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Address 2: Whitchurch 

Town *: Cardiff 

County *: 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. *: 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 have worked in the NHS until DEC 2014, as a community midwife, and was a registered nurse previous to that. I have worked with 2 homecare agencies & through Dewis moved into personal assistant opportunities through which I have gained further experience in dealing with many aspects of care for people in the wider community. 

What qualities do you think are important when working as a personal assistant with a disabled person? *: I feel the most important qualities are patience, great listening skills & having the background of an enthusiastic approach to life gives a positive balance to the overall undertaking of providing care for a disabled person. 

How do you think you can contribute towards the needs and the independence of a disabled person? *: I have a great understanding for the absolute need for the disabled person to make their own choices & fully understand that these decisions are their own to make. I can facilitate their independence by being there as a support. 

What is it about PA work which appeals to you? *: I enjoy the one to one situation, planning ahead things to achieve together & the feeling of team is most important to me. 

What are your hobbies/interests?: I enjoy the outdoors very much & my pets are very much part of my family. I enjoy visiting museums, churches, theatres & have all round interest in everything. I enjoy relaxing times doing embroidery, knitting & all other arts n crafts. 

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? *: Mon Tues Weds Thurs Friday 

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

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?: Anywhere in Cardiff 

How many hours of work can you offer per week?: 30 

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

Further Information: