Personal Assistant Application Form Submission


Title (required): 
First Name (required): 
Last Name (required):
Address 1 (required):
Address 2: Penywaun
Town (required): Aberdare
County (required): Rct
Postcode (required): 
Phone number (required): 
Please enter your email address for submission confirmation. (required):
Reference number of job being applied for (required): Personal assistant
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. (required): 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. (required): I studied health and social care in college for 2 years so I know a bit about the care sector I was a volunteer in a youth club for 1 year until they offered me a payed job there I loved it.
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Working with a disabled person you need to have patience by doing this it will keep the individual calm and making them feel that there so rush in the care that they are receiving
How do you think you can contribute towards the needs and the independence of a disabled person? (required): While working I will support the individuals to try and do things for themselves for them to feel more independent
What is it about PA work which appeals to you? (required): I like to help others as much as I can so helping people who have a disability it will be very rewarding.
What are your hobbies/interests?: I like to read I like being outdoors and doing activities
Would you consider a casual position if you are unsuccessful with this job? (required): Yes
Do you drive? (required): No
Are you a vehicle owner?  (required): No
Do you smoke? (required): Yes
Are you able to undertake training? (required): Yes
What days/nights are you able to work, or prefer to work?  (required): Any days/night
Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): No
If you would like to expand on the answers given above? Please use the box below.:
Name (required): 
Is there is any such information you wish to disclose, relating to any cautions or convictions which will appear on your mandatory DBS check? (required): No/
Please provide details if necessary:
I agree that there is nothing which would prevent me from doing this job. (required): No
I consent to the above (required): 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?: Hirwaun/ trenant/ penywaun
How many hours of work can you offer per week?: 50
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/Thursday PM/Thursday Overnight/Friday AM/Friday PM/Friday Overnight/Saturday AM/Saturday PM/Saturday Overnight/Sunday AM/Sunday PM /Sunday Overnight/
Further Information: