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Reference #
Status Complete
Title Mrs.
First Name
Last Name
Address 1
Address 2
Town Caerphilly
County Caerphilly
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 Iv worked in customer service for the last 17 years, I’m a very friendly and outgoing person and enjoy caring for others. I have previously worked in a large supermarket and was responsible for taking people shopping if they were unable to do so themselves.
What qualities do you think are important when working as a personal assistant with a disabled person? I think an open mind and a friendly attitude are very important qualities, as is patience and professionalism
How do you think you can contribute towards the needs and the independence of a disabled person? I would assist as best I could but also allow them to be independent and encourage them to at least try new things
What is it about PA work which appeals to you? It’s the ability to support someone and give them the freedom to live a normal life and do things that they might not be able to do by themselves
What are your hobbies/interests? I’m a craft enthusiast. I make a lot of personalised items for people. I also have 3 children and enjoy spending time with them. We enjoy cycling and swimming and also walking our dog
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? Mon- fri days
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. I would need to sort childcare but it shouldn’t be an issue
Name
Title
Address
In what capacity do you know this person (should not be a family member)?
Name
Title
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? Cardiff, Merthyr, caerphilly
How many hours of work can you offer per week? 30
Please indicate the approximate times that you are available for work throughout the week.
Early Morning • Monday
• Tuesday
• Wednesday
• Thursday
• Friday
Late Morning • Monday
• Tuesday
• Wednesday
• Thursday
• Friday
Early Afternoon • Monday
• Tuesday
• Wednesday
• Thursday
• Friday
Late Afternoon • Monday
• Tuesday
• Wednesday
• Thursday
Last Update 2019-04-09 12:04:12