453RCT Personal Assistant Application Form Submission 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): Health & social care nvq level 2 Sociology a level grade c Textiles a level grade b Mathematics gcse grade b English gcse grade c Science x3 grade c Geography gcse grade b Child development grade cWhat qualities do you think are important when working as a personal assistant with a disabled person? (required): To be reliable and trustworthy. To be patient and understanding with good communication skills.How do you think you can contribute towards the needs and the independence of a disabled person? (required): I am easy to get along with and reliable and hard working. I feel I am a caring and considerate person who enjoys helping people. What is it about PA work which appeals to you? (required): I have previously worked as a PA and thoroughly enjoyed the job but had to leave due to the birth of my second child. I enjoy helping others and doing my best to enable someone to have a better day. What are your hobbies/interests?: I enjoy socialising with friends and going to the gym. Would you consider a casual position if you are unsuccessful with this job? (required): YesDo you speak any other languages? (required): NoDo 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): Weekdays, school hours and possible weekend 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.: Subject to childcareDo you have portable DBS (which has been paid for and renewed for the current year)? (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): 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?: Rhondda cynon tafHow many hours of work can you offer per week? (required): 25 Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Monday Overnight/Tuesday AM/Tuesday Overnight/Wednesday AM/Wednesday Overnight/Thursday AM/Thursday Overnight/Friday AM/Friday Overnight/Further Information: