Personal Assistant Application Form Submission


Title (required): Mrs.
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): 
Reference number of job being applied for (required): DP1711
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 a 9 year old son who also has aspergers, so I feel I have a good understanding of those with ASD. My previous employment is varied, including being a self employed complementary therapist, hotel worker and care assistant. All of these roles have given me the opportunity to work with a variety of people with different needs.
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Being compassionate, respectful, trustworthy, approachable and dependable.
How do you think you can contribute towards the needs and the independence of a disabled person? (required): Being able to help that person live a fulfilled life as possible by assisting them with their everyday needs. Being somebody that they can talk to about any issues they may have.
What is it about PA work which appeals to you? (required): Being able to help a disabled person and their families live a fulfilled and independent life as possible.
What are your hobbies/interests?: Reading crime/thriller books, painting with acrylics, going swimming with my son, taking my dog for walks, playing with the family tortoise.
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-Friday preferably. Occasional weekend work considered
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): Yes/
Please provide details if necessary: 2 prior motoring convictions from over 11 years ago.
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 area
How many hours of work can you offer per week?: 10
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/Thursday Overnight/Friday AM/Friday PM/
Further Information: