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Personal Assistant Application Form Submission  

 

Title *: Mrs. 

Address 2: Roath 

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 previously worked as an activities coordinator in St Isans care home, cardiff, which due to personal issues had to give up last year. I have also worked as a carer for a number of individuals in their own homes. 

 

What qualities do you think are important when working as a personal assistant with a disabled person? *: Caring/ Patience/ supportive/ Kind/ person centred 

 

How do you think you can contribute towards the needs and the independence of a disabled person? *: I am able to drive and would be happy taking them to wherever they would like to go, I am also trained as an illustrator and enjoy any arts based activities. I take my own daughter to horse riding when lockdown isnt happening and enjoy walking/ outdoors activities 

 

What is it about PA work which appeals to you? *: being able to help someone fulfill their lives 

 

What are your hobbies/interests?: Art/ Museums/ Walking/ camping/ Sports/ cycling 

 

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? *: Would consider any shifts but would prefer days 

 

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/ 

 
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 area- especially Roath/ Cyncoed/ rhiwbina/ llanishen 

How many hours of work can you offer per week?: Up to 16 

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: Flexible regarding hours