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Personal Assistant Application Form Submission

Title (required): Mr.

Town (required): Mountain Ash
County (required): Rhondda Cynon Taff

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 have been working as a Personal Assistant with Dewis C.I.L for a variety of people for the last 6 years. Prior to this I have multiple years experience working as a home care assistant working with people with both mental and physical disabilities.

What qualities do you think are important when working as a personal assistant with a disabled person? (required): To respect the persons needs, wishes and confidentiality. To be patient, reliable and understanding.

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I can contribute by promoting the needs and independence whilst also being supportive.

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 all leisure activities, going to cafes for a coffee and going for a drive.

Would you consider a casual position if you are unsuccessful with this job? (required): Yes

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): All days and nights.

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.: I have experience from my previous employment working with people with learning difficulties and can recognise signs and signals when a person requires support.

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: N/A

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?: Cardiff Vale Merthyr Bridgend R.C.T

How many hours of work can you offer per week?: 30

Please 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: In addition to my relevant experience I am a friendly, easy going person who is punctual and professional.