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Personal Assistant Application Form Submission 

Title (required): Mr. 

Address 1 (required): pontypridd 
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): • Medicine Administration • Keeping up to date records on patients and in the provision of physical and emotional care and working as part of a team to achieve the required standards. • Assisted adult of all ages with learning the necessary daily living skills to achieve social, • economic, emotional, and personal independence. • Formed positive relationships with patients by fully engaging and actively taking part in leisure pursuits, such as sports, music, and other activities. • Obliged in maintaining Residences rooms safe, clean, and in orderly fashion as well as adhering to established healthcare safety and infection control standards. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): Good communication skill Listening skill. compasionate. ability to think fast. Respect people dignity. self initiatives. 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): By attending to the request on time without any delay. 

What is it about PA work which appeals to you? (required): I like Planning and organizing work schedule for people. 

What are your hobbies/interests?: music, playing games, washing and Cooking 

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): Mondays, Saturdays and Sundays 

Are there any circumstances which would prevent you from providing cover or swapping a shift? (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?: 20 hours 

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