Title (required): Mrs. Town (required): Tonyrefail County (required): R.C.T 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 an NVQ level 2 in care and many years experience supporting people with various disabilities with personal care and medication, daily tasks and activities and out in the community. What qualities do you think are important when working as a personal assistant with a disabled person? (required): Reliable, patient, friendly and caring attitude, confident with the ability to use own initiative, punctual, respectful and non judgmental. How do you think you can contribute towards the needs and the independence of a disabled person? (required): By providing practical and emotional support and encouragement to reach their personal goals. What is it about PA work which appeals to you? (required): I feel PA work would be a very rewarding and fulfilling role as I enjoy making a difference to peoples lives. What are your hobbies/interests?: I enjoy walking and yoga, visiting new places, being creative, watching TV, charity shopping, cooking and eating out. Would you consider a casual position if you are unsuccessful with this job? (required): No 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): Any days/evenings but no overnight shifts Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): No 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 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.: 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: Im on the DBS update service