To request further information or to arrange an interview please Click here

Personal Assistant Application Form Submission

Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2: Danescourt
Town *: Cardiff
County *: South Glamorgan
Postcode *:
Phone number *:
Please enter your email address for submission confirmation. *:
Reference number of job being applied for *:

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. *: I have me sen level 3 special needs First aid Health and safety

What qualities do you think are important when working as a personal assistant with a disabled person? *: I have looked after children for 14 years with special needs, Down syndrome, ADHD. I feel I am caring understanding and listen very careful to children needs

How do you think you can contribute towards the needs and the independence of a disabled person? *: I feel I could contribute towards their needs, as I’m understanding and always put children first to make sure they are properly cared for,

What is it about PA work which appeals to you? *: I would really like to look after children on a one to one basis and care for their needs

What are your hobbies/interests?: Running, reading going out with 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? *: Any

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

If you would like to expand on the answers given above? Please use the box below.:

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?: Radyr Fairwater Danescourt/ Llandaff/ pentwyn

How many hours of work can you offer per week?: 40 hours
Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Monday PM/Tuesday AM/Tuesday PM/Tuesday Overnight/Wednesday AM/Wednesday PM/Thursday AM/Thursday PM/Friday AM/Friday PM/Saturday AM/Sunday AM/