Personal Assistant Application Form Submission

Title *: Miss.
First Name *: 
Last Name *: 
Address 1 *: 
Address 2: trehafod
Town *: pontypridd
County *: wales
Postcode *: CF37 
Phone number *: 
Please enter your email address for submission confirmation. *: 

Reference number of job being applied for *: 

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 done pervious care for my college course in a care home in Tonypandy I have kept elderly people company and done they teas and coffee while finding out about their history and what it used to be like in the olden days.

What qualities do you think are important when working as a personal assistant with a disabled person? *: making sure they have as much independence as possible and that they are comfortable anyway you deal with them or object in the house.

How do you think you can contribute towards the needs and the independence of a disabled person? *: making sure they understand and they needs are met but independence is kept as much as possible.

What is it about PA work which appeals to you? *: I love finding out about everyone history how they use to live and I love career for individuals that’s needs it.
What are your hobbies/interests?: I walk my dog and I look after my 3 year old daughter and take her to the park and take her to watch her dad play rugby sometimes .

Would you consider a casual position if you are unsuccessful with this job? *: Yes
Do you drive? *: No
Are you a vehicle owner? *: No
Do you smoke? *: No
Are you able to undertake training? *: Yes

What days/nights are you able to work, or prefer to work? *: monday,tuesday ,wednesday, thursday,frieday
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.: if me or my daughter has an appointment .

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?: Pontypridd and porth rhondda cynon taff
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.: Monday AM/Monday PM/Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/Thursday AM/Thursday PM/Friday AM/Friday PM/
Further Information: