Personal Assistant Application Form Submission


Title *: Mrs.


First Name *: Lana


Last Name *: Warren


Address 1 *:


Address 2: Troedyrhiw


Town *: Merthyr Tydfil


County *: Merthryr Tydfil


Postcode *:


Phone number *:
Please enter your email address for submission confirmation.
Reference number of job being applied for *: DPM1488


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. *: My previous job was a personal assistant for an elderly lady 2004-2010


What qualities do you think are important when working as a personal assistant with a disabled person? *: Good personality, organizational skills, flexibility, problem-solving skills and patience


How do you think you can contribute towards the needs and the independence of a disabled person? *: With interest, patience, understanding and motivation
What is it about PA work which appeals to you? *: I get great satisfaction from supporting/helping people


What are your hobbies/interests?: Walking my 3 dogs, making garments using my sewing machine and arts and crafts.


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? *: I am avavailable day or night


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


If you would like to expand on the answers given above? Please use the box below.:
Name *:


Job Title *: r


Address *: Phone Number *: 01443 691935
In what capacity do you know this person (should not be a family member)? *: e
Name *:
Job Title *:
Address *:


Phone Number *:
In what capacity do you know this person (should not be a family member)? *: Friend
If there is any such information you wish to provide? *: 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?: Merthyr Tydfil County Borough
How many hours of work can you offer per week?: 37.5


Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Monday PM/Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/Thursday AM/Thursday PM/Friday AM/Friday PM/Saturday AM/Sunday AM/
Further Information: