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Personal Assistant Application Form Submission 

Title (required): Ms. 

Town (required): Cardiff 
County (required): South Glamorgan 

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): § Supporting and helping service users with daily care needed such as administering medications, bathing, feeding and other support required. § Supporting service users’ in line with their care plan and keeping up to date records of their daily medications and activities. § Supporting service users’ having mobility problems and learning difficulties. § Helping service users’ to organise and participate in recreational activities. § Taking service users’ out for visit. § Supporting adult patient from bed, feeding, and chatting with them. § Supporting adult patient to go for walk within the ward. § Encouraging adult patient when feeling worried and giving them hope. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): I believe it is important to be able to work flexibly, have good communication skills in order to listen to peoples concerns. I believe it is always important to respect peoples dignity and to be willing to learn new and innovative ways to offer support. 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): Enabling the people we support to make independent decisions and actively involve them in decision-making on their day to day tasks such as meals, where to visit on trips what to wear. 

What is it about PA work which appeals to you? (required): I am focused with a genuine interest to deliver high quality care to service users and support them in their areas of need with my experience in the care. I have experience in the care which has helped me to provide tailored patient care for service users’ and meeting their daily needs. I am able to perform basic health checks including blood pressure, temperature, and pulse without supervision. I have the skills to provide healthcare excellence with your reputable nursing home. I am committed to complying with safety rules and follow your organisational procedures and protocols. To be a part of a globally focused nursing home which utilizes to the fullest the potential capabilities of individuals and its staff to achieve its set objectives while providing enhanced career opportunities development for mutual benefits. 

What are your hobbies/interests?: 

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): Yes 
Are you a vehicle owner?  (required): Yes 
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, Tuesday, Wednesday 

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): Yes/ 

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?:CF5 

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/Monday PM/Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/ 
Further Information: