PA 26

Personal Assistant Application Form Submission 

 
Where did you hear about our PA vacancies? (required): Dewis CIL Website 
Title (required): Mrs

Address 2: Llanrumney 
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): Retired adult nurse 2007- 2025 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Willingness to listen, kindness, treating person as an individual rather than looking at the disability. 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): By working with them to try to attain what they want 

 
What is it about PA work which appeals to you? (required): Part time, flexible . Getting to know the person and their likes/ dislikes

 
What are your hobbies/interests? (required): Reading, quizzing, amateur dramatics, watching football, pilates, yoga. 

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

 
Do you speak any other languages? (required): Bit of Welsh 

 
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, tues. Some weekends. Early mornings 

 
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.: If i was needed urgently for grandchildren or to take husband to appointment

Do you have portable DBS (which has been paid for and renewed for the current year)? (required): No/ 

 
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?: Cardiff 

 
How many hours of work can you offer per week? (required): Approx 12 

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