013VOG Title (required): Miss Town (required): Cardiff 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 am currently a pa for a lady with dementia within Cardiff. I have experience of taking vulnerable people out in the community. As well as the promotion of independence. I am enthusiastic, caring, and follow directions well. What qualities do you think are important when working as a personal assistant with a disabled person? (required): Caring, enthusiasm, empathy, and a supporting nature How do you think you can contribute towards the needs and the independence of a disabled person? (required): I take my role as a personal assistant seriously I can support a number of different individual with varying needs. What is it about PA work which appeals to you? (required): The set hours and working on a one to one basis What are your hobbies/interests? (required): Listening to music, traveling, going on fun days out Would you consider a casual position if you are unsuccessful with this job? (required): YesDo you speak any other languages? if so what do you speak? (required): None Do you drive? (required): YesAre you a vehicle owner? (required): YesDo you smoke? (required): NoAre you able to undertake training? (required): YesWhat days/nights are you able to work, or prefer to work? (required): I am unable to do Sundays Are 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.: Do you have portable DBS (which has been paid for and renewed for the current year)? (required): Yes/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?: Cardiff, vale of Glamorgan, Bridgend 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/ Manage Cookie Preferences