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Personal Assistant Application Form Submission  

 

Title *: Mrs. 


Town *: Cardiff 

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 done NVQ level 3 in childcare and doing part time work in a playgroup. I live with my family and look after my 75 years old father in law.  

What qualities do you think are important when working as a personal assistant with a disabled person? *: Patience, friendly, caring and kind personality. Reliable and always be a positive person.  

How do you think you can contribute towards the needs and the independence of a disabled person? *: Empower your loved one to make decisions and actively involve them in decision-making.  

What is it about PA work which appeals to you? *: A personal assistant is someone employed by the family or young disabled person to help with day-to day living.  

What are your hobbies/interests?: Reading books, listening music and watching TV.  

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? *: Friday, Saturday and Sunday 9am till 12pm  

Are there any circumstances which would prevent you from providing cover or swapping a shift? *: No  

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).: No 

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 week.:  
Further Information: