Personal Assistant Application Form Submission


Title (required): Miss.
First Name (required):
Last Name (required):
Address 1 (required):
Address 2:
Town (required):
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 am currently employed by Dewi’s Cil, previously to becoming a personal assistant I worked for 3 care company’s. Care cymru as a Domiciliary carer travelling to services users houses administering medication and personal care, total care services as a agency worker travelling to different nursing homes looking after the clients and lastly Abacare where I was a Domicillary carer travelling to the clients houses administering medication and personal care.
What qualities do you think are important when working as a personal assistant with a disabled person? (required): When working as a personal assistant it is important to understand the clients needs therefore it gives the Personal assistant a better understanding of how to look after the client. Caring, respecting and valuing them. I have good active listening skills, I am a flexible resilient person that is very organised. I am a confident person and would like to feel that I could bring the confidence out in someone such as motivating the client to become more confident in their hobbies or interests.
How do you think you can contribute towards the needs and the independence of a disabled person? (required): I can contribute towards the needs and independence of a disabled person by, having good active listening skills, I can sit down and chat about the persons needs making them feel that they can build up a form of trust with me, offering solutions and activities to make the client feel confident in themselves.
What is it about PA work which appeals to you? (required): I like helping people and bringing out their confidence in them.
What are your hobbies/interests?: I like to spend time with my family.
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): Monday,Tuesday, Thursday, Friday, Saturday, Sunday
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?: Pontypridd
How many hours of work can you offer per week?: -
Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Monday PM/Tuesday AM/Tuesday PM/Wednesday AM/Thursday AM/Thursday PM/Friday AM/Friday PM/Saturday AM/Saturday PM/Sunday AM/Sunday PM /
Further Information: