Personal Assistant Application Form Submission Title (required): Mrs. 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): I currently work in a dementia care home and help people with their day to day tasks, personal care. What qualities do you think are important when working as a personal assistant with a disabled person? (required): I think when you are working with people you should always show respect, to be patient and understanding, have empathy, be reliable and always supporting also being a good listener. Meeting that person needs & supporting them with everyday tasks. Being a confident person and showing them kindness. How do you think you can contribute towards the needs and the independence of a disabled person? (required): I can help with doing day to day tasks, building friendships with them. making sure they are safe at all times. Im an easy person to get along with always happy, smiling and laughing. What is it about PA work which appeals to you? (required): I love spending time with people and getting to know people, I love to be able to help people in everyday tasks its a very rewarding job and knowing Im making a difference in someones life makes me happy that I can help them. What are your hobbies/interests?: I love listening to music, enjoy dancing, going to bingo. I have 4 children and we love going out on days out, I enjoy walking. I love a hot chocolate. I enjoy watching Netflix in the evenings with my husband. Would you consider a casual position if you are unsuccessful with this job? (required): Yes Do you speak any other languages? (required): Welsh 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): Anyday apart from Mondays Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): Yes If you would like to expand on the answers given above? Please use the box below.: My husband sometimes works on weekends Do you have portable DBS (which has been paid for and renewed for the current year)? (required): Yes/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 have a current DBS from my current job not sure if thats any good if not happy to have another one 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?: RCT - Gilfach Goch, Tonyrefail Coedely Porth Tonypandy How many hours of work can you offer per week? (required): 35 Please indicate the approximate times that you are available for work throughout the week.: 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: