Reference #

3880824 / 72RCT





First Name

Last Name

Address 1

Address 2




S. Wales

Post Code



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 been volunteering with The Royal Voluntary Service for 3 years now and I've met some lovely ladies along the way. I'm still visiting one lady that I was first paired with, so I've been with her for the 3 years. They always have interesting stories to tell. My main role is one of companionship but I can help with Laundry, Ironing, cleaning, shopping and a bit of lunch. I love volunteering because it makes me feel like i'm giving something back to the community. I also had a private job with an elderly lady that came home from hospital and was recovering from ill health. I was with her for 8 months.

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

I think the qualities that are paramount are being a nice person who is willing to listen when they need to and have conversation in equal measures. Being trustworthy is also very important because everybody can feel vulnerable in different stages of their lives so they need to feel like they are with a friend. Just having a bit of a sunny disposition and making somebody laugh can go a long way.

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

I would try my best to make them feel comfortable. I would listen if they needed to talk. I would be reliable and trustworthy. I would also be grateful of them giving me the opportunity to try and help with whatever they needed me to do.

What is it about PA work which appeals to you?

It's getting to know people on a more personal level and being out in the community. I think it's also a good work/life balance because I have one daughter who is 19 now but I still love being at home and spending time with her.

What are your hobbies/interests?

I love watching dramas and soaps on the TV. I also donate blood a few times a year... I don't particularly love needles but I do my bit. I enjoy watching films at home or in the cinema. I love the Theater but I haven't been since my daughter was little. I like reading. I love going for walks and I love the countryside.

Would you consider a casual position if you are unsuccessful with this job?


Do you drive?


Are you a vehicle owner?


Do you smoke?


Are you able to undertake training?


What days/nights are you able to work, or prefer to work?

I would prefer to work days.

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


Would you like to expand on the answers given above? Please use the box below.



Claire Price


4 Glamorgan Street Penrhiwceiber Mountain Ash CF45 3HX

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

A friend


Dr. A G Wardrop & Partners




74 Monk Street Aberdare CF44 7PA


01685 872 006

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

My Doctor

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?


I agree that there is nothing which would prevent me from doing this job.


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.


I agree that the information I provide will be posted to the Dewis CIL PA noticeboard (all personal information will be withheld).


What geographical area's are you able to cover?

Aberdare and surrounding areas

How many hours of work can you offer per week?

Between 12 and 15 maybe a bit more.

Last Update

2019-02-07 05:55:41