Personal Assistant Application Form Submission

Title (required): Miss.Town (required): tylorstownCounty (required): rhonddaI 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): PA prior, experience in care sector.What qualities do you think are important when working as a personal assistant with a disabled person? (required): Understanding person centred care & values.How do you think you can contribute towards the needs and the independence of a disabled person? (required): I have cared for my grandfather for many years, who suffered with MS and had little mobility. I have patient and very understand independence of a person maintains their dignity.What is it about PA work which appeals to you? (required): You’re still allowing independence for the individual.What are your hobbies/interests?: Reading, sewing, walks, talking.Would you consider a casual position if you are unsuccessful with this job? (required): YesDo you drive? (required): NoAre you a vehicle owner?  (required): NoDo you smoke? (required): NoAre you able to undertake training? (required): YesWhat days/nights are you able to work, or prefer to work?  (required): As and when neededAre 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.: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): Yes/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?: RhonddaHow many hours of work can you offer per week?: 16-30Please 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: