Personal Assistant Application Form Submission Title (required): Mr. First Name (required): Last Name (required): Address 1 (required): Address 2: Town (required): County (required): PONTYPRIDD 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 years and 7 months of Support working experience, I have worked children special needs school. young people hostel mental health hospital I have worked children with different disabilities at home and take them to school or different appointments. I have fist aid, health and safety, physical intervention and safeguarding children and adults training. I believe all the above trainings and experiences are relevant to this position. What qualities do you think are important when working as a personal assistant with a disabled person? (required): - Patience - understanding/compassionate - skills and training/knowledge/experience (health & safety), conflict management, problem solving. prevention/interference How do you think you can contribute towards the needs and the independence of a disabled person? (required): -I can assist him with his daily activities thus to be more independent person. What is it about PA work which appeals to you? (required): I used to work for children with ASD & ADHD some with further disability. and when you help them to manage their routine activities and overcome their challenges i.e get them to new destination or do new activities, walk with them, take them on bus ride etc you integrate them with the community or you teach them new skills step by step so it gives me great satisfaction knowing I have helped some one each day, having positive impact on their life. What are your hobbies/interests?: - Help people - Sports (Football) - Aviation Would you consider a casual position if you are unsuccessful with this job? (required): Yes Do you drive? (required): No Are you a vehicle owner? (required): No 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): weekend days/nights term time, or 7 days/nights during summer holidays. 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 What geographical area’s are you able to cover?: Pontypridd and its surrounding areas. How many hours of work can you offer per week?: 37 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/Friday AM/Friday Overnight/Saturday Overnight/Sunday AM/Sunday PM /Sunday Overnight/ Further Information: