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Personal Assistant Application Form Submission  


Title *: Miss. 

Address 2: Llanedeyrn 

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. *: I have not worked as a Personal Assistant previously, but I have looked after my mum who has dementia. I have experience assisting with a wheelchair and helping with personal care for someone who needs assistance. 


What qualities do you think are important when working as a personal assistant with a disabled person? *: It is important to listen and support the person you helping and try in anyway to make their lives more comfortable and manageable.  


How do you think you can contribute towards the needs and the independence of a disabled person? *: Having helped my mum and dealing with dementia. It was really important to try and help her to keep her independence. I would like to be able to help to do the same for someone else. 


What is it about PA work which appeals to you? *: I would enjoy helping keeping someones independence, and would also find it really rewarding if I made their lives easier and more enjoyable with my help.  


What are your hobbies/interests?: Volunteering at Cardiff dogs home, walking, bird watching, any aspect of nature and looking after the environment. Reading a lot. Watching live bands. I love my music some heavy metal but mostly punk music and reggae too.  


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? *: Prefer days, early evenings. 


Are there any circumstances which would prevent you from providing cover or swapping a shift? *: No 


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. *: No 


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?: 30 


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

Further Information: