Personal Assistant Application Form Submission


Title *: 
First Name *: 
Address 1 *: 1
Address 2: Edmonstown
Town *: Tonpandy
County *: RCT
Postcode *: 
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 my own business called Rhondda House and Pet Sitting Service which I have done for the past six years. During the day I am responsible for looking after other peoples animals whilst they are at work or on holidays. When they are away on holidays I stay at the property for a week or two looking after the animal/s and their home.
What qualities do you think are important when working as a personal assistant with a disabled person? *: Confidentiality. Reliable and punctual. Respect of other peoples property. I am nearly 24 years of age have a friendly nature. I am a non smoker and non drinker.
How do you think you can contribute towards the needs and the independence of a disabled person? *: Helping you to do the things you enjoy doing. Keeping you safe and out of harms way. Making sure you have all you need at any particular time. To help you with your independence.
What is it about PA work which appeals to you? *: Over the last six years I have had the responsibility of looking after other peoples animals within their own homes making sure they are walked, fed watered and their basic needs are fulfilled.
What are your hobbies/interests?: My hobbies are photography, reading, music, television My interests are animals especially dinosaurs
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
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.:
Name *: 
In what capacity do you know this person (should not be a family member)? 
In what capacity do you know this person (should not be a family member)? *: 
Is there is any such information you wish to disclose, relating to any cautions or convictions which will appear on your mandatory DBS check? *: Yes/
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
How many hours of work can you offer per week?: 20 hours
Please indicate the approximate times that you are available for work throughout the week.:
Further Information: Dont know currently