Personal Assistant Application Form Submission


Title *: Mrs.
First Name *: 
Last Name *:  
Address 1 *: Town *: Porth
County *: RCT
Postcode *:
Please enter your email address for submission confirmation. *:

Reference number of job being applied for *: 


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 worked under dewis for sevral year and have worked with many wheelchair users and worked with clients with different disabilities so this is why I have plenty of experience in this job role.


What qualities do you think are important when working as a personal assistant with a disabled person? *: The most important quality while working with your client in their home is confidentially this is a must and it’s important for your client to gain trust in you as your there to help them as much as possible to give them more independence and a better quality in life and not only are you careing for them but also becoming a good friend and this job I love as it’s so rewarding and I love meeting new people and at the end of every shift you just feel overwhelming sensation that you have helped your client with everything in their everyday life.


How do you think you can contribute towards the needs and the independence of a disabled person? *: I would contribute fully to their every day life by reassuringly help them in all tasks that that they cannot fulfill their selves and never mind what they ask nothing is so pleasing that to help that person you care for that is the most joy of working one to one with a client
What is it about PA work which appeals to you? *: Iv have always loved my job in caring as I always feel overjoyed when iv helped anybody iv gone out of my way many times and this is the person I am probably I care about others more than myself as this is such a rewarding job knowing the care you can do for somebody is priceless

What are your hobbies/interests?: Sewing crafts reading watching films uplifting furniture


Would you consider a casual position if you are unsuccessful with this job? *: No
Do you drive? *: Yes
Are you a vehicle owner? *: Yes
Do you smoke? *: Yes
Are you able to undertake training? *: Yes
What days/nights are you able to work, or prefer to work? *: Preferably days please
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 would prefer to work solely with one client 


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?: Tonyrefail to Llantrisant
How many hours of work can you offer per week?: 12
Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Tuesday AM/Wednesday AM/Thursday AM/Friday AM/
Further Information: