51VOG

Reference #	4855201 / 51VOG
Status	Complete
Title	Miss
First Name
Last Name
Address 1
Address 2
Town	Barry
County	Vale of Glamorgan
Post Code	CF62
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	Currently employed by Miller and Carter and have been since January 2011. Whilst this is not in the care industry I engage with guests on a day to day basis.
What qualities do you think are important when working as a personal assistant with a disabled person?	My mother who passed away in March 2019 suffered from COPD (chronic obstructive pulmonary disease) for 4 years. During this time I was her main carer whilst studying in college and looking after my two daughters. my main responsibilities were personal care, taking her out shopping and on activities, preparation of medication and meal preps. qualities which are essential whilst being a personal assistant is patience, being able to quickly think, happy demeanour, respectful and flexible
How do you think you can contribute towards the needs and the independence of a disabled person?	From my experience caring for my mum in her early stages and late stages of her condition I am a very reliable, hardworking and enthusiastic person
What is it about PA work which appeals to you?	Being able to help and support someone when they need it most
What are your hobbies/interests?	studying and learning new things day trips with my daughters walking my two dogs going to the cinema
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?	Yes
Are you able to undertake training?	Yes
What days/nights are you able to work, or prefer to work?	weeknights from 5pm available all weekend
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.	I could not cover day shifts as i am in university. Although weekends are fine
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?	Penarth Dinas Powys Llandough Barry
How many hours of work can you offer per week?	16-18
Please indicate the approximate times that you are available for work throughout the week.
Early Morning	· Saturday · Sunday
Late Morning	· Saturday · Sunday
Early Afternoon	· Saturday · Sunday
Late Afternoon	· Saturday · Sunday
Evenings	· Tuesday · Thursday · Saturday · Sunday
Overnights	Friday
Last Update	2019-08-21 15:31:24

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