Personal Assistant Application Form Submission


Title (required): Mrs.

Town (required): Llantwit major
County (required): County (optional)

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): Nvq2 and 3 in care 22 years experience in nursing homes, home care, residential care and home for adults with learning disabilities and challenging behaviour I have also worked as a personal assistant for dewis independent living previously.
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Patience and understanding
How do you think you can contribute towards the needs and the independence of a disabled person? (required): Promote independence and support the needs of the client with a person centered plan
What is it about PA work which appeals to you? (required): Being able to provide continued support to one person
What are your hobbies/interests?: Reading, walking playing pool watching my childrens sports
Would you consider a casual position if you are unsuccessful with this job? (required): Yes
Do you drive? (required): No
Are you a vehicle owner?  (required): No
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): Monday to Saturday
Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): No
If you would like to expand on the answers given above? Please use the box below.: I do not drive but I am able to catch the train to Rhoose and enjoy walking
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?: Llantwit major Rhoose
How many hours of work can you offer per week?: 25
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 do not drive unfortunately