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Personal Assistant Application Form Submission

Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2: Ely
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 worked in the social care industry for around 10 years, I am an experienced care worker having working in both the community and a care/nursing home. I have completed my QCF level 2 in health and social care and recently registered this with social care sales. My most recent employment was with dolphin care agency where I have worked for a number of years. We provide a high level of care and support to a wide range of individual who choose to remain in their own homes . Our duties can include personal care, prompting medication , light meal prep and social calls.

What qualities do you think are important when working as a personal assistant with a disabled person? *: I believe continuity, reliability, empathy , integrity and of course a genuine caring nature are just a small number from a long list of qualities any one person should have who chooses to have a career in the care sector.

How do you think you can contribute towards the needs and the independence of a disabled person? *: I have all of the above qualities aswell as years of experience in care, which include looking after and supporting a wide range of individual who are all unique and who all have their own person cantered care plan, as of course no two people are the same .

What is it about PA work which appeals to you? *: Im interested in this post as I would like to challenge myself , push myself further and offer myself to the right individual who I can have continuity with and build a fantastic rapport. Sadly with a high number of clients in the community us carers dont always have the opportunity to do this with one individual . I believe continuity is a key part in providing excellent care as both the client and carer need to build a relationship in order to give and receive a high level of care.

What are your hobbies/interests?: I am a mum if two beautiful boys and when not working I enjoy spending as much time with them as I can, we enjoy the movies, reading and walking .
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? *: Im reasonably flexible

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.: Being a mum if two I can always guarantee I would be available at all time to do the above but I strive to offer as much as I can to any role I am working.

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)? *:

Is there is any such information you wish to disclose, relating to any cautions or convictions which will appear on your mandatory DBS check? *: 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?: 20

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