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Personal Assistant Application Form Submission

Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2: caerau
County *: South Glamorgan
Postcode *:
Phone number *:
Please enter your email address for submission confirmation. *:
Reference number of job being applied for *:
I confirm that I have the right to work in the UK and am able to prove my eligibility status when required to do so. *: Yes
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 a nvq level 2 in health and social and many years of experience in the care sector.
What qualities do you think are important when working as a personal assistant with a disabled person? *: i think the most important quality is to provide independance and dignity.
How do you think you can contribute towards the needs and the independence of a disabled person? *: im outgoing friendly and active person, i do believe i make people feel comfortable and bring people out in them selves, with a helpful guidance from me, and also a friendship will bring independence.
What is it about PA work which appeals to you? *: i like the thought of a one to one job role, ive always done car work in the community which i enjoyed, but think a one too one is the next step for me.
What are your hobbies/interests?: my hobbies are going out with my son whos is 5 years old, and sometimes friends, my intrests are doing fun and exciting things, new adventures with my little boy.
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 to friday mornings days and evenings
Are there any circumstances which would prevent you from providing cover or swapping a shift? *: Yes
If you would like to expand on the answers given above? Please use the box below.: i as said before i have a little boy who is 5 years old, there is just me and him in the household,sometimes i may not be able to cover certain shifts, as of no child care but i am always willing to try.
Name *:
Job Title *:
Address *:
Phone Number *:
In what capacity do you know this person (should not be a family member)? *:
Name *:
Job Title *:
Address *:
Phone Number *:
In what capacity do you know this person (should not be a family member)? *:
If there is any such information you wish to provide? *: No
Please provide details if necessary:
I agree that there is nothing which would prevent me from doing this job. *: Yes
I consent to the above *: 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?: 16-20
Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Monday PM/Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/Thursday AM/Thursday PM/Friday AM/Friday PM/
Further Information: