Personal Assistant Application Form Submission

Title *: Mrs.
Address 2: Bryncae
Town *: Llanharan 


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 experience with working with epilepsy and adults with learning difficulties, i have also used hoists and had full training


What qualities do you think are important when working as a personal assistant with a disabled person? *: Qualities that are important are always be patient, caring


How do you think you can contribute towards the needs and the independence of a disabled person? *: I’m willing to help, and encourage anyone to do whatever they can do independently


What is it about PA work which appeals to you? *: I love thinking I can make someone’s day and making a little easier if I can


What are your hobbies/interests: I enjoying walking down the beach and spending time with my 2 boys


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? *: Mon
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.: Mon Tues Wed Thurs Fri


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?: Llanharan
How many hours of work can you offer per week?: 16
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/