Personal Assistant Application Form Submission


Title *: Ms.
First Name *:
Last Name *:
Address 1 *:
Address 2: Nantgarw
Town *: Cardiff
County *: mid glam
Postcode *: CF15 
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. *: GCSE English B Maths B Science B Accountancy A Welsh C. April 2005 -March 2019 RSR Limitied medical diagnostics. Have taken care of my farther for 10 years who had was receiving dialysis and mum who had breast cancer. also worked short time in residential care home.
What qualities do you think are important when working as a personal assistant with a disabled person? *: Respectful,friendly,sensitive reliable trustworthy and caring.
How do you think you can contribute towards the needs and the independence of a disabled person? *: To enable them to continue to live independent by being supportive,encouraging and patient. I am a very caring person but also professional,respectful and flexible.
What is it about PA work which appeals to you? *: I like that it is a one to one.
What are your hobbies/interests?: My hobbies are walking, cycling,swimming,reading and photography.i volunteer with junior park run. Enjoy watching films and being outdoors.
Would you consider a casual position if you are unsuccessful with this job? *: No
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? *: Saturday-Thursday
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?: Rhondda Cynon Taff Cardiff
How many hours of work can you offer per week?: 30
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/Saturday AM/Saturday PM/Saturday Overnight/Sunday AM/Sunday PM /Sunday Overnight/
Further Information: