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Personal Assistant Application Form Submission

Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: Cardiff
County *: UK
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 had been working as an administrative assistant in a hospital (steplite lifestyle clinic)in india. Deals with employees as well as the patients. The staffs are very less so i had involved in assisting job too. assistance to nurses, health care professionals. Making beds, washing patients, serving meals, and helping with patient movement.

What qualities do you think are important when working as a personal assistant with a disabled person? *: Committed to health & safety. Able to do housework and cooking. Well-organized and reliable. Excellent communication and people skills. Positive and compassionate attitude. Strong ethics. Physical stamina.

How do you think you can contribute towards the needs and the independence of a disabled person? *: I think i am fit for this job. I already have an experience in health care sector which would helps me to do this job.

What is it about PA work which appeals to you? *: Care work may be massively fulfilling and rewarding, but it can also be very challenging at times. I love challenges in life. I am very friendly, flexible, reliable and empathic. Moreover i am confident about my skills.

What are your hobbies/interests?: I love to cook, Interact with people and helping others.

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

Do you drive? *: Yes

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? *: Saturday, sunday and mondy whole day, Tuesday wednesday friday nights i am available

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.: If there any situation they needs my assistants i will be ready to work. I wont tell any excuses.

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? *: Yes/

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?:

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/Monday PM/Monday Overnight/Tuesday PM/Tuesday Overnight/Wednesday Overnight/Thursday PM/Thursday Overnight/Friday Overnight/Saturday AM/Saturday PM/Saturday Overnight/Sunday AM/Sunday PM /Sunday Overnight/

Further Information: