435RCT Personal Assistant Application Form Submission Title (required): Mrs.Town (required): Merthyr tydfilCounty (required): Mid Glamorgan 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): YesPlease 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 currently work as a p.an and have done for the last 7 years, I work with a lady with down syndrome. My duty of work is personal cere and to take her on days out. I also do sleepovers.What qualities do you think are important when working as a personal assistant with a disabled person? (required): I have a qualification in access to nursing, autism awareness diploma. I’ve got life skills of working in the cere industry. I’m both work and personal life.How do you think you can contribute towards the needs and the independence of a disabled person? (required): I’m an enthusiast energetic person with lots of patients and energy. I enjoy days out keeping busy and love being in a job roll of supporting an adult in having an independent life.What is it about PA work which appeals to you? (required): I love the freedom the roll gives you. I love being able to help a young adult have a totally independent life. I love the energy I can bring to someone’s life.What are your hobbies/interests?: My hobbies and interests are going to the gym, days out with my children. I enjoy sports watching them and taking part. I like days out with my partner, beach days and love cooking.Would you consider a casual position if you are unsuccessful with this job? (required): YesDo you drive? (required): YesAre you a vehicle owner? (required): YesDo you smoke? (required): NoAre you able to undertake training? (required): YesWhat days/nights are you able to work, or prefer to work? (required): I would need to discuss the hours and times. I currently work every other weekend (48 hours) and also work ever other Monday and Wednesday school hours. But hours can be discussed.Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): YesIf you would like to expand on the answers given above? Please use the box below.: As I have written above.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): YesI consent to the above (required): YesI agree that the information I provide will be posted to the Dewis CIL PA noticeboard (all personal information will be withheld).: YesWhat geographical area’s are you able to cover?: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/Tuesday AM/Tuesday PM/Thursday AM/Friday AM/Further Information: My current rota are on a 2 week basis so would need to discuss rotas and hours.