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Reference #
Status Complete
Title Miss
First Name 
Last Name 
Address 1
Address 2 Cardiff
Town Cardiff
County South Glamorgan
Post Code
Phone
Email Address
Job reference number
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 with diverse cymru back in 2014 i was a PA for a disabled lady i have also cared for my mum who is disabled with alot od health problems and looked after my nan with terminal cancer i currently work in a high school but would like to get back into the care line of work
What qualities do you think are important when working as a personal assistant with a disabled person? You need to be kind patient have a caring nature about yourself and cater to the persons needs be punctual and always put them first
How do you think you can contribute towards the needs and the independence of a disabled person? Im a kind caring young lady with experience with the elderly and disabled will always do my upmost to cater to their needs punctual hard working
What is it about PA work which appeals to you? Caring is the best line of work to me weather it be adults or children i like to make others happy and smile and give them the best of my ability i would be happy to know that at the end of the day i have made that person smile and feel at ease with what duties they needed done
What are your hobbies/interests? I love music and a spot of gardening shopping
Would you consider a casual position if you are unsuccessful with this job? Yes
Do you drive? No
Are you a vehicle owner? No
Do you smoke? Yes
Are you able to undertake training? Yes
What days/nights are you able to work, or prefer to work? I would prefer to work days as i have a daughter
Are there any circumstances which would prevent you from providing cover or swapping a shift? No
Would you like to expand on the answers given above? Please use the box below. Just consideration that i have a daughter but nothing else would get in the way of cover or swapping a shift around
Name
Title
Address
Phone
In what capacity do you know this person (should not be a family member)?
Name
Title
Address
Phone
In what capacity do you know this person (should not be a family member)?
Rehabilitation of Offenders Act 1975 * Within the nature of the work for which you are applying this position is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1975 (Exemptions Order). Applicants are therefore not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of this Act. In the event of employment, any failure to disclose such convictions could result in dismissal. Information given is confidential and will only be considered for the purposes of the application. If there is any such information you wish to provide? No
I agree that there is nothing which would prevent me from doing this job. Yes
The organisation will hold your data on file for twelve months after the end of the relevant recruitment process if you provide consent. The purpose of retaining your data with your consent is to allow you to apply easily for other jobs we may have available. At the end of the twelve months period you will be required to complete a new application form in order to remain on our system. You may withdraw your consent for us to hold your data at any time after the initial recruitment process is completed. I consent for my personal data to be held and agree that Dewis CIL may keep this application form on file for twelve months. It may be used for future prospective employers. I understand that you will contact me in due course should any such person make themselves known to you. 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? Gramgetown cardiff bay splott adamsdown tremorfa roath canton
How many hours of work can you offer per week? 18 hours
Please indicate the approximate times that you are available for work throughout the week.
Early Morning Saturday
Late Morning • Monday
• Tuesday
• Wednesday
• Thursday
• Friday
Early Afternoon • Monday
• Tuesday
• Wednesday
• Thursday
• Friday
Late Afternoon • Monday
• Tuesday
• Wednesday
• Thursday
• Friday
Last Update 2019-09-11 17:00:15