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Personal Assistant Application Form Submission 

Title (required): Mr. 

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): In my previous position as a support worker with young adults at Caretech Community Service, I provided support to young adults living with emotional and social behavioral challenges as well as young adults living with disabilities. I helped improve their care and support plans by providing regular feedbacks to the Team Leaders. I assisted the young adults with personal care, medication, feeding, and household domestic duties. Also, I provided companionship to the children by actively communicating with them by listening or paying attention to repetitive patterns to develop effective working relationships in the home and outside in the community. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): I believe the following qualities are important when working as a personal assistant: 1. being open to new things and acknowledging that individuals are different in their own way. recognizing that each new day comes with its own unique responsibility. 2. being patient, supportive, and having the desire to help when required. 3. understanding that it is okay to stay adaptable and empathetic. 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I would first of all, get to know the person. I am very jovial but from experience in my previous role I noticed that people want to be seen, heard, and respected. As long as I am working with that person, their needs would always be before mine. Which means helping be more of themselves as required. 

What is it about PA work which appeals to you? (required): I like being able to help people become a better version of themselves. I also believe it can be a great opportunity for personal growth as it allows me to develop new skills and abilities. 

What are your hobbies/interests?: Reading, watching Anime, taking leisure walks, dancing. 

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

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): Days - Weekdays and Weekends 

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/ 
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?: Penylan, Roath, Cathays, City Centre, Pentwyn, Pontprennau 

How many hours of work can you offer per week?: 40 

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