210VOG Personal Assistant Application Form Submission Title (required): Ms.County (required): Bridgend 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): YesPlease 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): My previous job of 11 years was for Fourways Community Care Ltd, Sidmouth,Devon. EX10 8RW as a Community Carer and have previous experience of caring for someone with MS. I understand the limitations it can place on a client and the likely progression of the disease.What qualities do you think are important when working as a personal assistant with a disabled person? (required): Empathy, kindness, patience, knowledge, flexibility,How do you think you can contribute towards the needs and the independence of a disabled person? (required): By facilitating the things they are able to do and providing encouragement and assistance for them to achieve those which may be more difficult.What is it about PA work which appeals to you? (required): I like the one to one with a client and enjoy finding out all about them and having the time to make a relationship with them.What are your hobbies/interests?: My daughter and I have a horse each and my 3 yr old granddaughter has a pony so most of my free time is taken up with caring for them or riding. I also enjoy walking our 3 dogs, swimming, reading and watching Netflix on TV!Would you consider a casual position if you are unsuccessful with this job? (required): YesDo you speak any other languages? (required): NoDo you drive? (required): YesAre you a vehicle owner? (required): YesDo you smoke? (required): NoAre you able to undertake training? (required): YesWhat days/nights are you able to work, or prefer to work? (required): Mon - Fri 10 - 3 and evenings 6 - 10 for between 10 - 20 hours per weekAre there any circumstances which would prevent you from providing cover or swapping a shift? (required): NoIf you would like to expand on the answers given above? Please use the box below.: I am only looking for part time work of 15 - 20 hours per week to fit in with my other commitments.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): YesI consent to the above (required): YesI agree that the information I provide will be posted to the Dewis CIL PA noticeboard (all personal information will be withheld).: YesWhat geographical area’s are you able to cover?: Pencoed, Bridgend, Cowbridge and south towards the coast.How many hours of work can you offer per week? (required): 15 - 20Please 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/Further Information: I could possibly be available for an occasional sleeping night.