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Reference #

CDF25

Status

Complete

Title

Miss

First Name

 

Last Name

 

Address 1

 

Address 2

Ely

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 cared for a family member for several years I am passionate about helping people and giving them the support they need to carry out their day to day duties. I am enthusiastic and enjoy socialising and have a great eye for detail I work well under pressure and am able to remain calm in difficult situations.

What qualities do you think are important when working as a personal assistant with a disabled person?

I believe it is important to be patient and understanding also compassionate and having good communication skills.
I always try to make people feel calm and at ease as you never know what issues they may be dealing with.
I endeavour to do my best to support them with their day to day needs.

How do you think you can contribute towards the needs and the independence of a disabled person?

I would do this by assisting them with their daily needs in a friendly and respectable way which will enable them to live independently.

What is it about PA work which appeals to you?

I am passionate about helping others and helping them have the best quality of life no matter what their disability may be.

What are your hobbies/interests?

cooking, keeping fit, watching movies and socialising.

Would you consider a casual position if you are unsuccessful with this job?

Yes

Do you drive?

Yes

Are you a vehicle owner?

No

Do you smoke?

No

Are you able to undertake training?

Yes

What days/nights are you able to work, or prefer to work?

available immediately

Are there any circumstances which would prevent you from providing cover or swapping a shift?

No

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)?

 

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

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 there is nothing which would prevent me from doing this job.

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

How many hours of work can you offer per week?

25

Please indicate the approximate times that you are available for work throughout the week.

  Late Morning

  • Monday

  • Thursday

  • Saturday

  Early Afternoon

  • Monday

  • Tuesday

  Late Afternoon

  • Monday

  • Wednesday

  Evenings

  • Monday

  • Tuesday

  • Wednesday

  • Friday