Give details of your previous employment or experience which you think would help you to do this job. (required): Fully trained carer working for drive part time but have private client that I provide all aspects pf care for but two are moving away and I need more clients for a happy work life
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Kind caring and honest with experience in a wide range of caring roles
How do you think you can contribute towards the needs and the independence of a disabled person? (required): By analysing their needs and developing their independent skills
What is it about PA work which appeals to you? (required): Enjoy meeting new people and being their for them
What are your hobbies/interests?: Films games cooking keeping fit
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): Yes
Are you able to undertake training? (required): Yes
What days/nights are you able to work, or prefer to work?  (required): Any
Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): Yes
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): Yes/
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?:
How many hours of work can you offer per week?:

Please indicate the approximate times that you are available for work throughout the week.:
Further Information: