Personal Assistant Application Form Submission

Title *: Mrs.
First Name *:
Last Name *:
Address 1 *:
Town *: Pontypridd
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. *: I have previously worked as personal assistant, I have also worked in a school with children with autism, I have health and social care level 1,2,and 3.
What qualities do you think are important when working as a personal assistant with a disabled person? *: I am a caring, reliable and compassionate person who understands the need to live independently which I feel is crucial in this role. I have worked with individuals who have autism, I have also worked as a personal assistant in a home, social and work environment which means I am comfortable in providing care and support. I believe that being comfortable in a role like this is very important to ensure that the person feels safe and secure. I have also attended lots of courses such as independent living, mental health, which I feel gives me a greater understanding to help support an individual to lead an independent and active lifestyle. As a personal assistant, I believe that these are crucial when working with a disabled person as every person has the right to live independently and be recognised as an individual.
How do you think you can contribute towards the needs and the independence of a disabled person? *: I would contribute towards the needs and the independence of a disabled person by listening to their requests and opinions. In doing so, this will help me to support them in achieving their goals in life. I would also help the individual to be an active member of society, and ensure they have their own voice in a public and private environment.
What is it about PA work which appeals to you? *: A personal assistant job appeals to me as I enjoy supporting individuals and believe that every person should be entitled to live a full and active life, to be part of a community and have their own voice. With my previous employment with individuals with autism I feel I have a lot to give, and really enjoy supporting individuals to achieve their goals.
What are your hobbies/interests?: My interests include running and cycling, as well as reading and travelling. I am part of a running group which raises money for charities. I have run several half marathons and have raised a substantial amount of money for Ty Hafan as well as other charities as part of my running group.
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? *: Preferably week days but would consider 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.:

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?: Any within ten miles of Pontypridd
How many hours of work can you offer per week?: twenty hours
Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Monday PM/Monday Overnight/Tuesday PM/Tuesday Overnight/Wednesday AM/Wednesday PM/Wednesday Overnight/Thursday AM/Thursday PM/Thursday Overnight/Friday AM/Friday PM/
Further Information: I am willing to work the odd weekend when required