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Personal Assistant Application Form Submission

Title (required): Mr.

Town (required): Bridgend

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 give music lessons to a student with learning difficulties and we get on very well - she always says she misses me if we have to skip a week of lessons. Im also very physically fit, having worked as a gardener for many years, and have good spatial awareness allowing me to assist others with ease. Ive also worked in a range of retail and hospitality jobs, giving me a range of transferrable skills, and I have consistently had positive feedback about my amiability and work ethic.

What qualities do you think are important when working as a personal assistant with a disabled person? (required): Understanding and being respectful of what someone is comfortable with. The ability to communicate clearly without being patronising. Knowing that each persons needs are different and may fluctuate, and being prepared to work with this in an empowering way.

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I am a practical problem solver with the ability to anticipate the needs of others. I also understand the importance of people receiving support on their own terms, rather than behaving as if I know best.

What is it about PA work which appeals to you? (required): I have a strong belief in the importance of autonomy, and so being employed directly by the person I am assisting strikes me as a respectful and empowering arrangement. I also understand the many ways that the world we live in is not built to accommodate everyone. Addressing this is something about which I am very passionate.

What are your hobbies/interests?: I am a multi-instrumentalist and love to play music and sing songs. I enjoy playing boardgames, especially co-op games and RPGs - Ive been playing Dungeons & Dragons for over 15 years. I also have a passion for nature and have spent the last two years studying Environmental Conservation.

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

Do you speak any other languages? (required): A small amount of Welsh

Do you drive? (required): No
Are you a vehicle owner?  (required): No
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): I am available all week

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.:

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?: Cardiff and Bridgend

How many hours of work can you offer per week? (required): up to 25

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/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/