Personal Assistant Application Form Submission

Title *: Miss.
First Name *: ..
Last Name *: .

Address 1 *: ..
Address 2: Ferndale
Town *: Maerdy
County *: Rct
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. *: Previous employment: llanharan drop in centre. My role at this employment involved caring for children ages 2-14 with learning difficulties. I was a one to one term time and during the holidays. So have skills with children with all different disability needs.
What qualities do you think are important when working as a personal assistant with a disabled person? *: I believe that understanding their need and abilities are very important when working with children with disabilities. Having a bond and good relationship with the patient is important as they begin to gain trust in you.
How do you think you can contribute towards the needs and the independence of a disabled person? *: I believe I have a lot of experience in this kind of work. I am kind caring and very trust worthy and believe I am a good worker.
What is it about PA work which appeals to you? *: PA work appeals to me as it has always been someone I have loved to do. It gives me great pleasure knowing I am making someones like happier.
What are your hobbies/interests?: I enjoy socialising, going for walks and swimming. I have a young daughter who I like to take on adventures I am a very active individual.
Would you consider a casual position if you are unsuccessful with this job? *: Yes
Do you drive? *: No
Are you a vehicle owner? *: Yes
Do you smoke? *: NoAre you able to undertake training? *: Yes
What days/nights are you able to work, or prefer to work? *: Im flexible.
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.:
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?: Rhondda cynon Taff.
How many hours of work can you offer per week?: 16
Please 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/Saturday AM/Sunday AM/
Further Information: