CDF30 To request further information or to arrange an interview please Click here Reference # CDF30 Status Complete Title Miss First Name Last Name Address 1 Address 2 St Mellons 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 currently work for the company Dimensions Cymru in which I have worked for 7.5 years. I currently work in a house with four ladies. One who has cerebral palsy and two who have epilepsy. I also have knowledge in autism, Down’s syndrome and dementia. My favourite part of the job I currently undertake is the activities I get to partake in everyday. I enjoy being active and currently support the ladies I support to seimming, cycling and trampolining and preciously horse riding. What qualities do you think are important when working as a personal assistant with a disabled person? I think it is very important to be patient as not everyone can do everything at the same speed or strength. It is very important to be a good listener and to have understanding of others needs and wishes. I think it’s important to be confident as it can help a person who is not as confident feel more relaxed and content. Being social is another important aspect as I have learnt in this job you always meet new people. How do you think you can contribute towards the needs and the independence of a disabled person? Having been in this type of industry for 7 years I feel I can contribute mass knowledge of people with a disability as well as a great understanding of struggles that a person may go through. What is it about PA work which appeals to you? The thought of helping an individual gain independence whilst enjoying aspects of everyday normal life. Working singularly along side an individual will help build a strong bond and knowledge of a person. What are your hobbies/interests? Music, television and cinema, long walks, swimming, cycling, dancing, live music, spa days 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 am happy to work Monday to Friday 9-9 and am flexible in hours if the day or happy to do hours that may include late evening outing on occasions 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. I am always happy to learn new skills and attend any training courses that may make me more suited to an individual I am happy to undertake all tasks and activities and would like to help find new activities and days out that suit and individual 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? All of Cardiff How many hours of work can you offer per week? 40 Happy to be split post Please indicate the approximate times that you are available for work throughout the week. 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