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Personal Assistant Application Form Submission 

Title (required): Miss. 

Town (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): GNVQ LEVEL 2 in Health & Social Care 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): Patient Kind Friendly Approachable Caring 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I am an extremely friendly person with a bubbly personality. My greatest strength and something I believe friends would say about me is encouraging. I have a good listening ear and like to bring the best out in others. I am hardworking with good timekeeping skills and look forward to meeting new people. 

What is it about PA work which appeals to you? (required): I am looking forward to finding a position where I can make a difference in someone’s life. To find a job that’s not just a job to pay the bills but to find job satisfaction and helping people in any way I can. 

What are your hobbies/interests?: I’m a singer so I’m into concerts music and theatre. I love sport especially rugby and ice hockey. I’m a massive animal lover so if you have a cat or dog expect them to get a lot of love from me! 

Would you consider a casual position if you are unsuccessful with this job? (required): No 

Do you drive? (required): Yes 
Are you a vehicle owner?  (required): Yes 
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): Thursdays, Saturdays & Sundays. 

Are there any circumstances which would prevent you from providing cover or swapping a shift? (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?: Interested in any hours but no split shifts. 

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