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Personal Assistant Application Form Submission

Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2: Llanrumney
Town *: Cardiff
County *: Cardiff
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 currently own a support company called Support Angels. In addition to this for financial reasons I also have registered with Dewis Cil to assist those who are in receipt of Direct Payments. I have many years of experience in the care sector. I have gained experience in working out in the community as a carer, I have been a Team Manager for the East of Cardiff, I was then a Compliance officer for a private care company in Newport. I then chose to set up Support Angels. I am due to complete my QCF Level 5 in Health and Social Care Management. This will then enable me to register as a care provider with the CIW.

What qualities do you think are important when working as a personal assistant with a disabled person? *: Main qualities are understanding, patience, kindness, knowledge and communication.

How do you think you can contribute towards the needs and the independence of a disabled person? *: My main priority when carrying out my care and support work, is ensuring that the wellbeing of my client is at the forefront. I can contribute by encouraging and accommodating their needs and goals, and assisting them with their daily tasks without taking away their own choices or independance. I also drive and would be more than happy to implement any social activities as and where required.

What is it about PA work which appeals to you? *: Continuity of care, building a trusting relationship and rapport.

What are your hobbies/interests?: I play netball on a Monday evening for a ladies league based at saophia Gardens. I also owned horses for many years before setting up support angels. I love to spend time with family and friends. I have 2 sons, one of which is residing in Birmingham as he plays for a football academy. He has also played football for the Wales U16 National Squad. I am also a Foster carer and offer emergency and planned respite. I am also the Committee Deputy Chair for a local Welsh speaking nursery in Llanrumney. I am also working towards my level 5 in Health and social care management, and will be in the future not just registering as a PA for Dewis, but as a Care Agency Provider. My main goal is to provide care to those who may not categorise into the local authority needs system, and to offer affordable continual care, focusing on Companionship, domestic and social needs.

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? *: Monday to Friday

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?: Cardiff and Marshfield

How many hours of work can you offer per week?: 10

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 PM/Sunday PM /
Further Information: