Title (required): Miss.

Town (required): Porth

County (required): Rct

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 a care worker for rct and have a wide variety of experience What qualities do you think are important when working as a personal assistant with a disabled person? (required): I have worked in care for numerous years and love my job I enjoy helping people and always up for a challenge How do you think you can contribute towards the needs and the independence of a disabled person? (required): I have a good knowledge and experience of working in the care sector What is it about PA work which appeals to you? (required): I love helping people and am a very outgoing person What are your hobbies/interests?: Shopping cinema food 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): Various Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): Yes If you would like to expand on the answers given above? Please use the box below.: I work on a 3 week rota 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?: Tonyrefail porth tonypandy How many hours of work can you offer per week?: 16 Please indicate the approximate times that you are available for work throughout the week.: Further Information: