Personal Assistant Application Form Submission


Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: Pontypridd
County *: RCT
Postcode *: CF37 
Phone number *:
Please enter your email address for submission confirmation. *:
Reference number of job being applied for *: r
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 never worked as a carer before but I do have a lot of experience as I have been caring for my ill mother.
What qualities do you think are important when working as a personal assistant with a disabled person? *: Compassionate - it is very important to be a compassionate person in order to help or assist others. It helps us understand someone else’s struggles. Empathetic - empathy is important because it helps to understand how another person is feeling and allows to take appropriate actions. Respectful - everyone deserves to be respected despite their health conditions/disabilities. Understanding - because everyone is different in their own way and it is important to always remember that and understanding that different is not ‘bad’. Patient - some people find it harder to open up or can have difficult days and it is important to have the patience and give that person the time they need.
How do you think you can contribute towards the needs and the independence of a disabled person? *: I am a happy person full of energy and I believe I’d be a great company and a good friend. I love helping others as I’m a very compassionate person.
What is it about PA work which appeals to you? *: Being able to make a new friend and assist them with everyday living.
What are your hobbies/interests?: I love all the animals and the planet - I am a vegan. I love to watch films and read books especially Harry Potter! It’s my all time favourite. I love to crochet Pokémon’s and other things. I enjoy going to new places and exploring things.
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 would be preferred but I can do weekends and nights too
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?: Pontypridd and Cardiff
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/Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/Thursday AM/Thursday PM/Friday AM/Friday PM/Saturday AM/Saturday PM/
Further Information: