CDF116 To request further information or to arrange an interview please Click here Personal Assistant Application Form Submission Title (required): Mr. Town (required): Cardiff County (required): South 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. (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): I have worked as a PA with Dewis over two years with two different services users One being community based which is exactly the same as the job role described What qualities do you think are important when working as a personal assistant with a disabled person? (required): Reliable Trustworthy Talkative How do you think you can contribute towards the needs and the independence of a disabled person? (required): I give service user a voice by letting them take charge of choose what they want to do What is it about PA work which appeals to you? (required): I find it beneficial to help people who are in need What are your hobbies/interests?: Any type of sport Going to the gym Watching tv Walking Cinema Would you consider a casual position if you are unsuccessful with this job? (required): Yes 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): Evenings after 4:30 Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): 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? (required): No/ Please provide details if necessary: 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?: Maximum 13 hours Please indicate the approximate times that you are available for work throughout the week.: Monday PM/Monday Overnight/Tuesday PM/Tuesday Overnight/Wednesday PM/Wednesday Overnight/Thursday PM/Thursday Overnight/Saturday Overnight/ Further Information: