Personal Assistant Application Form Submission

Title *: Mrs.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: Pentre
County *: Rhondda
Postcode *: CF41 
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 am a hard working mother who is both reliable and trustworthy. I am both patient and tactful. Having worked in the services industry for 20 years I have a good working knowledge of hygiene standards and basic health care. Throughout my working career I have trained, practiced and developed the ability to deal with people from different backgrounds. I am physically fit and have excellent stamina and strength. I have excellent communication skills combined with a desire to get along with and help people whenever possible. I am a good listener and have the ability to think on my feet and overcome different types of problems. Being a mother, over the years I have developed skills and techniques that allow me to identify and provide emotional support as and when required. On a daily basis, I interact and communicate with both the young and old. I am able to prioritise workloads and adapt to situations as they arise.
What qualities do you think are important when working as a personal assistant with a disabled person? *: I believe it is important to address a disabled person as an equal and if possible I would greet them openly and shake hands. When interacting with someone who has an illness or disability, I believe we should see that person for whom he or she is, and not what illness or disability that person has. I would use the same good manners in interacting with the person with an illness or a disability as I would with anyone else. I would make eye contact with them and be aware of my own body language at all times. I would not make any decisions for the person or assume that I know the persons preferences. I would not underestimate the abilities of a person with an illness or disability. Before offering assistance or doing something for the person, I would first ask if there was anything I could do or help with as helping before asking may offend the person.
How do you think you can contribute towards the needs and the independence of a disabled person? *: For the past 18 years I have been a hard working independent mother. I have the necessary life skills to allow me to be supportive, creative, caring, trustworthy and dependable. I am able to see beyond any physical disabilities and understand the demands placed upon parents and individuals alike. I believe I have the skills, determination and commitment to make my contribution to this role a successful one. I am able to work alone or as part of a team, I am eager to learn and would be pleased to make any positive contribution to enhance an individual’s life.
What is it about PA work which appeals to you? *: As a mother, I take great pride in watching my children grow and develop. Each day brings new challenges, goals, disappointments and achievements. I would love the opportunity to enhance an individual’s life so they too can appreciate and take advantage of all that is around them. I also understand the day to day pressures placed on parents or family and would hope that my interaction would at least offer some relief from the daily constraints of the person or family.
What are your hobbies/interests?: I am an active person who believes in looking after myself and my children. I try my best to maintain a healthy balanced diet but also love treating my children to occasional fast food meals. I love watching my children grow and develop and spend whatever time I can with them. I find more and more that we learn and develop from each other, this to me is the most rewarding element of my life.
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 am flexible on the hours but would require notice of days and times please.
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.: I am able to swap shifts as I do in my current job however I would require notice wherever possible please.

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?: Rhondda Cynon Taff - preferably Blaenrhondda to Ystrad and all locations in between please.
How many hours of work can you offer per week?: 40
Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Monday PM/Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/Thursday AM/Thursday PM/Friday AM/Friday PM/Saturday AM/Saturday PM/Sunday AM/Sunday PM /
Further Information: