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Personal Assistant Application Form Submission

Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2:
Town *: cardiff
County *: 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. *: Ive looked after my elderly grandmother in her last few year ,which involved her complete care. cooking and feeding her ,bathing and all personal care, ,taking her out ,making sure her medical needs and appointments were maintained,and anything else that was involved in the day to day happiness and well being of my grandmother .

What qualities do you think are important when working as a personal assistant with a disabled person? *: To being kind caring & compassionate ,also be very patient and understanding ,to be honest and trust worthy, reliable and flexible .I worked with social services looking after challenged behaved children for 17 years ,so I feel I have all the right qualitys to look after a disabled person or a person in need of care and excel in my role a a carer .

How do you think you can contribute towards the needs and the independence of a disabled person? *: I believe I can offer a totally flexible approach ,Im extremely kind & caring and the happiness and well being of the client is paramount, I will go above and beyond to make sure the client is totally happy ,feels safe and feels all level of care is met and more.

What is it about PA work which appeals to you? *: I think its a very rewarding job and I feel I have a lot to offer as a carer, I like the idea of helping someone who need you and being able to make a difference in there lives.

What are your hobbies/interests?: I enjoy the cinema ,reading ,and walking my 2 dogs .

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? *: I can be quite flexible to what i work ,but at the moment days are my prefrence ,but will change in the future

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)? *:

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?: lakeside ,cyncoed ,pentwyn,llanedery,roath ,Cathays ,llanishen ,heath, and surrounding areas.

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

Further Information: At the moment I am only available for day times but in the future this could possible change