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Personal Assistant Application Form Submission  


Title *: Miss. 

Address 2: Danescourt 

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 currently work at Ty gwyn special school, this is my third year of working there. I love my job and love all the pupils who attend. I have done respite before and I loved every minute of it.  

What qualities do you think are important when working as a personal assistant with a disabled person? *: I haven worked with children with ASD for just over 2 years and I love it. I have relevant training required, I have makaton training, manual handling, toilet training, team teach training, safeguarding, first aid training and quite a bit more. 

How do you think you can contribute towards the needs and the independence of a disabled person? *: I feel that it is important for everyone to be able to live their best life and if I can help with that then that would be amazing. Just the thought of helping someone to be able to access the community and to be able to do things that everyone wants to do, is amazing. 

What is it about PA work which appeals to you? *: I love helping people, I love to know that people are having the best care when I am around. I want to help people to live their best lives. 

What are your hobbies/interests?: Going out for walks, going on new adventures, going out for food, helping people, going out with friends and family 

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 - Friday evenings and some weekends if necessary. 

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.:  

Is there is any such information you wish to disclose, relating to any cautions or convictions which will appear on your mandatory DBS check? *: Yes/ 

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 area 

How many hours of work can you offer per week?: 6-10 

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

Further Information: I can do weekends if necessary.