Personal Assistant Application Form Submission


Title (required): Mrs.
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 worked in the care sector for over 40 years,in both homes and in the district.
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Maintaining and promoting independence and well-being,
How do you think you can contribute towards the needs and the independence of a disabled person? (required): Ive had experience in working with clients with dementia and Alzheimers. Im at present working with a lady who has epilepsy and other health issues.
What is it about PA work which appeals to you? (required): I like the one to one interaction which gives me the opportunity to get to know the client and vice versa.
What are your hobbies/interests?: Knitting, puzzles, walking.
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): Tuesday to
Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): Yes
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?: 32
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 PM/Friday Overnight/
Further Information: I have a level 3 NVQ in health and social care.