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Personal Assistant Application Form Submission 

Title (required): Mrs. 

Address 2: Canton 
Town (required): Cardiff 
County (required): Wales 

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 have been a foster carer, worked in a secure mental health unit, domiciliary care for a short time, personal assistant for Dewis clients. Catering experience. Presently support work in a residential unit. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): Having a holistic input with clients needs, a listening ear, patience, being observant and friendly. Also to encourage in any way possible for better quality of life. 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I have cared for many people over 20 years. Treat every person individually as to their capabilities. Ask the client what they would like to do, or try something new or different. 

What is it about PA work which appeals to you? (required): I am from a big family and have always loved helping other people with things that may be difficult for them to do themselves. I also love cooking and being practical. 

What are your hobbies/interests?: Reading, swimming, crochet, cooking, arts and crafts and gardening. 

Would you consider a casual position if you are unsuccessful with this job? (required): No 

Do you drive? (required): Yes 
Are you a vehicle owner?  (required): Yes 
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): Week days- Monday- Friday. One sleep night if required. Willing to cover for holidays or emergency. 

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

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/ 

Please provide details if necessary: 

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?: Canton, Riverside, Ely, Butetown, Grangetown 

How many hours of work can you offer per week?: 24- 30 hours per week. Monday- Friday. 

Please indicate the approximate times that you are available for work throughout the week.: 
Further Information: I am not able to work where there are cats and dogs as allergy to their hairs. Quite easily set off where they are in a home. I attended Glan Ely Comprehensive school 1971- 1976. Passed all general exams and have done all neccesary training for care support work and have certificates and enhanced DBS. That is on record at Dewis.