Personal Assistant Application Form Submission

Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2:
County *: RCT
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. *: Cleaning Operative. My own personal experience caring for my grandmother and my mother through the years. From young I have cared for my mother, at the age of 19-22 I moved to Ireland to care for my grandmother. I am back in aberdare now caring for my mother on a daily basis.
What qualities do you think are important when working as a personal assistant with a disabled person? *: Listening, patience,passion, good sense of humour and a good calm aura.
How do you think you can contribute towards the needs and the independence of a disabled person? *: I feel it is in me I love to give myself to people to listen and be a goof at times but mostly I have a a calm and caring attitude to work I have been told, caring is in me I cant explain it Ive grown up putting others before myself making sure that they are ok, we are all here and we are deserve to be here. No one is better than us and sympathy isnt tolerated, try to understand my condition with empathy or not at all.
What is it about PA work which appeals to you? *: Helping others be the true them. Were all wanting to be a part of society we just need a friend to help us get by.
What are your hobbies/interests?: I enjoy walking, baking, arts and craft, music, shopping, socialising and cinemas.
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? *: Yes
Are you able to undertake training? *: Yes
What days/nights are you able to work, or prefer to work? *: Both
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.: Give me a chance to explain my answers, Im a open minded person I have a lot of life experience, my own personal experiences its my pleasure and passion.

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 have a enchanted DBS certificate.
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, Aberaman, Cwmaman, Gadlys, Trecynon, Penywaun, Hirwaun. Fernhill. Willing to travel via public transport.
How many hours of work can you offer per week?: 24
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: Can work overtime and overnight. Looking forward to hearing from you