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Personal Assistant Application Form Submission 

 
Title (required): Miss. 

Town (required): Cardiff 
County (required): South Glamorgan 

 
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): I do not have any experience, however I feel through university I have been able to gain a lot of knowledge about health and social care. This has made me very determined to get some experience working within the field. Through university I feel that I have been able to develop skills such as communication, teamwork and time management. These skills I feel are extremely useful when working within care. I am also keen to gain new skills as well. 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Its important that you respect that individual and how they may feel about having to have someone else come into their home to assist them. Being friendly is key as well, you want to make the person feel as comfortable as possible. Also a sense of humour would be important when appropriate, to make everyone feel more comfortable. 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): It is important that we work together In order for them to keep as much of their independence as possible. Making sure that any tasks they are able to do that they do, and I am not just doing it for them. 

 
What is it about PA work which appeals to you? (required): I have always wanted to work in a role where I am able to support others. Through studying health and social care at university it has only made that desire stronger. 

 
What are your hobbies/interests?: I am a keen baker and I love to bake whenever possible. I also enjoy going out with friends and the cinema. 

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

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

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

 
What days/nights are you able to work, or prefer to work?  (required): Days 

 
Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): 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? (required): No/ 

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?: Cardiff 

 
How many hours of work can you offer per week?: 30 

 
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 /