Personal Assistant Application Form Submission

Title *: Miss.
First Name *: 
Last Name *: 
Address 1 *: 
Address 2: pentre
Town *: pentre
County *: Mid Glamorgan
Postcode *: CF41
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 am up to date with all training in RCT as I work in the day centre. I have QCF level 2. Health and social care diploma. Health and safety I have experience as a P.A in the past.

What qualities do you think are important when working as a personal assistant with a disabled person? *: Qualities I have as I work with disabilities and learning disabilities are caring, good listener i work person centred approach as each person has different likes and dislikes and care needs. I give respect and dignity to the individual and always make the most out of every activity I lead with them such as bowling, swimming and dance group. I know this individual very well as I work with him in day centre I know what activities he enjoys and community visits. I take into account his needs and preferences.

How do you think you can contribute towards the needs and the independence of a disabled person? *: I support the individual through day centre as I would if I worked with him out in the community. Example swimming it is important to the individual to have independence and support through every activity.

What is it about PA work which appeals to you? *: I have experience in the past working with an individual in P.A with mental health. I enjoy helping the person enjoy their community P.A hours and happy to support what they would like to do and enjoy it as it is important for me to support them in the community.

What are your hobbies/interests?: I enjoy cinema. Swimming. Bowling. Meals out.

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? *: any and I can do weekends
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.:

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?: RCT areas
How many hours of work can you offer per week?: I can do after day centre hours
Please indicate the approximate times that you are available for work throughout the week.: Monday PM/Tuesday PM/Wednesday PM/Thursday PM/Friday PM/Saturday AM/Saturday PM/Sunday AM/Sunday PM /
Further Information: