Personal Assistant Application Form Submission

Title (required): Mr.Town (required): CardiffCounty (required): CardiffPostcode (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): 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): Tesco superstore assistantWhat qualities do you think are important when working as a personal assistant with a disabled person? (required): Caring, patient and supportiveHow do you think you can contribute towards the needs and the independence of a disabled person? (required): Showing him careWhat is it about PA work which appeals to you? (required): Helping people live there normal livesWhat are your hobbies/interests?: Reading and footballWould you consider a casual position if you are unsuccessful with this job? (required): YesDo you speak any other languages? (required): NoDo you drive? (required): YesAre 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): All daysAre there any circumstances which would prevent you from providing cover or swapping a shift? (required): YesIf you would like to expand on the answers given above? Please use the box below.: Thursday night I will love to be at homeIs 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?: WalesHow many hours of work can you offer per week? (required): 20Please 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/Friday AM/Friday PM/Friday Overnight/Saturday PM/Saturday Overnight/Sunday AM/Further Information: