Reference #

4694439 /27RCT

Status

Complete

Title

Mrs.

First Name

Last Name

Address 1

Address 2

Town

Penygraig

County

Rhondda

Post Code

CF40 

Phone

Email Address

Job reference number

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

H.L.T.A. primary school for 20 years, working with a range of special needs.
Emotional well being coordinator, trained E.L.S.A. and Thrive Practitioner with behaviour management experience.
I have a sister with a diagnosis of classic autism so have lifetime experience of interaction with special needs disability and care.
I am one of the youngest members of my local WI and run a regular craft group for the members, working on projects that encourage sharing skills and experiences , whilst fostering friendship and inclusion.

What qualities do you think are important when working as a personal assistant with a disabled person?

Good listening skills, being responsive to needs in a confident way without being overpowering or bossy, showing genuine interest during conversation, knowledgeable of any specific physical or medical conditions, a good sense of humour and a willingness to adapt, the ability to use initiative or be lead as appropriate, a positive and inclusive outlook.

How do you think you can contribute towards the needs and the independence of a disabled person?

By providing whatever practical help is needed, whilst respecting their independence of choice. By making sure that outings are pre-planned with full inclusiveness in mind. By developing friendship and trust.

What is it about PA work which appeals to you?

I particularly enjoy the company of the older generation. I feel they have a lot of interesting stories to tell and lots of experience to share.
I have worked on a one to one basis with many pupils during my time in the school setting, which I found very rewarding as I could witness individual progress. I think PA work could give me the same sense of satisfaction as I would be offering someone the opportunity to be fulfilled and independent.

What are your hobbies/interests?

I am an avid reader. I regularly visit the theatre and cinema. I particularly enjoy musicals and live music. I enjoy art and craft and like to crochet. I love animals and own 2 cats who give me no end of amusement. I am a committee member at my local WI and besides running the craft club, I enjoy the weekly walking group and going on a variety of outings. Although I don't drive, I am a massive fan of local bus services and love travelling to different towns, reading, chatting or simply enjoying the scenery. I like trawling charity shops in the hope of finding a bargain and I like car boot sales during the summer months. I am a Grandma to 8 grandchildren who visit regularly and love doing lots of craft activities.

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?

No

Are you able to undertake training?

Yes

What days/nights are you able to work, or prefer to work?

Monday to Friday days

Are there any circumstances which would prevent you from providing cover or swapping a shift?

Yes

Would you like to expand on the answers given above? Please use the box below.

Providing cover or swapping a shift could possibly be compromised by lack of transport at short notice. It would not be a problem with enough time to get public transport.

Name

Title

Address

Phone

In what capacity do you know this person (should not be a family member)?

Name

Title

Address

Phone

In what capacity do you know this person (should not be a family member)?

Rehabilitation of Offenders Act 1975 * Within the nature of the work for which you are applying this position is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1975 (Exemptions Order). Applicants are therefore not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of this Act. In the event of employment, any failure to disclose such convictions could result in dismissal. Information given is confidential and will only be considered for the purposes of the application. If there is any such information you wish to provide?

No

I agree that there is nothing which would prevent me from doing this job.

Yes

The organisation will hold your data on file for twelve months after the end of the relevant recruitment process if you provide consent. The purpose of retaining your data with your consent is to allow you to apply easily for other jobs we may have available. At the end of the twelve months period you will be required to complete a new application form in order to remain on our system. You may withdraw your consent for us to hold your data at any time after the initial recruitment process is completed. I consent for my personal data to be held and agree that Dewis CIL may keep this application form on file for twelve months. It may be used for future prospective employers. I understand that you will contact me in due course should any such person make themselves known to you.

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 and pontypridd

How many hours of work can you offer per week?

20

Please indicate the approximate times that you are available for work throughout the week.

  Early Morning

·         Monday

·         Tuesday

·         Wednesday

·         Thursday

·         Friday

  Late Morning

·         Monday

·         Tuesday

·         Wednesday

·         Thursday

·         Friday

  Early Afternoon

·         Monday

·         Tuesday

·         Wednesday

·         Thursday

·         Friday

  Late Afternoon

·         Monday

·         Tuesday

·         Wednesday

·         Thursday

·         Friday

Last Update

2019-07-19 08:13:25