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Personal Assistant Application Form Submission  


Title *: Miss. 

Town *: 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. *: 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. *: Health & social care-A 2:1- Sport and PE A levels - PE -C Public services-A* Business studies- A* Welsh bac - A  


What qualities do you think are important when working as a personal assistant with a disabled person? *: Empathy Patient Good listener Caring Remain confidential Positive attitude Happy and outgoing Support and promote that persons independence  


How do you think you can contribute towards the needs and the independence of a disabled person? *: Promote the persons independence at all times by supporting them to achieve their goals. Being a good listener to see what they would like to achieve by working in a personal centered approach.  


What is it about PA work which appeals to you? *: I love helping people and supporting people to achieve their goals. I enjoy supporting people to be out in the community and to be healthy and happy. To promote community presence. 


What are your hobbies/interests?: Athletics Community and charity work Going on adventurous walks Listening to music 


Would you consider a casual position if you are unsuccessful with this job? *: Yes 


Do you drive? *: Yes 

Are you a vehicle owner? *: Yes 

Do you smoke? *: No 


Are you able to undertake training? *: Yes 


What days/nights are you able to work, or prefer to work? *: Tuesdays, fridays, saturdays and sundays- any times  


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


If you would like to expand on the answers given above? Please use the box below.:  


Is there is any such information you wish to disclose, relating to any cautions or convictions which will appear on your mandatory DBS check? *: No/ 


Please provide details if necessary:  

I agree that there is nothing which would prevent me from doing this job. *: Yes 


I consent to the above *: 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 

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

Further Information: