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Personal Assistant Application Form Submission 

Title (required): Ms. 

Town (required): Cardiff 
County (required): South Glamorgan 

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. (required): 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. (required): I have over a year experience of domiciliary care and recently taken on live in care jobs 2 weeks at a time 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): being patient respectful kind and caring, good communicator, empathy 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I am a very caring person, I have a lot of experience of different types of disability including cerebral palsy, multiple sclerosis, severe adult disability requiring hoisting and full personal care/assistance and palliative care. I am very patient and from working with various degrees of mobility, I am good at adapting to different needs and requirements. I promote independence and think encouraging to do as many tasks independently is important 

What is it about PA work which appeals to you? (required): Doing service and giving something back 

What are your hobbies/interests?: Yoga Art Music I have kids who keep me busy 

Would you consider a casual position if you are unsuccessful with this job? (required): Yes 

Do you drive? (required): No 
Are you a vehicle owner?  (required): No 
Do you smoke? (required): No 

Are you able to undertake training? (required): Yes 

What days/nights are you able to work, or prefer to work?  (required): flexible 

Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): 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? (required): No/ 

I agree that there is nothing which would prevent me from doing this job. (required): Yes 

I consent to the above (required): Yes 

I agree that the information I provide will be posted to the Dewis CIL PA noticeboard (all personal information will be withheld).: Yes 

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