CDF 3 To request further information or to arrange an interview please Click here Personal Assistant Application Form Submission Title (required): Miss. Address 2: Roath 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): Carer- Right At Home What qualities do you think are important when working as a personal assistant with a disabled person? (required): Being patient with them How do you think you can contribute towards the needs and the independence of a disabled person? (required): Being passionate, selfless, make impact in their lives and encourage them What is it about PA work which appeals to you? (required): Being able to help and guide them everyday What are your hobbies/interests?: I love music, viewing,reading… Would you consider a casual position if you are unsuccessful with this job? (required): Yes Do you speak any other languages? (required): Just English Do you drive? (required): Yes 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): Monday, Wednesday, Saturday Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): No Do you have portable DBS (which has been paid for and renewed for the current year)? (required): No/ 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): 20 Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Tuesday Overnight/Wednesday AM/Wednesday PM/Thursday Overnight/Friday Overnight/Saturday AM/Saturday Overnight/Sunday Overnight/