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Personal Assistant Application Form Submission  

 

Title *: Mrs. 

Address 2: FAIRWATER 

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 USED TO BE A DOMICILIERE CARE FOR 2 YEARS FOR A CAMPANY NAME EVERYCARE 

What qualities do you think are important when working as a personal assistant with a disabled person? *: -SUPPORTING PHYSICALLY AND MORALLY -BE FLEXIBLE AND HELPFULL -HAVE GOOD COMMUNICATION SKILL 

How do you think you can contribute towards the needs and the independence of a disabled person? *: -BOOST THEIR CONFIDENCE AND SELF-ESTEEM -MAKE DISABLED PEOPLE FEEL MORE INCLUDED -ALLOW CHOICE ABOUT FRIEND AND LIFESTYLE -ENCOURAGE THEM EVERY ACTIVITIES THEY DID. 

What is it about PA work which appeals to you? *: SUPPORTING PHYSICALLY AND MORALLY WHEN IS NEEDED. BE FLEXIBLE ANY TIMES THE NEED IS THERE HELPING WITH PERSONAL CARE SUPPORTING TASKS AROUND THE HOUSE SUCH COOKING, CLEANING, SHOPPING. ADMINISTERING MEDICATIONS AND CONTROLING BODY TEMPERATURES ORGANISING TIMES AND BOOKING APPOINTMENTS.  

What are your hobbies/interests?: COOKING AND SWIMMING. 

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? *: Yes 

Are you able to undertake training? *: Yes 

What days/nights are you able to work, or prefer to work? *: FROM MONDAYS , TUESDAYS, WEDNESDAYS, THURSDAYs AND SATURDAYS. 

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.: EXCEPTED FRIDAYS I WOULD LIKE TO BE OFF FOR PRAYING IN MY COMMUNITY. 

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?: FAIRWATER, CANTON, LLANDAF, GALBAFA AND ELY. 

How many hours of work can you offer per week?: FROM 16 TO 20 HOURS 

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

Further Information: