a very clean and imperfection person who likes things right done and I feel with a pa we have that responsibility to make sure that person is safe and also mostly important happy
What are your hobbies/interests?: My hobbies are to horse ride, swim, do fun activities, shopping and also spending time with my family.
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? *: Flexible
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?:
How many hours of work can you offer per week?:
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: