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Personal Assistant Application Form Submission 

Title (required): Mrs. 
Town (required): Canton 
County (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 have worked two volunteer jobs in two different hospitals back in my home country. Where I took care of disabled and sick people. Giving them medications timely, helping them to dress up, encouraging them to eat, watching over them, running small errands for them and ensuring that the are safe. 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Some of the important qualities while being a personal assistant to a disabled person includes: Empathy: the personal assistant must be empathetic in nature. Patience: one of the very important quality that a personal assistant to a disabled cant do without Dependability & Reliability: a personal assistant to a disabled person should be be some one, one can depend and rely on at all times. 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): Some of the ways I can contribute to the needs of a disabled person are: I will always ask about their needs if it looks like they need help, to ensure am not hindering them instead. Secondly, I will take their words or complaints seriously not feeling they are making it up. Offering to help them at all times Listening and paying attention to their needs. Encouraging and allowing them to make their decisions as regards their day to day activities 

 
What is it about PA work which appeals to you? (required): The opportunity to focus on an individual needs being able to provide the support needed in diverse ways. 

 
What are your hobbies/interests?:Listening to Christian music Helping people around me Travelling and adventures 

 
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): 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): Prefer to work in the mornings Monday to Thursdays and weekends 

 
Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): Yes 

 
If you would like to expand on the answers given above? Please use the box below.:Am a student, and also an infant am taking care of 

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?:Within Cardiff 

 
How many hours of work can you offer per week?:20 hours 

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

 
Further Information: Can only do part time work, mornings and overnight mostly.