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Personal Assistant Application Form Submission


Title (required): Miss.

Town (required): llandaff
County (required): 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. (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): Ive worked in a dementia care home for 3 and a half years providing personal care and assisting residence to live as independently as possible.


What qualities do you think are important when working as a personal assistant with a disabled person? (required): Caring, Respectful, Friendly, Positive, Understanding


How do you think you can contribute towards the needs and the independence of a disabled person? (required): by being supportive and understanding offering assistance when needed but also encourage them to do things on there own.


What is it about PA work which appeals to you? (required): Ive worked with many residence with different illnesses and needs so I know what to expect.


What are your hobbies/interests?: I enjoy socialising and going to the gym.


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


Do you speak any other languages? (required): no


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): im in uni 10-4 mon, tues 10-1 wed, thur and ill be going home in the holidays so wont be able to work then


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


If you would like to expand on the answers given above? Please use the box below.: I dont know anyone to cover shifts as Ive not long moved here.

Do you have portable DBS (which has been paid for and renewed for the current year)? (required): 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? (required): No/


Please provide details if necessary:


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


What geographical area’s are you able to cover?: cardiff


How many hours of work can you offer per week? (required): 18


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