Personal Assistant Application Form Submission

Title *: Miss.
First Name *:  
Last Name *:
Address 1 *:
Address 2: Trealaw
Town *: Tonypandy
County *: Mid Glamorgan
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. *: Since starting a family of my own and taking care and raising 5 wonderful children. It as provided me with so many life skills and experience in caring for others which I love doing. I now would love to transfer all the skills I have learnt into taking care of others and this would be my ideal career path of my future.
What qualities do you think are important when working as a personal assistant with a disabled person? *: I believe the qualities needed are to be always respectful, understanding and caring towards the persons feelings and emotions you are taking care of. Even in challenging times the persons emotions, care and need are always important. A caring and trustworthy relationship between carer and client are crucial.
How do you think you can contribute towards the needs and the independence of a disabled person? *: The experience I have learnt through the years of caring of my family, I would enjoy using these for taking care of someone in need. Whether it being gentle persuasion, helping them to be as independent as possible and always bringing a little happiness to their day I would enjoy doing it.
What is it about PA work which appeals to you? *: Being able to help someone live the best life possible is important to me. Helping them to do things they normally would, and just to make sure they have a chat and smile each day.
What are your hobbies/interests?: Watching movies, being active and gentle exercise is what I enjoy doing the most.
Would you consider a casual position if you are unsuccessful with this job? *: Yes
Do you drive? *: No
Are you a vehicle owner? *: No
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 work evenings from 7pm 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.: The only reason I wouldnt be able to swap a shift or cover anyone else would be for childcare reasons. As long as my partner is at home with the children i would be happy to help or change my work times.

In what capacity do you know this person (should not be a family member)? *: Family friend (family aqquaintance)
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?: Pentre, Llwnypia,.Tonypandy,.Clydach Vale, Penygraig and areas close
How many hours of work can you offer per week?: All weekend work .. 24 hours
Please indicate the approximate times that you are available for work throughout the week.: Friday Overnight/Saturday PM/Saturday Overnight/Sunday AM/Sunday PM /
Further Information: