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Personal Assistant Application Form Submission 

 
Title (required): Ms. 

Town (required): Cardiff 
County (required): Wales 

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 strong passion for providing compassionate care to those in need, I am confident that I possess the skills and experience necessary to excel in this role. Having worked in the healthcare industry for the past one year as a support worker at Kayode Philips foundation I have gained valuable experience in providing personalized care to service users in a variety of settings. I am experienced in assisting patients with daily living activities, administering medications, and monitoring vital signs. My experience has also taught me how to communicate effectively with service users and their families, and to work as a team with other healthcare professionals. What sets me apart as a candidate is my unwavering commitment to service user care. I take great pride in being able to provide care that not only meets the physical needs of service users but also attends to their emotional and psychological well-being. I believe that a compassionate and empathetic approach is essential to providing high-quality care, and I strive to bring this approach to every user’s interaction. In addition to my experience and skills, I am also a quick learner and eager to take on new challenges. I am confident that my positive attitude and strong work ethic will make me a valuable addition to your team. Thank you for considering my application. I look forward to the opportunity to discuss my qualifications further. 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Patience Paying attention to details Empathy Strong communicator Caring 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): By engaging them in daily task By staying postive By developing a problem solving skills By actively involving them in decision making 

 
What is it about PA work which appeals to you? (required): I love to care, support and assist people in anyway I can 

 
What are your hobbies/interests?:Walking, reading and cooking 

 
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): Any shift available 

 
Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): No 

 
If you would like to expand on the answers given above? Please use the box below.: 

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 10miles 

 
How many hours of work can you offer per week? (required): 20 to 40hrs 

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