Personal Assistant Application Form Submission


Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2: Wattstown
Town *: Rhondda
County *: Porth
Postcode *: Cf39
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. *: Hi I’ve currently done a pa job for a year looking after a man with ms. An I’m currently working in a care home so I have plenty of experience in caring
What qualities do you think are important when working as a personal assistant with a disabled person? *: A very caring nature, understanding and patience
How do you think you can contribute towards the needs and the independence of a disabled person? *: Because I am a very relain hard working friendly an caring person
What is it about PA work which appeals to you? *: I just love caring for people
What are your hobbies/interests?: I love socialising with friends, dayS out with my family, going to the gym listening to music and watching movies
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? *: I have a job but only work 3 12hr shifts a week I have my rota monthly so could work around that easily to suit employer
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.: Only if I was working in my own job but you would have a month an some times longer rota so you would know what I was available. I’d also do my best every time to be available

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?: Local to me
How many hours of work can you offer per week?: 12 hrs maybe more if need be
Please indicate the approximate times that you are available for work throughout the week.: Monday PM/
Further Information: I’d have to work around my other job