Personal Assistant Application Form Submission

Title *: Ms.
First Name *: .
Last Name *: .
Address 1 *: .
Address 2: Trealaw
Town *: Tonypandy
County *: Rhondda cynon taf
Postcode *: .
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. *: I have a NVQ in health & social care I have worked for a number of years previously in the care sector helping elderly and disabled people with their everyday needs.
What qualities do you think are important when working as a personal assistant with a disabled person? *: kind, caring, compassionate, thoughtful, understanding, patient,
How do you think you can contribute towards the needs and the independence of a disabled person? *: I could help them maintain as much of their independence as possible. I would help them do anything they arent able to. I would help them with every day tasks such as personal care and domestic jobs around the home and to assist them to go out into the community if they needed to.
What is it about PA work which appeals to you? *: I have worked in the care sector previously for a number of years with elderly and disabled people I loved my job as I like to help people as Im a compassionate person. I like to help people maintain as much independence as possible but also do for them what they are unable to do for themselves so they can live a happy life.
What are your hobbies/interests?: reading, going out walking with my dog, days out with my 2 sons, going to cinema.
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? *: any days/nights
Are there any circumstances which would prevent you from providing cover or swapping a shift? *: Yes
If you would like to expand on the answers given above? Please use the box below.: I would need to arrange childcare for my 2 sons of i was to have to provide cover or swap a shift.
Name *: .
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:
I agree that there is nothing which would prevent me from doing this job. *: Yes
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?: R.C.T
How many hours of work can you offer per week?: 20
Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Monday PM/Monday Overnight/Tuesday AM/Tuesday PM/Tuesday Overnight/Wednesday AM/Wednesday PM/Wednesday Overnight/Thursday AM/Thursday PM/Thursday Overnight/Friday AM/Friday PM/Friday Overnight/Sunday PM /Sunday Overnight/
Further Information: