Personal Assistant Application Form Submission


Title *: Ms.
First Name *:
Last Name *:
Address 1 *:
Address 2: Treharris
Town *: Treharris
County *: Mid glam
Postcode *: CF46 
Phone number *:
Please enter your email address for submission confirmation. *:
Reference number of job being applied for *:
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. *: 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. *: Iv worked with elderly people for 16 year.. Iv worked with a wide range of medical conditions...dementia..Parkinson decease.. Huntington... stroke victims..cancer patients..
What qualities do you think are important when working as a personal assistant with a disabled person? *: Caring...patents..making sure that my client is safe at all time.. I would treat them how I would wont to be treated..
How do you think you can contribute towards the needs and the independence of a disabled person? *: Buy treating them as a equal.. help the and under stand them as much as I can...
What is it about PA work which appeals to you? *: Iv love working one 2 one with a person... I enjoy working with the elderly, iv done it for 16years..
What are your hobbies/interests?: Swimming..reading.. computers..walking..shopping..looking after my dog
Would you consider a casual position if you are unsuccessful with this job? *: Yes
Do you drive? *: Yes
Are you a vehicle owner? *: Yes
Do you smoke? *: No
Are you able to undertake training? *: Yes
What days/nights are you able to work, or prefer to work? *: Day..
Are there any circumstances which would prevent you from providing cover or swapping a shift? *: No
If you would like to expand on the answers given above? Please use the box below.: I would definitely like to do night shifts in a few months time... but I cant at the moment..

Is there is any such information you wish to disclose, relating to any cautions or convictions which will appear on your mandatory DBS check? *: No/
Please provide details if necessary: Oooo
I agree that there is nothing which would prevent me from doing this job. *: No
I consent to the above *: 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?: Treharris...Pontypridd.. Merthyr Tydfil.. Rydfelen..Edwardvill..Quakers Yard
How many hours of work can you offer per week?: 30 hour
Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Tuesday AM/Wednesday AM/Thursday AM/Friday AM/
Further Information: Im working on the weekend at the moment..