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Personal Assistant Application Form Submission  


Title *: Miss. 

Town *: Cardiff  

County *: 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. *: 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. *: At the beginning of the pandemic I left my job with Dolphin Care after 6 years to take full time care of my Grandmother who have now sadly passed away. when I worked for Dolphin Care I was working out in the community supporting people to live independently in their own homes with a caring and professional approach. There I completed a number of courses including, Health and safety, manual handling, medication, safeguarding and more. 


What qualities do you think are important when working as a personal assistant with a disabled person? *: I believe I have a natural caring personality and truly care about the welfare of others. Previous courses completed including safeguarding and manual handling which will help work in a safe and professional manner.  


How do you think you can contribute towards the needs and the independence of a disabled person? *: By supporting them with every day-to-day activity’s to enable them to live independently. 


What is it about PA work which appeals to you? *: Being able to help others and see you are making a difference in people’s life’s. 


What are your hobbies/interests?: Spending time with my family, going to the gym, reading, listening to music. 


Would you consider a casual position if you are unsuccessful with this job? *: No 


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? *: Tuesday/Wednesday Am & Pm  


Are there any circumstances which would prevent you from providing cover or swapping a shift? *: Yes 


If you would like to expand on the answers given above? Please use the box below.: My partner works away so I have specific days where I have reliable childcare. 


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 and Vale 


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


Please indicate the approximate times that you are available for work throughout the week.: Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/ 

Further Information: