Personal Assistant Application Form Submission


Title *: Mrs.
First Name *:
Last Name *:
Address 1 *:
Address 2: wattstown
Town *: Porth
County *: rct
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. *: I have been a carer for around 8 years.Six years visiting clients in their homes and providing personal,domestic,social and medication care.Recording and documenting my visits and signing the MAR Chart.I also looked after a Gentleman with MS for over 2 years who was in an Electric Wheelchair.Helping with personal care,bills payments etc.Taking him out and about.Using the ceiling hoist to manouvere him.
What qualities do you think are important when working as a personal assistant with a disabled person? *: You have to be patient,caring,kind and reliable.Be able to understand their needs and just help them live a safe and enjoyable life by bringing your experiences to them.
How do you think you can contribute towards the needs and the independence of a disabled person? *: I can just help and assist them in making the right choices because they have their own minds and I would just be there to help with their safeguarding to make them help the right choices and enjoy their life to the full.
What is it about PA work which appeals to you? *: I just like helping people to live their lives as independently as they can and if I can make a difference to them I will try.Its just the knowing that you can make a difference to someones life.Whether it be for a few hours or more.Just helping them to carry on living their lifes is what appeals to me.
What are your hobbies/interests?: Rugby,reading,walking my dog.
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? *: Any
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.:

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?: RCT,Cardiff
How many hours of work can you offer per week?: 40 Hrs
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: