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Personal Assistant Application Form Submission  

Title *: Mr. 

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 have worked as a support worker at Beechwood college with young adults and adults who have learning disabilities and physical disabilities. I have also worked as a personal assistant on the community on one a one to basis. My day involved taking my client out on social activities or shopping. I have 7 years experience.  

What qualities do you think are important when working as a personal assistant with a disabled person? *: It is important to have good communication skills, empathy, and It is also important to have a good understanding of the individuals needs, likes an dislikes. I am compassionate and patient with an understanding that each daily task differs. Confidentiality is also very important and would never be breached.  

How do you think you can contribute towards the needs and the independence of a disabled person? *: I can contribute to the needs and independence Of a disabled person by fully supporting the individual in meeting their desired outcome whether its activities of daily living or social activities. Encouragement and support are vital.  

What is it about PA work which appeals to you? *: I feel a great sense of achievement when I have worked as a PA previously. Making a difference by assisting others to achieve their goals and helping them to fulfil what they want is very rewarding. Make a change in a persons life by supporting them is very important to me  

What are your hobbies/interests?: Swimming and going to the gym. 

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? *: Any day during the week  

Are there any circumstances which would prevent you from providing cover or swapping a shift? *: No 

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 

How many hours of work can you offer per week?: 40 

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/ 
Further Information: