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Reference #

CDF43

Status

Complete

Title

Miss

First Name

 

Last Name

 

Address 1

 

Address 2

 

Town

Cardiff

County

Riverside

Post Code

 

Phone

 

Email Address

 

Job reference number

 

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 a lot of experience with cleaning and I have experience of taking care of elderly people as I take care of my elderly auntie who lives near me. I make her comfortable, give her what she needs, and talk to her everyday so she does not feel lonely.

What qualities do you think are important when working as a personal assistant with a disabled person?

Communication is important as it will make it easier to understand the patient and meet their needs, being patience is important as the disable person can be difficult at times, you also need to be friendly In order the paitent person and make them feel cared for, lastly listening is important because it’ll make the job easier and you will know what to do.

How do you think you can contribute towards the needs and the independence of a disabled person?

Allowing them to make decisions about their daily activities for example, allow them to choose what they want to wear for example and give them the power to choose their own friends. Encourage them to do new things.

What is it about PA work which appeals to you?

Makinf a difference in someone’s life and helping them in anyway you can.

What are your hobbies/interests?

Spending time with my children, learning new things, and being able to learn new languages.

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?

Days

Are there any circumstances which would prevent you from providing cover or swapping a shift?

No

Would you like to expand on the answers given above? Please use the box below.

N/A

Name

 

Title

 

Address

 

Phone

 

In what capacity do you know this person (should not be a family member)?

 

Name

 

Title

 

Address

 

Phone

 

In what capacity do you know this person (should not be a family member)?

 

Rehabilitation of Offenders Act 1975 * Within the nature of the work for which you are applying this position is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1975 (Exemptions Order). Applicants are therefore not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of this Act. In the event of employment, any failure to disclose such convictions could result in dismissal. Information given is confidential and will only be considered for the purposes of the application. If there is any such information you wish to provide?

No

The organisation will hold your data on file for twelve months after the end of the relevant recruitment process if you provide consent. The purpose of retaining your data with your consent is to allow you to apply easily for other jobs we may have available. At the end of the twelve months period you will be required to complete a new application form in order to remain on our system. You may withdraw your consent for us to hold your data at any time after the initial recruitment process is completed. I consent for my personal data to be held and agree that Dewis CIL may keep this application form on file for twelve months. It may be used for future prospective employers. I understand that you will contact me in due course should any such person make themselves known to you.

Yes

I agree that there is nothing which would prevent me from doing this job.

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:
Riverside
Canton
Grangtown
Leckwith

How many hours of work can you offer per week?

10-15 hours per week

Please indicate the approximate times that you are available for work throughout the week.

  Late Morning

  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  Early Afternoon

  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  Late Afternoon

  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday