Personal Assistant Application Form Submission

Title (required): Mrs.First Name (required): MojisolaLast Name (required): AjayiAddress 1 (required): 
Address 2:Town (required): RoathCounty (required): CardiffPostcode (required): 
Phone number (required): 
Please enter your email address for submission confirmation. (required): 
Reference number of job being applied for (required): PRIV048I 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): YesPlease 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): Job title:Support worker Role: Provide personal care for the patient,Such as bathing, changing of pad, assisting in moving the patient with the use of Hoist or wheelchair. • Providing Domestic Duties for the patient such as tidy residents rooms and toilets, cupboards, keeping clothing, promptly emptying the waste bin. • Providing Social duties for the patient, such as running an errand for the patient, assisting the patient in walking exercise etc. • Serving the patient meal at the right time and help residents with eating as required.What qualities do you think are important when working as a personal assistant with a disabled person? (required): Working as a personal assistant with a disabled person requires a unique set of qualities and skills to provide the best support and assistance.Such as: 1Empathy and Compassion 2 Patience 3 Flexibility 4 Respect for Independence 5 Good communication 6 Respect for Privacy and Confidentiality 7 Team workHow do you think you can contribute towards the needs and the independence of a disabled person? (required): I will plays a vital role in enhancing the needs and independence of a disabled person by providing various forms of assistance and support. Such as:1 Personal care 2 Mobility Assistance 3 Meal Preparation and Nutrition 4 Medication Management 5 Household TaskWhat is it about PA work which appeals to you? (required): PA is an essential assistance and support to individuals who require help with their daily living activities due to age, disability, illness, or other specific needs. The primary focus of this role is to ensure the well-being, comfort, and quality of life of the person receiving care.I have all the qualities required for this job.What are your hobbies/interests?: Reading Cooking ExploringWould you consider a casual position if you are unsuccessful with this job? (required): YesDo you speak any other languages? (required): NoDo you drive? (required): NoAre you a vehicle owner?  (required): NoDo you smoke? (required): NoAre you able to undertake training? (required): YesWhat days/nights are you able to work, or prefer to work?  (required): Weekends day and nightAre there any circumstances which would prevent you from providing cover or swapping a shift? (required): NoIf you would like to expand on the answers given above? Please use the box below.: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): YesI consent to the above (required): YesI agree that the information I provide will be posted to the Dewis CIL PA noticeboard (all personal information will be withheld).: YesWhat geographical area’s are you able to cover?: CardiffHow many hours of work can you offer per week? (required): 20Please indicate the approximate times that you are available for work throughout the week.: Monday Overnight/Tuesday Overnight/Wednesday Overnight/Thursday Overnight/Friday Overnight/Saturday AM/Saturday PM/Saturday Overnight/Sunday AM/Sunday PM /Sunday Overnight/Further Information: