Personal Assistant Application Form Submission


Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: Mountain Ash
County *: Mid Glamorgan
Postcode *: CF45
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. *: IT Users - Level 1 Travel and Tourism - Level 1 Welsh Baccalaureate - Level 1 City and Guilds Travel and Tourism - Level 2 Skills for Further Study - Level 1
What qualities do you think are important when working as a personal assistant with a disabled person? *: I believe the qualities that are important are excellent communication skills, good listening skills, be patient, sense of humour at times and physical fitness
How do you think you can contribute towards the needs and the independence of a disabled person? *: I believe I would be able to contribute towards the independence of a disabled person by encouraging and supporting that individual so that they felt cared for and safe at all times when they’re with me
What is it about PA work which appeals to you? *: A PA work appeals to me because it gives me the opportunity to give back and help those that requires the extra support for those that need it. As an empathetic person I think it is completely vital that every child is included in social activities within the community around them and that they feel valued and supported by everyone.
What are your hobbies/interests?: My hobbies include the following photography, gaming, walking, drawing, singing, listening to music and cooking
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? *: Monday(PM) Tuesday(PM) Wednesday(PM) Thursday(PM) Friday(PM) Saturday(PM) Sunday(N/A)
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?: Aberdare/Mountain Ash
How many hours of work can you offer per week?: 16 hours
Please indicate the approximate times that you are available for work throughout the week.: Monday PM/Tuesday PM/Wednesday PM/Thursday PM/Friday PM/Saturday PM/
Further Information: