Personal Assistant Application Form Submission


Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: Wales
County *: Mid Glamorgan
Postcode *:
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. *: Im a Qualified Social Worker, currently working in Frontline Child Protection. I have previously worked for the Dewis Centre for Independent living for a 9 year old Male with ASD. I have previous experience as a Social worker in the Disabled Childrens Team.
What qualities do you think are important when working as a personal assistant with a disabled person? *: Im an Empathetic Person, caring and bubbly. I enjoy making others happy. Im a good listener, understanding and very reliable.
How do you think you can contribute towards the needs and the independence of a disabled person? *: Im an easy going person, chatty, friendly and helpful. I will help the young person to engage in fun activities of their choice, get to know them as a person and offer a fun and comfortable time.
What is it about PA work which appeals to you? *: I love working as a support worker, I have lots of experience in different sectors (The early Help Team, The Miskin Project) I enjoy spending time with people, caring and supporting them.
What are your hobbies/interests?: I love Art, I paint Pet Portraits in my spare time. I have two dogs and enjoy taking them for walks on the beach. I love going on holidays, exploring new places and spending time with friends and family.
Would you consider a casual position if you are unsuccessful with this job? *: No
Do you drive? *: Yes
Are you a vehicle owner? *: Yes
Do you smoke? *: Yes
Are you able to undertake training? *: Yes
What days/nights are you able to work, or prefer to work? *: Week days would be preferable, however I am available some 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.:

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?: Bridgend Rhondda Cynon Taff
How many hours of work can you offer per week?: 37
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/Saturday AM/Saturday PM/Sunday AM/Sunday PM /
Further Information: