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Personal Assistant Application Form Submission  

 

Title *: Miss. 

Town *: Pontypridd 

 

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. *: Doing mba global from usw treforest 

 

What qualities do you think are important when working as a personal assistant with a disabled person? *: Communication skills Always polite towards them Give them love and care 

 

How do you think you can contribute towards the needs and the independence of a disabled person? *: by provide love and care 

 

What is it about PA work which appeals to you? *: Take care of the person and follow our responsibility towards person 

 

What are your hobbies/interests?: Drawing,listening music,cooking 

 

Would you consider a casual position if you are unsuccessful with this job? *: Yes 

 

Do you drive? *: No 

 

Are you a vehicle owner? *: No 

 

Do you smoke? *: No 

 

Are you able to undertake training? *: Yes 

 

What days/nights are you able to work, or prefer to work? *: Tuesday, Saturday and sunday 

 

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?: 20 

 

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/Friday PM/Friday Overnight/Saturday PM/Saturday Overnight/Sunday PM /Sunday Overnight/ 

Further Information: