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Reference #
Status Complete
Title Ms.
First Name
Last Name
Address 1
Address 2
Town Cardiff
County South Glamorgan
Post Code
Phone
Email Address
Job reference number
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 worked as a receptionist/administrator in various jobs since 1980. This year I decided to have a change of career and I have recently started working in home care which I am finding very rewarding.
What qualities do you think are important when working as a personal assistant with a disabled person? It is important to be patient and understanding at all times.
How do you think you can contribute towards the needs and the independence of a disabled person? I am calm, caring and able to understand the needs of a disabled person giving me the ability to help where needed.
What is it about PA work which appeals to you? Being able to help and make a difference in someone's life.
What are your hobbies/interests? Cooking, gardening, listening to music, walking, animals, dining out, countryside, nature, being organised.
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? Monday-Wednesday 9.30-3.00. Thursday 9.30-12.00. Friday 9.30-12.00, 2.00-4.00
Are there any circumstances which would prevent you from providing cover or swapping a shift? Yes
Would you like to expand on the answers given above? Please use the box below. No.
Name
Title
Address
Phone
In what capacity do you know this person (should not be a family member)?
Name
Title
Address
Phone
In what capacity do you know this person (should not be a family member)?
Rehabilitation of Offenders Act 1975 * Within the nature of the work for which you are applying this position is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1975 (Exemptions Order). Applicants are therefore not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of this Act. In the event of employment, any failure to disclose such convictions could result in dismissal. Information given is confidential and will only be considered for the purposes of the application. 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
The organisation will hold your data on file for twelve months after the end of the relevant recruitment process if you provide consent. The purpose of retaining your data with your consent is to allow you to apply easily for other jobs we may have available. At the end of the twelve months period you will be required to complete a new application form in order to remain on our system. You may withdraw your consent for us to hold your data at any time after the initial recruitment process is completed. I consent for my personal data to be held and agree that Dewis CIL may keep this application form on file for twelve months. It may be used for future prospective employers. I understand that you will contact me in due course should any such person make themselves known to you. 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? 8 Mile radius of Taffs Well.
How many hours of work can you offer per week? Around 12
Please indicate the approximate times that you are available for work throughout the week.
Late Morning • Monday
• Tuesday
• Wednesday
• Thursday
• Friday
Early Afternoon • Monday
• Tuesday
• Thursday
Late Afternoon • Wednesday
• Friday
Last Update 2019-03-09 11:39:37