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Personal Assistant Application Form Submission  

 

Title *: Miss. 


Town *: Pontcanna 

County *: Cardiff  

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. *: I have been a health care assistant for the last 7 ½ years working with the elderly. I am energetic and have alot to give. I am confident enough to work on my own initiative but I always willing to learn new skills.  

 

What qualities do you think are important when working as a personal assistant with a disabled person? *: To be Confident in the job role Energetic Friendly To be able to react quickly to any circumstance 

 

How do you think you can contribute towards the needs and the independence of a disabled person? *: I feel I would be able to help the Individual keep their dignity and independence as comfortably as possible with as little disruption as possible by not only caring for them but being a friend to them. 

  

What is it about PA work which appeals to you? *: Working in a care home setting for 6 years has been amazing but I would like to work in a more personal role where I can get to know the person and what they like and dislike. Also I feel its a very rewarding role inabling the individual to carry out tasks and hobbies that they may not be able to carry out on their own.  

 

What are your hobbies/interests?: I enjoy being out doors, going to the cinema, socialising with friends and listening to music. I also enjoy gardening and walking with my dogs.  

 

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

 

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? *: Monday to friday 

 

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?: Up to 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/ 

Further Information: