Personal Assistant Application Form Submission


Title (required): Mrs
First Name (required):
Last Name (required):
Address 1 (required):
Address 2: Church Village
Town (required): Pontypridd
County (required):
Postcode (required):
Phone number (required):
Please enter your email address for submission confirmation. (required):
Reference number of job being applied for (required):
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): Certificate in nursing adult. NVQ Level 2 in Healthcare. First and national diploma in catering. City and Guilds in catering. Food Hygiene, Level 2 For food handlers my previous employment - Café assistant in childrens play Centre.
What qualities do you think are important when working as a personal assistant with a disabled person? (required): To be trustworthy, Honest, Patience, Approachable and understanding. Also to be flexible, Promote independence while maintaining safety at all times. Positive friendly attitude. Respectful, Considerate and to always maintain safety, Dignity and confidentiality.
How do you think you can contribute towards the needs and the independence of a disabled person? (required): I believe i have a caring and empathetic nature. During my nursing career always ensuring the care given is appropriate and to the same standard as if it was my own family. Since 1992-2006 i have worked as a qualified nurse and as a auxiliary nurse in various care settings - Adult, Care of elderly.
What is it about PA work which appeals to you? (required): To be part of a rewarding, Fulfilling opportunity, To help clients maintain independence and improve their quality of life. Feeling that i have made a difference.
What are your hobbies/interests?: I have 2 dogs. Son of 14 years. I enjoy plants & gardening, Enjoy the outdoors and gardening. I also enjoy reading books.
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): I am flexible, Could make arrangements around my son.
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.:
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?: Church Village, 5 mile radius, But would consider other areas if asked
How many hours of work can you offer per week?: 20-24 possible more, More than willing to help in future to cover.
Please indicate the approximate times that you are available for work throughout the week.:
Further Information: