CDF139 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: Town *: CardiffCounty *: South glamorganPostcode *: 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 experience of domicillary care work for 13 years. I am now a support worker part time What qualities do you think are important when working as a personal assistant with a disabled person? *: To be calm & patient & organised How do you think you can contribute towards the needs and the independence of a disabled person? *: By assisting their needs What is it about PA work which appeals to you? *: I enjoy spending time with people & assisting them in their needs What are your hobbies/interests?: Playing bingo, spending time with family 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? *: Evenings 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.: I already work for 3 service users 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?: How many hours of work can you offer per week?: Please indicate the approximate times that you are available for work throughout the