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Personal Assistant Application Form Submission 

Title (required): Miss. 

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 currently work in Ty Gwyn Special school assisting pupils aged 3-19 with ASD as well as PMLD. I am manual handling trained, team teach trained, understanding of British sign language and continuing to learn. Working here I have gained the knowledge and skills of communication, patience and understanding of those with additional needs. I am knowledgeable on challenging behaviours and can remain calm and collected in challenging situations. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): It is important to be calm, patient and caring as a personal assistant. Its essential to build a trusting relationship with the individual and their support system. To be reliable, kind and caring. 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I believe I can contriubte towards the needs of a individual with additional needs or pmld by being a kind, caring friend to them. I can help them enjoy their favourite activities and explore many more. I can be a reliable source of support, ensuring their safety and happiness. 

What is it about PA work which appeals to you? (required): I really enjoy working within a sen school and supporting individuals with additional needs. It brings me happiness to be able to make a difference in someones life in a positive manner. I enjoy being able to help individuals live their lives to the fullest. 

What are your hobbies/interests?: I enjoy diy and crafting making home made decor. I enjoy spending time with family and friends as well travelling and exploring new places. 

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): I work within a school so my preferred hours are weekdays after 4 

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?: Cardiff 

How many hours of work can you offer per week?: 10 

Please indicate the approximate times that you are available for work throughout the week.: Monday PM/Tuesday PM/Wednesday PM/Thursday PM/Friday PM/Saturday AM/Saturday PM/Sunday AM/ 
Further Information: