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): Worked for the NHS as a health care assistant. Lots of experience with the more mature people and the equipment. What qualities do you think are important when working as a personal assistant with a disabled person? (required): Patience, understanding, empathetic, good listener, non judgmental or patronising How do you think you can contribute towards the needs and the independence of a disabled person? (required): Im loyal, easy to get along with, Im patient and empathetic. I also take pride and joy looking after people. Disabled or not I always work the best to my ability What is it about PA work which appeals to you? (required): New experience, new skills, also a chance to have 1 on 1 quality time to care and look after someone without rushing or being under pressure. What are your hobbies/interests?: Walking the dog, looking after my chickens and garden, outdoors, music, camping, meeting new people and experiences Would you consider a casual position if you are unsuccessful with this job? (required): Yes Do you speak any other languages? (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): What ever fits Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): No If you would like to expand on the answers given above? Please use the box below.: Looking at the hours, I can fit my children around them In what capacity do you know this person (should not be a family member)? (required): Community Do 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): 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?: Rhondda, cynon valley How many hours of work can you offer per week? (required): 16 Please 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/Thursday AM/Thursday PM/Friday AM/Friday PM/Saturday AM/Saturday PM/Sunday AM/Sunday PM /Sunday Overnight/ Further Information: