Personal Assistant Application Form Submission

Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2: pencoed
County *: Bridgend
Postcode *: CF35 
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 work for dewis , ive 34 years experience in care in the community and i have a hospital back ground in care
What qualities do you think are important when working as a personal assistant with a disabled person? *: just because you have a disability that does not mean you cant do things for yourself im their if and when you need help and to help make your life a little easier
How do you think you can contribute towards the needs and the independence of a disabled person? *: Be supportive, not controlling,help them to make decisions by introducing choices every day,Be patient and positive at all times,Celebrate little victories,
What is it about PA work which appeals to you? *: i love my job seeing a smile on a clients face if ive only helped with the smallest of things makes it all worth wile
What are your hobbies/interests?: cooking walking my dogs family time gardening decorating
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? *: days
Are there any circumstances which would prevent you from providing cover or swapping a shift? *: No
If you would like to expand on the answers given above? Please use the box below.:

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. *: 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?: pen-coed, bridgend brackla cowbridge llanharan
How many hours of work can you offer per week?: tue to fri 8.30am to 4pm
Please indicate the approximate times that you are available for work throughout the week.: Monday PM/Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/Thursday AM/Thursday PM/Friday AM/Friday PM/
Further Information: i look after a client at the moment I'm not available Monday 8am to 9.30 mon, tue , wed , thu, fri, 4pm onwards