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Personal Assistant Application Form Submission

Title *: Miss.
First Name *:
Last Name *:
Address 1 *:
Address 2: Cathays
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 worked as carer for seven five years now. I worked as personal care assistant for the two previous jobs. I only prefer to work nights shifts . I had a client who had brain injury he was peg feed , I had a client who had a stroke and is paralysed on right side from head to leg.

What qualities do you think are important when working as a personal assistant with a disabled person? *: Working as personal assistant gives the carer an opportunity to know better the service user’s needs. Carer build a good relationship a good with client in good spirit and respect, by knowing his/her preferences, like and dislikes.

How do you think you can contribute towards the needs and the independence of a disabled person? *: A carer has to respond to the need of service user, by help her/him washing , bathing, showering, pad change, feed if necessary, medications given, cleaning, tidying. Promote independency and privacy as well.

What is it about PA work which appeals to you? *: A PA work is working as 1:1 or 2:1 with a client . The client is meanly the employer, and the carer work in agreement contract with client on specific areas of needs he/her want to be helped for.

What are your hobbies/interests?: My hobbies are playing table tennis, go jogging, read magazines and sciences books. Watch documentaries programmes and news.

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? *: No

Are you able to undertake training? *: Yes

What days/nights are you able to work, or prefer to work? *: I prefer nights shifts only.

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.: But sometimes I am babysitting

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)? *:

If there is any such information you wish to provide? *: No

Please provide details if necessary: None

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 areas, not far than 2 miles

How many hours of work can you offer per week?: 35hrs

Please indicate the approximate times that you are available for work throughout the week.: Friday Overnight/Saturday Overnight/Sunday Overnight/
Further Information: I would like to start with three nights first