Personal Assistant Application Form Submission


Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *:
County *: Mountain ash
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 recently worked in The Willows care home at mountain ash. I also support my gran who is now 90, this is mostly the simple tasks around the house, they are simple to me but a struggle to my gran. She does most things herself but i am there every other day to give her additional help with a few jobs that need to be done both around the home and while out shopping.
What qualities do you think are important when working as a personal assistant with a disabled person? *: Providing personal care and support to Clients with a wide range of needs, illnesses and disabilities. I understand the care and support of the Client. To undertake the tasks detailed in the Clients care and support plan using a person centred approach Also, patience is key while carrying out your daily activities. Having flexible communication skills is also a very important part of being a personal assistant.
How do you think you can contribute towards the needs and the independence of a disabled person? *: There are a number of things i could do to contribute to the needs and the independence of a disabled person, being positive and giving compliments when any achievement is accomplished. Always support them and encourage them to make decisions and also actively involve them in decision making as this is also important. Giving them as much opportunity as possible. Be able to get out in the environment in order to be able sight see & learn while exploring the outdoor life.
What is it about PA work which appeals to you? *: Whilst i worked at the willows care home i thoroughly loved my job, i have always rathered work one to one as i can give my client all the attention and support that they need to the best of my ability. I think being a personal assistant is a much better way of delivering your client with thorough care, love and attention they need, at all times.
What are your hobbies/interests?: I try to spend a lot of time outdoors with my Daughter, parks, play areas, the beach etc, I also enjoy walking in the evenings. Another thing that takes up a lot of my time is getting my work done, while working at the care home i worked my way through my Health and social Care Level 2. I have now completed it and i will be progressing to go onto my level 3 very soon.
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 can be flexible but would need to work out child care for my daughter to be collected from school if needed.
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.: I would need to know what i would be working in advance because i have a daughter and would need to get somebody to be there to look after her for me to work.

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 live at mountain ash and would like to have something local if possible.
How many hours of work can you offer per week?: 30
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/Saturday AM/Saturday PM/Sunday AM/Sunday PM /
Further Information: I can cover most shifts but would be if i can arrange child cover for my daughter.