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Personal Assistant Application Form Submission 

Title (required): Mrs. 

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 worked for one year as a Care Assistant and that job gave me a lot of experience 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): Being an understanding person and having patience 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): Being always available when they need help 

What is it about PA work which appeals to you? (required): Working as a Care Assistant gave me experience and as time went by I met a lot of friendly people 

What are your hobbies/interests?: I love cooking and spending time listening to music 

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

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): Day 

Are there any circumstances which would prevent you from providing cover or swapping a shift? (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/ 

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?: No far than 15 minutes with the car from my house 

How many hours of work can you offer per week?: 24 

Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Tuesday AM/