Personal Assistant Application Form Submission

Title (required): Mrs.

Town (required):  Barry

County (required): South Glamorgan

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. (required): 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. (required): I have 20 years domiciliary care experience. I also have a small private practice offering counselling. I am passionate, patient and trustworthy. I love enabling people to live the life they choose , promoting independence at all times. I enjoy listening to music, reading, chatty ( more listening) and I have a very good Sense of humour.

What qualities do you think are important when working as a personal assistant with a disabled person? (required): Empathic, honest, trustworthy, reliable and patient.

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I can assist them to the best of my ability. I promote independence by listening and offering choice.

What is it about PA work which appeals to you? (required): I enjoy helping people. I am client led. I listen and allow the individual to make their own choices and to live as they wish to live. I love meeting new people and having a giggle. Building positive relationships with people who require assistance and support.

What are your hobbies/interests?: I like reading, attending church, I have 2 dogs which I love . I like swimming, listening to music, usually Chopin. I like arts and crafts also. I like gardening and am learning chess.

Would you consider a casual position if you are unsuccessful with this job? (required): Yes

Do you drive? (required): Yes

Are you a vehicle owner? (required): Yes

Do you smoke? (required): No

Are you able to undertake training? (required): Yes

What days/nights are you able to work, or prefer to work? (required): Wednesday after 2pm fri after 2pm .

Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): yes possibly

 If you would like to expand on the answers given above? Please use the box below.:

Is there is any such information you wish to disclose, relating to any cautions or convictions which will appear on your mandatory DBS check? (required): No/

 Please provide details if necessary:

I agree that there is nothing which would prevent me from doing this job. (required): Yes

I consent to the above (required): 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?: Vale of Glamorgan

How many hours of work can you offer per week?: Up to 12

Please indicate the approximate times that you are available for work throughout the week.: Tuesday and Friday . Various times

Further Information: