Personal Assistant Application Form Submission


Title *: Mrs.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: Tonyrefail
County *: RCT
Postcode *: Cf39
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 currently work in the royal Glamorgan hostipal as a nursing assistant. I provide personal care to patients including assisting with feeding, bathing and dressing, promoting independence where possible.I also assist in the care of patients with reduced mobility.
What qualities do you think are important when working as a personal assistant with a disabled person? *: My qualities with helping a disabled person would be the fact that I would treat the person with respect and dignity, paying attention to each persons needs with a compassionate and caring approach.
How do you think you can contribute towards the needs and the independence of a disabled person? *: I think I could contribute to the needs and independence of a disabled person by being sympathetic to the person needs and difficulties. I understand the challenges disabled people face and respect the fact that dignity is important to them.I would be calm and considerate whilst approaching each individual task .
What is it about PA work which appeals to you? *: As a follow on from my roll as a nursing assistant in the nhs I enjoy looking after and helping other people .I enjoy supporting and helping other people who otherwise could not do so themselves and therefore would find pa work very rewarding.
What are your hobbies/interests?: My hobbies are camping,cinema, darts and shopping. I also like listening to music ,bingo ,eating out and going for walks.
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? *: Weekdays/nights
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?: RCT areas
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/Sunday Overnight/
Further Information: