Personal Assistant Application Form Submission


Title *: Mrs.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: Trehafod
County *: Rhonda Cynon Taf
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 experienced working with disabled children in a school setting where I worked one to one with a variety of children with conditions from autism, global delay and muscular dystrophy. I was able to facilitate these children to join in with the daily activities of other children in the school while differentiating the tasks given to the child’s individual ability/needs. I would also plan additional activities suited to the children I was working with that would focus on their requirements and interests. I also have personal experience with disabled children and adults in everyday life as I have a younger brother who is autistic and an older sister who suffers from a disability called CHARGE, a result of which she is deaf and delayed. This experience has allowed me to become used to assessing everyday situations for their appropriateness of undertaking with a disabled child/adult and to consider what modifications may be needed to allow them to participate and get the most from the experience.
What qualities do you think are important when working as a personal assistant with a disabled person? *: When working with a disabled person it is vitally important to be kind, patient and understanding. It is always also equally important to be aware of any potential dangers/hazards to themselves and others around them and to uphold their dignity and independence where possible. A working understanding of the rights of a disabled person is absolutely necessary along with a familiarity of safeguarding and data protection laws/guidelines. The ability to think on your feet and to react immediately to changes in the environment are also important qualities. Lastly it is important to have the ability to build a meaningful and trusted relationship with those around you.
How do you think you can contribute towards the needs and the independence of a disabled person? *: While working with a disabled person and their family I will be able to provide them with as much experience as possible enjoying everyday events and activities that suit their interests and further their interaction with the wider world. Individually to each disabled person I will also help improve their self-care skills allowing them to become more independent in their homes. I will offer to support them in every and any thing that they or their family’s wish them to do and I will give them every opportunity to complete tasks self-reliantly whilst caring for their wellbeing. I will provide a much-needed respite for and from their primary care-giver where appropriate, alongside supporting any care-giver with tasks that need added support.
What is it about PA work which appeals to you? *: I believe this role will provide me with invaluable experience working with disabled people. I am looking forward to building relationships with the people I work with and making a difference in people’s lives. Additionally, in September I will begin teacher training at university. I feel that this role will suit the flexibility I am looking for in a part-time job to support my studies, particularly working with children as they will require hours in the evenings, weekends and holidays which will fit my situation.
What are your hobbies/interests?: I have a wide variety of interests and hobbies, these include: • Reading • Music • Watching films • Crafts (including crochet and embroidery) • Bowling • Baking • Drama • Walking • Discovering new things to do
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? *: Evenings and weekends
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 will happily cover, and swap shifts where appropriate however this would be restricted by my hours at University

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?: Rhonda Cynon Taff, Cardiff and surrounding area
How many hours of work can you offer per week?: Up to 16
Please indicate the approximate times that you are available for work throughout the week.: Monday PM/Tuesday PM/Wednesday PM/Thursday PM/Friday PM/Friday Overnight/Saturday AM/Saturday PM/Saturday Overnight/Sunday AM/Sunday PM /
Further Information: Evenings and weekends around University