285RCT Personal Assistant Application Form Submission Title *: First Name *: Address 1 *: 1Address 2: EdmonstownTown *: TonpandyCounty *: RCTPostcode *: 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. *: YesPlease 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 dinosaursWould you consider a casual position if you are unsuccessful with this job? *: YesDo you drive? *: YesAre you a vehicle owner? *: YesDo you smoke? *: NoAre you able to undertake training? *: YesWhat days/nights are you able to work, or prefer to work? *: I am flexibleAre there any circumstances which would prevent you from providing cover or swapping a shift? *: NoIf 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. *: YesI consent to the above *: YesI agree that the information I provide will be posted to the Dewis CIL PA noticeboard (all personal information will be withheld).: YesWhat geographical area’s are you able to cover?: RCTHow many hours of work can you offer per week?: 20 hoursPlease indicate the approximate times that you are available for work throughout the week.:Further Information: Dont know currently