Personal Assistant Application Form Submission


Title *: Mrs.
First Name *:
Last Name *:
Address 1 *:
Address 2: Miskin
Town *: Mountain ash
County *: Rct
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. *: I currently work in a school , doing breakfast club and also I work in the kitchen . I like working. within that environment and working with children and young people.
What qualities do you think are important when working as a personal assistant with a disabled person? *: I think you have to a kind caring patient person , who values other peoples needs .
How do you think you can contribute towards the needs and the independence of a disabled person? *: I consider myself a happy go lucky person who will talk to you and hive you encouragement if needed .
What is it about PA work which appeals to you? *: Helping make a difference to somone .
What are your hobbies/interests?: Walking my dog , reading , shopping, cinema , i love supporting my son who plays rugby . my biggest passion is my family who i love spending time with .
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? *: Mon to friday afternoon after 3 , sat morning .
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 do work in a school so I would be unable to work during those hours . I do like to watch my son play rugby on a Saturday after noon also. But I will be as flexible ad I can to suit the client and my self.

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?: Cynon valley prefrabley but will consider Pontypridd area.
How many hours of work can you offer per week?: Up to 8
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 AM/
Further Information: