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 have Experience with working with individuals with learning disabilities and other complex needs, supporting with finances and supporting out in the community and promoting independence as much as possible. Maintaining confidently and working in a person centred approach. Experience in Supporting individuals with appointments, holidays, and social activities and liaising with familys and other professionals. Administration the correct medication at the correct times and reordering meds, carrying out Domestic duties.
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Promoting independence, having patience, being friendly and understanding about the disability on how it affects the individual. Ensuring safety at all times. Working in a person centred way at all times, being trustworthy and friendly.
How do you think you can contribute towards the needs and the independence of a disabled person? (required): I feel i can support the individual and promote and support them to be as independent as much as possible.
What is it about PA work which appeals to you? (required): I enjoy supporting individuals to promote independence to live a fulfilling life as much as possible.
What are your hobbies/interests?: I enjoy socialising driving, meeting new people going on holidays and helping others as much as possible.
Would you consider a casual position if you are unsuccessful with this job? (required): Yes
Do you speak any other languages? (required): No
Do you drive? (required): Yes
Are you a vehicle owner?  (required): Yes
Do you smoke? (required): Yes
Are you able to undertake training? (required): Yes
What days/nights are you able to work, or prefer to work?  (required): Anything
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?:
How many hours of work can you offer per week? (required): All hours available
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/
Further Information: