Reference #

4745378 / 37MT 

Status

Complete

Title

Miss

First Name

Last Name

Address 1

Town

Tredegar

County

Blaenau Gwent

Post Code

NP22 

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

My previous experience which I believe would help me with this job would be my work experience in a school, in which I completed a Level three college course in Childcare. I also currently work in dominoes part time and believe the customer service skills gained in this job would assist me in PA care.

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

The qualities I believe are important when working as a personal assistant would be to be caring and friendly. Also to be talkative and have a positive attitude. I also think that a person working in care should be able to understand a persons situation and be able to meet their needs.

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

I believe I can contribute towards a disabled person by ensuring they are able to go about their normal daily routine. I believe I can assist a person to do this whilst caring for their specific needs.

What is it about PA work which appeals to you?

PA work appeals to me because I am interested in care work and special needs and disabilities. I also enjoy helping others and looking after people.

What are your hobbies/interests?

My hobbies and interests are going out with my fiends and going to the gym. I also enjoy making conversation with people.

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?

Monday-Friday Days preferably but am willing to work Saturday and Sunday days.

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

No

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

I believe a role in care would be an amazing opportunity and something that i would be greatly interested in.

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?

Blaenau Gwent
Merthyr Tydfil
Caerphilly

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.

  Early Morning

·         Monday

·         Tuesday

·         Wednesday

·         Thursday

·         Friday

·         Saturday

  Late Morning

·         Monday

·         Tuesday

·         Wednesday

·         Thursday

·         Friday

·         Saturday

·         Sunday

  Early Afternoon

·         Monday

·         Tuesday

·         Wednesday

·         Thursday

·         Friday

·         Saturday

·         Sunday

  Late Afternoon

·         Monday

·         Tuesday

·         Wednesday

·         Thursday

·         Friday

·         Saturday

·         Sunday

  Overnights

·         Monday

·         Tuesday

·         Wednesday

·         Thursday

·         Friday

·         Sunday

Last Update

2019-07-30 11:34:25