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Personal Assistant Application Form Submission 

 
Title: 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): I have a cousin who has autism and I have been taking care for him till 2024 . Also I have done care works in hospital so I can assure myself to take care of unhealthy person. 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Patience and care moreover the assistant should be more quicker in mind as well as in action too . 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): Making them to comfortable around is the best ever thing to do 

 
What is it about PA work which appeals to you? (required): Taking responsibility and completing the task without any error. 

 
What are your hobbies/interests?:Dancing for Kip hop songs and listening to melody songs mostly I love to watch Korean series. 

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

 
Do you speak any other languages? (required): English Korean Malayalam Tamil 

 
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): Monday Wednesday Thursday Friday -nights Tuesday Saturday Sunday- full day 

 
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’m a student so I’m not sure for this question but I will try to avoid swapping shifts 

 
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?: 

 
How many hours of work can you offer per week? (required): 20 hrs 

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