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Personal Assistant Application Form Submission  


Title *: Mrs. 

Town *: Caerphilly 


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'm currently working as a support worker in residential care work. I have also done PA work in the past, with a lady who now has sadly passed away.  


What qualities do you think are important when working as a personal assistant with a disabled person? *: Being a good listener, patience , and a caring nature are what I find good qualities.  


How do you think you can contribute towards the needs and the independence of a disabled person? *: Having many years of experience in different aspects of care work, I feel I can contribute in all areas that is needed to contribute to to a disabled person.  


What is it about PA work which appeals to you? *: I love the fact that I can get to know a new individual and become more than Just a PA to someone, by building a good relationship with a client.  


What are your hobbies/interests?: My main hobbies are walking my dogs, as I have a massive love for animals. I am also a very social person , so love to go out. E.G. Dining out, cinema, pubs for a drink and meeting new people in general. 


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? *: No real preference 


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? *: 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).: Yes 


What geographical area’s are you able to cover?: Cardiff, Caerphilly, fairwater.  


How many hours of work can you offer per week?: 16 


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 AM/Friday PM/Saturday AM/Saturday PM/Saturday Overnight/Sunday AM/Sunday PM /Sunday Overnight/ 

Further Information: