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Personal Assistant Application Form Submission

Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: cardiff
County *: cardiff
Postcode *:
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. *: As a previous support worker in a special needs school, i am used to assisting children with a complex spectrum of needs. I understand what it takes to pay attention to the specificities of the childs needs, and how they can be assisted in the best ways including their personal and medical care. I have experience with playing with children and helping them settle into play activities with their peers. I am experienced in coming up with fun activities to encourage children to socialise and take part in social environments.
What qualities do you think are important when working as a personal assistant with a disabled person? *: The most important qualities when you are assisting a disabled person are: clear communication remaining calm and patience attention to the detail of the needs of the disabled person listening to the needs of the individual being flexible to meet the needs of the individiual being supportive being reliable
How do you think you can contribute towards the needs and the independence of a disabled person? *: I believe i would contribute towards the independence of a disabled person by encouraging and supporting the individual so that they felt cared for and safe. By showing reliability the needs of individual would be met, and in this way they would gain their independence back. Being prepared to support by all means necessary enables the individual to have their needs met.
What is it about PA work which appeals to you? *: PA work appeals to me because it gives me the opportunity to give back and help those that require extra support. As an empathetic person i think it is vital that every child is included in social activities within the community, and that they feel valued and supported. I love helping people and being around children of all backgrounds and abilities. I am also flexible in the hours i can work and therefore the prospect of being a support to someone is something that i would love.
What are your hobbies/interests?: I love running, reading, movies, animals and science.
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? *: Weekdays and week nights
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.:
Name *:
Job Title *:
Address *:
Phone Number *:
In what capacity do you know this person (should not be a family member)? *:

Name *:
Job Title *:
Address *:
Phone Number *:
In what capacity do you know this person (should not be a family member)? *:

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?: 10 miles either way from Cardiff City Center
How many hours of work can you offer per week?: 36
Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Monday PM/Monday Overnight/Tuesday AM/Tuesday PM/Tuesday Overnight/Wednesday AM/Wednesday PM/Wednesday Overnight/Thursday AM/Thursday PM/Thursday Overnight/Friday AM/Friday PM/Sunday Overnight/