Personal Assistant Application Form Submission


Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2: Godreaman
Town *: Aberdare
County *: Rhondda Cynon Taff
Postcode *: CF44 
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 have experience in care, working temporarily at The Laurels Residential Care Home in 2015, which gave me experience in the importance and the responsibilities which come with caring for an individual. Having also heavily cared for my younger brother who is disabled, I understand and can empathise on a personal level, the individual and specific needs required by the client.
What qualities do you think are important when working as a personal assistant with a disabled person? *: Patience, empathy, cautious, respectful, sensitivity, sociable and friendliness, enthusiasm, positivity, willingness to learn, organisation, and punctuality.
How do you think you can contribute towards the needs and the independence of a disabled person? *: I think I can contribute towards the needs of a disabled person because I am passionate about helping people and caring for people on an individual level. I have good communication skills and an enthusiastic personality, which I can use to my advantage in order to give dependency to the person seeking assistance.
What is it about PA work which appeals to you? *: PA work appeals to me because I want to help other people, and find I work better on a one-to-one basis, as I can give my full attention to the client. I am passionate about caring for people and I believe time helping another, is time well-spent.
What are your hobbies/interests?: I enjoy going for walks, spending time in nature, cooking, baking, being creative, music and entertainment, being organised, and working to a routine.
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? *: All
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.:

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 and the surrounding areas
How many hours of work can you offer per week?:
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 AM/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: