Personal Assistant Application Form Submission

Title *: Miss.

First Name *: 

Last Name *: 

Address 1 *:

Address 2: Ynysfach

Town *: Merthyr Tydfil

County *: Mid Glamorgan

Postcode *:

Phone number *:

Please enter your email address for submission confirmation. *:

Reference number of job being applied for *: Dpm1359

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. *: I’ve worked in the care sector since Leaving school in 2012 being a personal care assistant for my elderly grandfather, domiciliary care for allied healthcare then worked in a carehome for 2 years working with vascular dementia, mental health, palliative care but mostly young physical disabled. Caring is something I’ve always done and always thoroughly enjoyed knowing my kind and caring ways can change someone’s outlook on life and making them comfortable in their own home. I’m a very honest person and always give my 100% at my work place. I’m a knowledgable person with excellent communication skills this enables me to understand well and work well as part of a team or as an individual.

What qualities do you think are important when working as a personal assistant with a disabled person? *: I think the most important qualities when working a disabled person is kindness and understanding to be honest and having a friendly caring approach always. I think confidentiality is also very important. Working in care can be time consuming so being patience is key.

How do you think you can contribute towards the needs and the independence of a disabled person? *: With my knowledge and of experience of working with disabled I know that having patience and time is something you need to have towards the needs of a disabled person. Independence and confidentiality is also very important.
What is it about PA work which appeals to you? *: Being a personal assistant is something that I’ve always wanted to do. I am passionate about my job so will always deliver high quality of care wherever I go. Working as a personal assistant allows you to get to know your clients needs and wants to ensure they are always satisfied each and every day. I have excellent communication skills and have a lot of experience in all aspects of care.
What are your hobbies/interests?: My hobbies include spending time with family, going to the gym and for walks, socialising and beauty.
Would you consider a casual position if you are unsuccessful with this job? *: No
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? *: Any days Monday - Friday

16hrs or under
Are there any circumstances which would prevent you from providing cover or swapping a shift? *: No

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

Job Title *:

Address *:

Phone Number *:
In what capacity do you know this person (should not be a family member)? *:

Name *:

Job Title *:

Address *:

Phone Number *:
In what capacity do you know this person (should not be a family member)? *:

If there is any such information you wish to provide? *: No

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

How many hours of work can you offer per week?: Up to 16 hours

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/
Further Information: