Personal Assistant Application Form Submission

Title *: Mr.
First Name *:
Last Name *:
Address 1 *:
Address 2: Llwydcoed
Town *: Aberdare
County *: Rhondda Cynon Taff
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. *: 12 GCSEs grade B-C (Including Maths and English) BTEC National Diploma Level 3 Public Services (Predicted grade MMM) with Advanced Welsh Bacc Full Clean driving licence with own vehicle
What qualities do you think are important when working as a personal assistant with a disabled person? *: Patience, Positivity, Care and Compassion I think are very important when working as a personal assistant with a disabled person, You also need have excellent communication skills, an outgoing fun personality with a balanced sense of assertiveness to ensure they do not experience any discrimination when we are out and about.
How do you think you can contribute towards the needs and the independence of a disabled person? *: I am a very outgoing and fun person who can hopefully motivate and encourage others to lead the fullest life possible. As a young person wanting to work with young disabled people I can be a good companion who they will look forward to spending time with each week. My personality has been described as infectious and I have always been commended by my peers on my caring and compassionate ways.
What is it about PA work which appeals to you? *: At 16 I travelled to New Zealand alone and stayed with a family who had 2 children aged 8 and 10, I looked after them during the school holidays in return for free accommodation and board. The youngest child had ADHD but seeing how much he enjoyed our time together was so rewarding and we became really good friends who I am still in touch with weekly. His parents were really impressed with how his behaviour whilst with me was always so good and how important it was having a young good role model around him. Since then I have been keen to complete my college course and now begin to look for work with children and young adults helping them be the best they can be.
What are your hobbies/interests?: I am a passionate traveller and love to visit new places, I play Rugby for Aberdare RUFC currently in their Youth team but have played since the age of 6, I am also in their pool team and enjoy snooker in the local halls. I enjoy the gym, biking, running and generally keeping fit and active. I love adventure sports and have done The Nevis bungee jump and Canyon swing!! I have a varied music taste and enjoy playing guess the tune, enjoy the xbox and other consoles and games and really enjoy a good series and movie.
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? *: Any day / night
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.: I have applied for a few of the positions with you on this application as I found from the personal descriptions a number of different people who I thought I could work with and help. I would appreciate being considered for all and would welcome the opportunity to meet and discuss further what I can offer.

In what capacity do you know this person (should not be a family member)? *: He is my Rugby Coach
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?: Throughout Rhondda Cynon Taff and surrounding Valleys.
How many hours of work can you offer per week?: 40
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 PM/Wednesday Overnight/Thursday AM/Thursday PM/Thursday Overnight/Friday AM/Friday PM/Friday Overnight/Saturday AM/Saturday PM/Saturday Overnight/Sunday AM/Sunday PM /Sunday Overnight/
Further Information: