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Personal Assistant Application Form Submission  

Title *: Miss. 

Town *: Cardiff 
County *: Glamorgan  

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 aquire a level 2 nvq in health and social care. I am also a mother of two children and have previously cared for my grandmother all of which i feel have given me experience to able to assist and care for my clients to the best of my ability. 

What qualities do you think are important when working as a personal assistant with a disabled person? *: I think the most important quality is respect, along with patience and care these are really the main things a PA should aquire. Having naturally being a caring person i feel i am able to offer my client a quality service which will make them feel truly cared for and respected. I will provide assistance to the best of my capabilities whilst remaining professional and friendly.  

How do you think you can contribute towards the needs and the independence of a disabled person? *: I will make sure they are always listened and to make sure their wishes are always respected. I will work around them to make sure they feel independent and valued just like anybody else. I will use all my experiences and knowledge to make sure they are cared for the way they need. 

What is it about PA work which appeals to you? *: I love helping other and making them feel valued and cared for. Ive always had a sense of happines when accomplishing things that have made somebody else happy or just the slightest bit better.  

What are your hobbies/interests?: I am a very active person, i love the outdoors and im very chatty! 

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? *: I prefer to work days between the hours of 9/9.30am to 4pm 

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.: I have two children so im mostly only available to work during school hours.  

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 bay Butetown Grangetown Riverside Roath Leckwith Canton  

How many hours of work can you offer per week?: 30 if within school hours  

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