CDF85

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Reference #	CDF85
Status	Complete
Title	Ms.
First Name
Last Name
Address 1
Address 2
Town	Canton
County	Cardiff
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 as a Carer in the community with the elderly which includes companionship, domestic tasks such as cleaning cooking etc I also take some clients out shopping or to appointments. I am also a foster Carer offering respite to children and young adults in a safe environment
What qualities do you think are important when working as a personal assistant with a disabled person?	I think it is important to have empathy and patience being able to build rapport and letting the person feel comfortable and safe in your care
How do you think you can contribute towards the needs and the independence of a disabled person?	I support a blind lady in my current role I contribute to her needs by reading mail to her making sure everything is at hand for her to enable independence with her personal care and supporting her when she wants to go out to appointments ensuring her stick is available to hand always kept in the same place so she can access it independently
What is it about PA work which appeals to you?	PA work appeals to me because I am good at building rapport with people I enjoy working together with the person and encouraging independence making the person feel safe and secure and happy
What are your hobbies/interests?	I have a grandson of 3 months so I love spending time with him and my two daughters I also enjoy charity shopping and holidays with my partner
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 Tuesday Thursday Sunday
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 would be able to provide cover but would need notice iif I have a foster child in my care at the time
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?	Canton Fairwater llandaff Whitchurch rhiwbina penylan
How many hours of work can you offer per week?	10/15
Please indicate the approximate times that you are available for work throughout the week.
Late Morning	Monday Thursday Sunday
Early Afternoon	Monday Thursday Sunday
Late Afternoon	Monday Tuesday Wednesday Thursday Sunday
Evenings	Tuesday Wednesday Thursday Sunday
Last Update	2019-06-20 11:59:15

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