Personal Assistant Application Form Submission

Title *: .

First Name *: Last Name *: Address 1 *: Town *: 

County *: Mid Glamorgan

Postcode *: 

Phone number *: Please enter your email address for submission confirmation. *: Reference number of job being applied for *: DP1545

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 am currently working as a social enterprise supervisor for a local charity, but am soon to be made redundant. Prior to this post, all my previous experience was in the retail sector. After working with volunteers for 6 years and watching them develop in confidence, I have realised that I need a position that is emotionally rewarding rather than financially, and I want to continue to help others to achieve their own personal goals, whatever these may be. I have worked alongside volunteers from all backgrounds, each with their own specific needs and obstacles to overcome, including several volunteers with autism. It has been a privilege to work with every one of them and see them develop their social skills, confidence and belief in their own abilities. I would like to continue providing this support where it is needed. This position also requested help with budgeting, which is something I enjoy doing personally. As I am a single parent with 2 children, I have to keep a close eye on the family spending. I find it relaxes me to write down money coming in and going out and makes me feel in control of my finances. I would enjoy helping someone have this piece of mind too.

What qualities do you think are important when working as a personal assistant with a disabled person? *: My father was diagnosed with multiple sclerosis when I was very young, and I grew up alongside his condition developing. For me personally, it was frustrating watching how others, generally strangers ,treated him. Without meaning to be, many were patronizing or spoke to him as though he were a child, even though he was a very intelligent man. I think being able to give support without depleting someones independence is the most important thing. Patience is key too, I believe, as it must undoubtedly be frustrating to rely on others for help with tasks many of us take for granted.

How do you think you can contribute towards the needs and the independence of a disabled person? *: It would depend on the individual and the circumstances. It could be giving them encouragement to believe they can deal with certain situations independently, sometimes its the smallest victories that mean the most. Other times, it could be as important to offer emotional support as physical support. Everyone has off days and its important to provide reassurance that your there to support them. If they dont mentally feel able to push themselves that day, theres always another day, and your there to take the reins if need be in the meantime.

What is it about PA work which appeals to you? *: Its doing something worthwhile. I love watching people grow in confidence and celebrate their achievements, whatever they may be. I have always enjoyed helping people and it makes me feel good. I am a big believer in treating others as you would like to be treated yourself and with this in mind, I believe I can offer sensitivity, compassion and support.
What are your hobbies/interests?: I love reading, watching ice hockey and playing with my kids ☺

Would you consider a casual position if you are unsuccessful with this job? *: Yes

Do you drive? *: No

Are you a vehicle owner? *: No

Do you smoke? *: Yes

Are you able to undertake training? *: Yes

What days/nights are you able to work, or prefer to work? *: Monday through to Saturday, but only days Im afraid, as I am a single parent, so have to be home for bedtime.
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 be happy to provide cover or swap shifts providing they were daytime shifts, and I was given a little time to arrange childcare - a day would probably be adequate, for instance. Also,I am aware that as a non driver, I am at a disadvantage for many posts, but I would like to say that if anyone is happy to travel on public transport, I have many other qualities that I hope make me a worthwhile candidate ☺

Name *: r

Job Title *: Address *: 

Phone Number *:

In what capacity do you know this person (should not be a family member)? *:

Name *: 

Job Title *:

Address *:


 Now closed, but relocated in company
Phone Number *:


In what capacity do you know this person (should not be a family member)? *: My previous line manager - Will be able to trace her via other colleagues to provide more details in the near future.

Is there is any such information you wish to disclose, relating to any cautions or convictions which will appear on your mandatory DBS check? *: 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?: All of Pontypridd area
How many hours of work can you offer per week?: Up to 16

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/Saturday AM/Saturday PM/
Further Information: I dont drive and there is no bus service from my village on a Sunday.