Personal Assistant Application Form Submission


Title (required): Mrs.
First Name (required):
Last Name (required):
Address 1 (required):
Address 2:
Town (required): Talbot Green
County (required): R.C.T
Postcode (required):
Phone number (required):
Please enter your email address for submission confirmation. (required):
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 9 years of extensive experience with children who have disabilities and additional needs.
What qualities do you think are important when working as a personal assistant with a disabled person? (required): To work with a person who has any type of disability you have to have trust. I believe and know I am a trustworthy person and I always strive to build trust with the other person and make them feel comfortable with me helping them in anyway I can. Having patients and going at the other persons speed is important in helping them to feel calm and relaxed.
How do you think you can contribute towards the needs and the independence of a disabled person? (required): I can help them to carry out any day to day needs requirements and help them to feel at ease with any tasks they may have.
What is it about PA work which appeals to you? (required): I love to help people. To know that I am making a difference in someone else’s life, to be able to assist someone else to accomplish something I what I highly enjoy doing with my life.
What are your hobbies/interests?: I enjoy spending quality time with my children, going on family adventures. I go on daily hikes and walks. I love to cook, I find it very therapeutic.
Would you consider a casual position if you are unsuccessful with this job? (required): Yes
Do you drive? (required): Yes
Are you a vehicle owner?  (required): Yes
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): I am able to work any days
Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): No
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?: 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/Saturday PM/Sunday AM/Sunday PM /
Further Information: I have been a full time carer to my disabled son for the past 9 years.