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Personal Assistant Application Form Submission 

Title (required): Miss. 

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): Graduate 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): Someone who is gentle, talkative, has knowledge of what they are doing domesticated, eager to do more and generally a home body. 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): Domesticated, Great Cook, Religious, Always putting he or she’s needs before mine 

What is it about PA work which appeals to you? (required): I have a child so flexible hours would be great. Location is walking distance, due to my baby I’ve been home for a while being the cook and cleaner and I can say I prefer jobs based around me caring for someone and the stories 

What are your hobbies/interests?:Fashion, beauty cleaning hacks, 

Would you consider a casual position if you are unsuccessful with this job? (required): Yes 

Do you speak any other languages? (required): No 

Do you drive? (required): No 
Are you a vehicle owner?  (required): No 
Do you smoke? (required): Yes 

Are you able to undertake training? (required): Yes 

What days/nights are you able to work, or prefer to work?  (required): Day shifts, Tuesday Thursday Saturday 

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

If you would like to expand on the answers given above? Please use the box below.:No 

Do you have portable DBS (which has been paid for and renewed for the current year)? (required): Yes/ 

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?:CF14 

How many hours of work can you offer per week? (required): 16 

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

Further Information: Can be discussed further