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Personal Assistant Application Form Submission

Title *: Mrs.
First Name *:
Last Name *:
Address 1 *:
Address 2: Nant-Y-Moel
Town *: Bridgend
County *: Bridgend
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. *: Unfortunately I don’t have any qualifications in care but I do have experience in looking after a child with autism. My ex partners child was disabled and as he lived with us I was his primary carer. He is 8 years old but non verbal, so we communicated in different ways. I was responsible for getting him up in the mornings, showering him, feeding him and changing his nappy etc before school and also taking him to school every day. I understand the needs of a person with autism and how important routine is to them.

What qualities do you think are important when working as a personal assistant with a disabled person? *: I think it’s important to understand the persons needs and requirements and appreciate that some tasks may take longer than usual. When supporting a disabled person patience is key. It’s important to be calm and understanding and have good interpersonal skills. Time keeping and organisation skills are also important for a person with autism as they need routine.

How do you think you can contribute towards the needs and the independence of a disabled person? *: I have a kind caring nature and enjoy looking after people. I’m extremely organised, always on time and have a calming presence. I enjoy getting out and about so would enjoy going different places to encourage independence. I enjoy cooking and cleaning so would be more than happy supporting with the domestic sides of things as well.

What is it about PA work which appeals to you? *: I enjoy spending time with people and get a satisfaction from knowing somebody is cared from properly and is happy.

What are your hobbies/interests?: I’m a Slimming World consultant and currently run three groups over two days and support people to lose weight and become healthy. This is a really important part of my life and I love seeing people achieve their dreams by losing weight! It makes me so happy and proud knowing I’ve helped somebody change their life. I meet all sorts of people from all walks of life doing this role and have lots of experience in dealing with the public.

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? *: I can’t work Tuesdays or Wednesdays due to my Slimming World groups but can work any other days / nights. The day’s / times of this particular role are perfect for me.

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.: Due to a recent change in family circumstances I now have more free time and I’m looking for a part time job that is rewarding and gives me satisfaction that I can fit in around my Slimming World role.

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

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?: Cardiff, Bridgend area.

How many hours of work can you offer per week?: 16-25

Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Monday PM/Monday Overnight/Thursday Overnight/Friday AM/Friday PM/Friday Overnight/Saturday AM/Saturday PM/Saturday Overnight/Sunday AM/Sunday PM /Sunday Overnight/