Personal Assistant Application Form Submission


Title *:


First Name *: 


Last Name *: 


Address 1 *: 


Address 2: Town *: Pontyclun


County *: Rhondda Cynon Taf


Postcode *: 


Phone number *: 


Please enter your email address for submission confirmation. *: sReference number of job being applied for *: VOG608


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. *: April 2019- Present: Employed by Pontyclun Community Council as Dementia Support Officer for Pontyclun. I run the weekly Social and Support group in Café 50 which involves managing the rota and our volunteer team, providing entertainment i.e. games/films and creating songbooks for our ‘singalong’ where I play the ukulele and try to get everyone engaged with some fun activities to boost their mood brighten their day. 2017 Employed part- time by Genesis Health and Social Care agency as a HCA caring for an elderly woman at her home providing meals 3 times a day as well as morning and bedtime routine, household chores, distributing medication and occasional waking-night shifts I also studied English Language/ Linguistics at University with a special interest in degenerative conditons and cognative decline as I have a vocational interest in helping members of the community who are vulnerable to depression from loneliness.


What qualities do you think are important when working as a personal assistant with a disabled person? *: From my experience working with elderly people, particularly those with low-mobility, I know that a carers most important quality is patience. I do not believe this is work which can be rushed as each task must be approached with an understanding that every individual moves their own pace. For this reason communicative skills are also essential and I always aim to create an environment in which people feel comfortable by communicating in a clear and precise manner exactly what I am doing as I do it, asking for feedback, and listening and making adjustments if needed. A constant dialogue is required and, to make it all the more enjoyable for both sides, I love to have a chat and a laugh along the way. I consider myself to be playful and will always joke around with anyone who needs a bit of cheering up.


How do you think you can contribute towards the needs and the independence of a disabled person? *: I believe independence is nurtured through positive engagement i.e. by using gentle verbal prompts, reassurance and praising we can encourage people to carry out tasks within their capability and, in doing so, motivate them to do as much for themselves as possible and feel confident. I hold the opinion do with - not for as, wherever possible, carers must strive to assist without depriving somebody with the opportunity to do things for themselves. A balance must be found between helping attend to physical needs and hindering ones independence and this may result in loss of skills and increase individuals experience of disability if they are treated as if they are incapable.


What is it about PA work which appeals to you? *: The appeal of the job is vocational, I am passionate about good quality of life and am so honoured and humbled when I feel like I have made a positive difference to someones day. I have struggled with loneliness and low mood myself so I treat mental health as seriously as physical wellbeing and feel it is my responsibility to help people feel good and enjoy life as much as possible.
What are your hobbies/interests?: I love to sing, I did some classical training in opera but my favourite is jazz. I also love baking and often make cakes and do afternoon tea for the dementia support group. Massive animal lover, reptile owner and dog obsessed.


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? *: Any weekday except Monday. Weekends. Happy to do any nights if needed


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.: My only restriction is location as I do not currently own a car but please do feel free to contact me about any positions as close to Brynsadler/ Pontyclun / CF72 9 area


Name *: s


Job Title *: Address *: CPhone Number *: 


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


Phone Number *: 0


In what capacity do you know this person (should not be a family member)? *: 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?: Pontyclun, CF72 9 area
How many hours of work can you offer per week?: 16


Please indicate the approximate times that you are available for work throughout the week.: Tuesday AM/Tuesday PM/Tuesday Overnight/Wednesday AM/Wednesday PM/Wednesday Overnight/Thursday AM/Thursday PM/Thursday Overnight/Friday AM/Friday PM/Friday Overnight/Saturday AM/Saturday PM/Saturday Overnight/Sunday Overnight/
Further Information: No mini shifts please (2 hour minimum)