240RCT Personal Assistant Application Form Submission Title *: Mr.First Name *: Last Name *: Address 1 *: Address 2: Town *: PorthCounty *: Rhondda Cynon TaffPostcode *: CF39Phone 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. *: YesPlease 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. *: From my work in retail and volunteering for a local charity I gained the ability to communicate with all kind of customers clearly and answer any queries they may have. Also I gained experience dealing with patients at my local hospital while shadowing several consultants.What qualities do you think are important when working as a personal assistant with a disabled person? *: I believe patience, empathy and honesty are key. Also the ability to shine a positive light on tough situations would benefit anyone involved as well as a good sense of humor. Treating everyone fairly without being judgmental is needed.How do you think you can contribute towards the needs and the independence of a disabled person? *: I am understanding, reliable and confident. I am easy to get along with and find things in common where others couldnt. I believe I can read peoples emotions quite well allowing me to alter my approach to a given situation.What is it about PA work which appeals to you? *: The ability to help people feel more independent or just simply keeping someone company is something is a skill I am keen to achieve. A position like this would help me in my application to medical school also.What are your hobbies/interests?: I love keeping fit and active. I enjoy walks and playing and watching rugby and football. I also like gaming, reading and meeting new people.Would you consider a casual position if you are unsuccessful with this job? *: YesDo you drive? *: YesAre you a vehicle owner? *: YesDo you smoke? *: NoAre you able to undertake training? *: YesWhat days/nights are you able to work, or prefer to work? *: AnyAre there any circumstances which would prevent you from providing cover or swapping a shift? *: YesIf 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. *: YesI consent to the above *: YesI agree that the information I provide will be posted to the Dewis CIL PA noticeboard (all personal information will be withheld).: YesWhat geographical area’s are you able to cover?: Rhondda Cynon TafHow many hours of work can you offer per week?: AnyPlease indicate the approximate times that you are available for work throughout the week.: Monday AM/Monday PM/Monday Overnight/Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/Wednesday Overnight/Thursday AM/Thursday PM/Friday AM/Friday PM/Friday Overnight/Saturday AM/Saturday PM/Sunday AM/Sunday PM /Further Information: I am a prospective medicine student.