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Personal Assistant Application Form Submission


Title *: Miss.

First Name *:

Last Name *:

Address 1 *:

Address 2:

Town *: Cardiff

County *: South Glamorgan

Postcode *:

Phone number *:

Please enter your email address for submission confirmation. *:

Reference number of job being applied for *:

Give details of your previous employment or experience which you think would help you to do this job. *: I have GCSE qualifications Currently completing my level 2 award in health and social care.

What qualities do you think are important when working as a personal assistant with a disabled person? *: I believe that being encouraging and supportive to the person and understanding of how they live day to day lives, also to be responsible and respecting of the person and also keeping it at a professional level. I believe that having good communication skills and a flexible approach would also benefit the person and also giving yourself a better look on working with people But most of all having a genuine care for the person and also having a genuine concern for others is another vital part of working as a personal assistant.

How do you think you can contribute towards the needs and the independence of a disabled person? *: To support the person and not control what the person does. Also to Establish a connection with the person always knowing that you are there to help them and guide them to becoming an independent person. Also not to judge them but become a happy attitude towards being with the person and lead the way with positivity but most of all respect the person and their needs.

What is it about PA work which appeals to you? *: I have always wanted to get into the care sector. I have a passion for helping others and would love to gain experience and be able to meet new people and build relationships with others.

What are your hobbies/interests?: I love the outdoors and also spending time with friends and family.

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

Do you drive? *: No

Are you a vehicle owner? *: No

Do you smoke? *: No

Are you able to undertake training? *: Yes

What days/nights are you able to work, or prefer to work? *: 4

Are there any circumstances which would prevent you from providing cover or swapping a shift? *: No

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? *: No

Please provide details if necessary:

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

How many hours of work can you offer per week?: 16

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/