To request further information or to arrange an interview please Click here

Personal Assistant Application Form Submission

Title *: Mr.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: Llantwit Major
County *: VOG
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. *: I have worked within the Dewis centre for independent living helping a lady with lower back pain who also had a young family. I did chores such as hoovering, dishes, cooking and cleaning and also helped with a bit of driving (mostly for heavy lifting jobs like shopping). I also look after my 82 year old grandmother doing the exact same type of jobs as well as the odd bit of gardening. I understand the importance of keeping your home - your home. I can help keep a place tidy, cook, clean and drive.

What qualities do you think are important when working as a personal assistant with a disabled person? *: I think patience is the most important thing. Trust also plays a huge part. I am a very responsible, trustworthy 33 year old man who is completely able to aide a person. I aide my mum who suffers with Fibromyalgia and my Nan who is 82 years of age and due to breaking her wrist and upper back is unable to complete everyday tasks.

How do you think you can contribute towards the needs and the independence of a disabled person? *: I am fully able to do any sort of daily activity. I am active and keep myself fit. I am tall and I am completely independent. I do my own washing, cleaning, running of my household, I can drive. I am a father and a carer to members of my own family. I have excellent communication skills, patience and work ethic. I can help someone who is disabled lead as normal life as possible, in anyway shape or form.

What is it about PA work which appeals to you? *: The ability to help someone that needs help. Found helping my Mum, my Nan and past disabled people I have helped in my community.

What are your hobbies/interests?: As I got older I dont have many activities outside of work as I care for people on the weekends and being a father takes up a lot of my time. I try to follow the rugby and when I can I relax on a video game. Travelling is on my agenda. Im about to embark on a challenge to Sweden in aide of Velindre Cancer Care unit in Cardiff.

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? *: Evenings and Weekends

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.: I do work as full time lead analyst developer for a company called Method4. There based in Cardiff. I work 9 to 5 Monday to Friday.

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?: LLantwit Major and surrounding areas

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

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