91VOG Personal Assistant Application Form Submission Title *: Mrs.First Name *: Last Name *:Address 1 *:Address 2: LlandoughTown *: PenarthCounty *: Vale of glamorganPostcode *: Cf64Phone 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. *: YesPlease 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 am currently a self employed Housekeeping! home help, but due to the current situation I do not visit as many clients as I did. My duties involved Housework, some cooking, shopping, chatting and support. Having somebody who is reliable, supportive and punctual but also respects someones privacy,and independence , and works within those boundaries to create mutual respect whilst working I feel is essential.To understand the importance of dignity and respect is vital when working so closely with somebody and helping with their personal care. I have recently done a course in Manual handling through the NHS. also a half day foundation people handling course. I am a kind supportive person, a great listener, always wanting to help. I have a full driving licence and am able to adapt to what is right for each individual person as no 2 people are the same. Ive brought up 3 children of my own, we all live together, have different lives and we all play our part in trying to live together in a way that considers everybody within the home. Were not perfect but are aware of respect and boundaries within the household. I really hope you will consider me for the role and I look forward to hearing from you. I am able to provide an abundance of references from clients that I have visited and helped throughout my time as a home help. What qualities do you think are important when working as a personal assistant with a disabled person? *: I believe respect, trust, dignity, listening empathy support reliability confidentiality are the most essential qualities when working as a personal assistant. How do you think you can contribute towards the needs and the independence of a disabled person? *: I feel I am a very caring person who is respectful of others. I always listen consider peoples needs and try to appreciate and understand what is important to them. I am. dependable and can be relied upon to provide the level of care and need that is appropriate to the requirements of each individual person. I am friendly and supportive with a real interest in helping others. What is it about PA work which appeals to you? *: Working as a PA appeals to me as you get a real sense and understanding of the person your working for, their particular needs, and what works best for them. Seeing the whole person and being a source of help. and support within their boundaries build a real sense of trust and mutual respect between both parties. What are your hobbies/interests?: My hobbies and interests include spending time with my family, coastal and country walks. I love to try out new recipes and cakes at home. I am. Interested In perhaps learning a new language (Spanish). Most of my life has revolved around caring for my family,sharing a common interest in Theatre, cinema and days out. The zoo always a keen favourite. I would like start on visiting all of the uks coastlines, and places of interest. I had begun on this journey, but at present with the circumstances it has been put on hold. Would you consider a casual position if you are unsuccessful with this job? *: YesDo you drive? *: YesAre you a vehicle owner? *: YesDo you smoke? *: NoAre you able to undertake training? *: YesWhat days/nights are you able to work, or prefer to work? *: I am flexible subject to discussion. Are there any circumstances which would prevent you from providing cover or swapping a shift? *: NoIf you would like to expand on the answers given above? Please use the box below.: I hope you will consider me for a position. I would very much like to get involved more in social care as I see myself in this role and believe I have the right qualities required for this line of work. I am hard working reliable and understand the importance of that reliability. I can provide many references from clients to support my application. Is there is any such information you wish to disclose, relating to any cautions or convictions which will appear on your mandatory DBS check? *: No/Please provide details if necessary: I agree that there is nothing which would prevent me from doing this job. *: YesI consent to the above *: YesI agree that the information I provide will be posted to the Dewis CIL PA noticeboard (all personal information will be withheld).: YesWhat geographical area’s are you able to cover?: Penarth, Barry, Sully, with a view to certain areas of Cardiff and the Vale. How many hours of work can you offer per week?: 20Please 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/Saturday AM/Saturday PM/Saturday Overnight/Sunday AM/Sunday PM /Sunday Overnight/Further Information: All above working hours hopefully able to discuss within my working hours available.