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Personal Assistant Application Form Submission


Title *: Mr.
First Name *:
Last Name *:
Address 1 *:
Address 2: Ely
Town *: Cardiff
County *: S Glam
Postcode *:
Phone number *:
Please enter your email address for submission confirmation. *:
Reference number of job being applied for *: vog624


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. *: 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. *: gcse in maths, English and Welsh btec 1st diploma business and finance level 2 nvq health and social


What qualities do you think are important when working as a personal assistant with a disabled person? *: to be very patient and understanding of the clients needs and to make them feel comfortable


How do you think you can contribute towards the needs and the independence of a disabled person? *: Through my experience of working with people with disabilities I have adopted a very patient and caring attitude and will always look to that little bit extra needed


What is it about PA work which appeals to you? *: I have been doing pa work for the last 2 years alongside care work and thoroughly enjoy making a difference to people lives


What are your hobbies/interests?: I love football and run a karate club, i like to watch action filme especially prison and war filme


Would you consider a casual position if you are unsuccessful with this job? *: Yes


Do you drive? *: Yes


Are you a vehicle owner? *: Yes


Do you smoke? *: No


Are you able to undertake training? *: Yes


What days/nights are you able to work, or prefer to work? *: early morning and weekends


Are there any circumstances which would prevent you from providing cover or swapping a shift? *: Yes


If you would like to expand on the answers given above? Please use the box below.: I work in a special needs school in the day time and run my karate club in the evenings


Name *:
Job Title *:
Address *:
Phone Number *:
In what capacity do you know this person (should not be a family member)? *:
Name *:
Job Title *:
Address *:
Phone Number *:
In what capacity do you know this person (should not be a family member)? *:


If there is any such information you wish to provide? *: Yes


I agree that there is nothing which would prevent me from doing this job. *: Yes


I consent to the above *: 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?: Cardiff and vog


How many hours of work can you offer per week?:


Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Tuesday AM/Wednesday AM/Thursday AM/Friday AM/Saturday PM/Sunday PM /


Further Information: I am currently working for Dewis for the last 2 years