539RCT Personal Assistant Application Form Submission 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): YesPlease 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 worked in Retail, I’m very caring, kind and trustworthy, I always looked out and helped my customers if needed. What qualities do you think are important when working as a personal assistant with a disabled person? (required): Calm, kind and caring How do you think you can contribute towards the needs and the independence of a disabled person? (required): I love caring for people, I can help them with whatever they need.What is it about PA work which appeals to you? (required): I just really love caring for people, I’ve always looked at carers when I was younger and they have always inspired me to become one. What are your hobbies/interests?: I like going out and about with people, I like having a laugh and a chat.Would you consider a casual position if you are unsuccessful with this job? (required): YesDo you speak any other languages? (required): Only English Do you drive? (required): NoAre you a vehicle owner? (required): NoDo you smoke? (required): NoAre you able to undertake training? (required): YesWhat days/nights are you able to work, or prefer to work? (required): Any ShiftsAre there any circumstances which would prevent you from providing cover or swapping a shift? (required): NoIf you would like to expand on the answers given above? Please use the box below.: I’m currently doing driving lessonsDo 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): YesI consent to the above (required): YesI agree that the information I provide will be posted to the Dewis CIL PA noticeboard (all personal information will be withheld).: YesWhat geographical area’s are you able to cover?: Ton Pentre, Ystrad Rhondda, Llwynypia, Tonypandy, Treorchy, Ynyswen, Treherbert.How many hours of work can you offer per week? (required): 30Please 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: