501RCT Personal Assistant Application Form Submission Title (required): Mr.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): Currently I work as a PA with Dewis C.I.L clients. I assist them to access the community, provide their families with some respite and undertake any personal care when required. Before this I works as a home care support worker for many years, my tasks during this time would include personal care, day and nights sittings, companionship, assisting with shopping and accessing the community, meal preperation and medical appointments.What qualities do you think are important when working as a personal assistant with a disabled person? (required): I believe being patient, understanding and having a positive attitude are all important qualities when supporting a disabled person.How do you think you can contribute towards the needs and the independence of a disabled person? (required): I can contribute by promoting someones independence while also being supportive when required.What is it about PA work which appeals to you? (required): I enjoy the one-to-one nature of the job.What are your hobbies/interests?: I enjoy watching movies, listening to music, shopping and going to cafes and resteraunts.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): NoWhat days/nights are you able to work, or prefer to work? (required): All days and nights.Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): NoIf you would like to expand on the answers given above? Please use the box below.: I have experience working with a wide variety of disabilities including guillain–barré syndrome.Do you have portable DBS (which has been paid for and renewed for the current year)? (required): Yes/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?: RCT VALE BRIDGEND CARDIFF MERTHYRHow many hours of work can you offer per week? (required): 30Please 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/Friday Overnight/Saturday AM/Saturday PM/Saturday Overnight/Sunday AM/Sunday PM /Sunday Overnight/Further Information: I believe I am the right person for this role as I have the relevant experience required.