Personal Assistant Application Form Submission


Title (required): Mrs.
First Name (required):
Last Name (required):
Address 1 (required):
Address 2:
Town (required): Porth
County (required):
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 cared for my elderly nan for 2 years supported her with all her needs from personal care to cleaning,shopping, whilst trying to support her independence along the way.
What qualities do you think are important when working as a personal assistant with a disabled person? (required): You need lots of patience, good communication skills, empathy, team player, also confidentiality is paramount in this job.
How do you think you can contribute towards the needs and the independence of a disabled person? (required): I will assist in every way needed, from personal care to socialising, helping with all finances if needed, also being a friendly person to understand all their needs and keep the client as independent as possible.
What is it about PA work which appeals to you? (required): I love supporting people and helping others achieve their goals.
What are your hobbies/interests?: Im a shopaholic and like to meet up with friends and family for meals.
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): Available at anytime
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.: I would be a great asset to yourselves if given the chance, I’m reliable, sociable, trustworthy and got excellent time keeping.
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?: 12 miles from my home address
How many hours of work can you offer per week?: 30
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: