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Personal Assistant Application Form Submission

Title *: Ms.
First Name *:
Last Name *:
Address 1 *:
Address 2: 2.
Town *: cardiff
County *:
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 was working in Residential care home

What qualities do you think are important when working as a personal assistant with a disabled person? *: Getting to know cliets.their interests and there needs.Helping clients with daily personal care as washing.dressing.using the toilet and feeding themselves.

How do you think you can contribute towards the needs and the independence of a disabled person? *: Helping to organise leisure activities

What is it about PA work which appeals to you? *: Assisting clients with there personal care tasks. Performing ligth housekeeping

What are your hobbies/interests?: My is Cooking and walking in the Park. My interests is looking after elderly people to love them like your parents to me

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? *: No

What days/nights are you able to work, or prefer to work? *: anytime

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.: if i work days i rather like stay with person long day.

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. *: No

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?: Penylan road. Roath

How many hours of work can you offer per week?: 30 to 35 hours a week

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