45pRCT Personal Assistant Application Form Submission Title (required): Mrs.Town (required): Llantwit MajorCounty (required): South GlamorganI 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): GCE Maths, English, History, Music A level Music BA Music Music teacher Bank Cashier Bookkeeper Administrator Carer for lady in her 90s in her home with household duties. Carer for person in duties for pet.What qualities do you think are important when working as a personal assistant with a disabled person? (required): Empathy, gentleness, kindness, integrity, trustworthiness, reliability, friendliness, strength, knowledge.How do you think you can contribute towards the needs and the independence of a disabled person? (required): In enabling them to remain independent, confident, retaining their self respect. By helping without taking over, always remembering this is their life and their home.What is it about PA work which appeals to you? (required): I love to help people and to get to know the person over a period of time.What are your hobbies/interests?: Craft (particularly crochet), cooking, gardens, walking, dogs and cats, music, church, puzzles.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): Sunday, Monday, Tuesday daytime onlyAre 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 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?: Llantwit Major and radius of 5 miles.How many hours of work can you offer per week? (required): 8Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Tuesday AM/Tuesday PM/Sunday AM/Sunday PM /Further Information: