Personal Assistant Application Form

Please read these notes before completing this form:

This online application form will be sent securely to Dewis CIL.

You are encouraged to prepare some of your answers before hand in a document and paste the text into the relevant boxes. If your internet connection is lost while completing the form, you will have to start again.

Certain fields marked with a red asterisk * are always required. Any you omit will be outlined in red after you click the “Submit” button. After completing those fields, click submit again.
You will receive an acknowledgement of your submission by email from Dewis CIL.

Personal Information

Your Right to Work in the UK

Eligibility to work in the UK

For all posts, you are required to present documentation to confirm that you are eligible to work in the UK before you start work.

When you apply for jobs it is important that you are aware of your eligibility status as government restrictions apply to the employment of migrant workers.
For more information, visit the Home Office website at:

Follow the link below to check if you have the correct document allowing you to work in the UK.

Education and Qualifications


Please supply the name, address and telephone number of two people who would be prepared to give you both verbal and written references. One of these persons should be able to comment on you in terms of employment.

Reference 1
Reference 2

Rehabilitation of Offenders Act 1975 * Within the nature of the work for which you are applying this position is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1975 (Exemptions Order). Applicants are therefore not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of this Act. In the event of employment, any failure to disclose such convictions could result in dismissal. Information given is confidential and will only be considered for the purposes of the application.

Your Consent (required)

Please Note: Dewis Centre for Independent Living is acting on behalf of a third party and will not be your employer or be liable for any issues arising out of your employment should you be offered employment.

The organisation will hold your data on file for twelve months after the end of the relevant recruitment process if you provide consent. The purpose of retaining your data with your consent is to allow you to apply easily for other jobs we may have available. At the end of the twelve months period you will be required to complete a new application form in order to remain on our system. You may withdraw your consent for us to hold your data at any time after the initial recruitment process is completed. I consent for my personal data to be held and agree that Dewis CIL may keep this application form on file for twelve months. It may be used for future prospective employers. I understand that you will contact me in due course should any such person make themselves known to you. *

Would you like your profile to be posted on the Dewis CIL PA noticeboard? This is a place where clients can view your anonymous profile with a view to offering casual, part time and full time employment. Please complete the questions below to be included.