Reference #

4935282 / 65RCT

Status

Complete

Title

Mrs.

First Name

Last Name

Address 1

Town

llanharan

County

pontyclun

Post Code

cf72

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

I have previously been self employed as a domestic cleaner and also as been part of a church family have helped many people that have had difficulties with mobility, illness or old age.

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

I think patience and understanding are the first qualities you need to have. Also to be empathetic and be willing to listen to the needs of the person you are assisting.

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

I am a friendly, understanding and organised person. I am also good on a one to one basis and find I can chat with anyone. When I commit to something I always give it my all and I like to be helpful.

What is it about PA work which appeals to you?

The personal experience that you gain from being in close contact with another person and understanding the struggles they may be having and being able to make a difference to their life.

What are your hobbies/interests?

I like to play computer games and Im very good with technology and gadgets. I have a dog and love to spend time taking him out to the woods too. I also like anything creative and I really enjoy D.I.Y at home. I can drive and am a confident and experienced driver.

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?

I prefer to work days, Monday to Friday

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 have children at home at the weekend that I need to be there for.

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?

Llanharan and surrounding areas up to 5 miles or so away.

How many hours of work can you offer per week?

20

Please indicate the approximate times that you are available for work throughout the week.

  Late Morning

·         Monday

·         Tuesday

·         Wednesday

·         Thursday

·         Friday

  Early Afternoon

·         Monday

·         Tuesday

·         Wednesday

·         Thursday

·         Friday

  Late Afternoon

·         Monday

·         Tuesday

·         Wednesday

·         Thursday

·         Friday

Last Update

2019-09-08 09:23:05