Title	Mr.
First Name
Last Name
Address 1
Town	cardiff
County	wales
Post Code	cf51bg
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 am current PA looking after a teenager, who has no mobility and isn't able to communicate. I take him out to the park via a wheelchair.
What qualities do you think are important when working as a personal assistant with a disabled person?	the qualities I believe one must have is patience, friendly and confident. Being patient is a must because the disabled person may have a problem which maybe difficult to address to his /her PA. being friendly and confident will help connect the disabled person to his/her PA.
How do you think you can contribute towards the needs and the independence of a disabled person?	I have experience in manual handling and using a wheelchair, I would say I am very confident and I am not afraid to meet new people. I like to keep active, so by taking the client to the gym when he requires will be easy for me and him as we can learn from each other.
What is it about PA work which appeals to you?	I like working with people and I like looking after them. I always like taking on the responsibility of looking after someone as it keeps me on my toes and keeps me focused. being a PA also means that you meet people, I like to become familiar with the people I work with and I am able to learn something new everyday.
What are your hobbies/interests?	my main hobby is playing football. I show a lot of interest in new technology and how it is changing the world.
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?	currently Monday, Tuesday and Friday
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.	-
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
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?	within cardiff
How many hours of work can you offer per week?	10
Please indicate the approximate times that you are available for work throughout the week.
Early Morning	Monday Tuesday Friday
Early Afternoon	Monday Tuesday Friday
Late Afternoon	Monday Tuesday Friday
Evenings	Monday Tuesday Friday
Last Update	2019-08-13 12:32:39