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Personal Assistant Application Form Submission

Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: Trefechan
County *: Merthyr Tydfil
Postcode *:
Phone number *:
Please enter your email address for submission confirmation. *:
Reference number of job being applied for *:
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. *: At this present time, I am a Level 3 Learning Support Assistant in a primary school. I have 7 years experience of working with children of all abilities, ranging from children who are non verbal and use pecs to communicate, to children who show a range of challenging behaviour. I use my experience to deal with these behaviours and always like to turn things into a positive with lots of praise and encouragement which also shows through in my positive happy personality.
What qualities do you think are important when working as a personal assistant with a disabled person? *: I think patience - for example, being patient when the person cannot get their feelings or thoughts across. Approachable - for example for children to be able to feel they can approach you with anything Confident
How do you think you can contribute towards the needs and the independence of a disabled person? *: I think I could contribute to this job by bringing my 7 years of experience to your child. I would treat and love for the person as I would my own member of the family. I would demonstrate being a good role model and show the person how to be independent in a positive manner.
What is it about PA work which appeals to you? *: Caring for people
What are your hobbies/interests?: Shopping
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? *: Any weekday after 3.30 Any time on the weekend
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 Aberdare Tredegar
How many hours of work can you offer per week?: 5
Please indicate the approximate times that you are available for work throughout the week.: Monday PM/Tuesday PM/Wednesday PM/Thursday PM/Friday PM/Friday Overnight/Saturday AM/Saturday PM/Saturday Overnight/Sunday AM/
Further Information: