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Personal Assistant Application Form Submission  

Title *: Miss. 

Town *: Beddau  

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. *: Childcare, Learning and Development Level 2&3 Advanced Level Apprenticeship in Childrens care, Learning and Development. HABC award in Health and Safety in the workplace level 2. Pediatric first aid level 3 Inclusion training and additional needs coordinator training. Pediatric epilepsy training. Creative musical play training. Essential skills level 2 in application of number and communication.  

What qualities do you think are important when working as a personal assistant with a disabled person? *: I am a caring and compassionate person. Im motivated, enthusiastic and hard working. Im very passionate about helping people and have a lot of patience. I am really friendly and bubbly with a magnetic personality. Im always happy and smiling. I do like to interact with people and I love to just have fun.  

How do you think you can contribute towards the needs and the independence of a disabled person? *: I very hardworking, so I would support any needs that need meeting, regardless of the situation. I am good at bringing people out of their shell and boosting confidence.  

What is it about PA work which appeals to you? *: I think it would suit my caring and compassionate nature. I love to help people and make people smile. I think it would be very rewarding.  

What are your hobbies/interests?: I enjoy comicon events, rock music, concerts, spending time with my friends and family, old school gaming, countryside walking and I adore all animals. I love marvel, dc and starwars. Im a bit of a geek.  

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? *: Yes 

Are you able to undertake training? *: Yes 

What days/nights are you able to work, or prefer to work? *: With my current situation Im available after afternoon during the week. Evenings, nights and weekends.  

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.: I have my primary job but it is only 22.5 hours per week. I would have to work around that.  

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?: Beddau, Talbot Green, Llantrisant, llantwit fardre, Church village, Pontypridd, Pentyrch, Creigau, pontyclun, Treforest. 

How many hours of work can you offer per week?: 16hours at the moment, unless full time hours were offered to me.  

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