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Personal Assistant Application Form Submission 

 
Title (required): Mrs. 

Address 2: Butetown 
Town (required): 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. (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): 2017-2019 Dewis, Cardiff Cleaner/Carer Duties as below (Diverse Cymru) -Cleaning premises to an exceptionally high standard -adhering to strict health and safety protocols at all times 2016-2017 Diverse Cymru, Carer Getting to know clients, their interests and their needs helping clients with daily personal care such as washing, dressing, using the toilet and feeding themselves • Carrying out general tasks such as housework, laundry and shopping helping clients manage their budget, pay bills • Working with other health and social care professionals to provide individual care and development plans Education: ESOL Level 2 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): We have to be patient, sensitive, empathetic, kind, and enjoy communication with people from all ages and backgrounds. 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): I think Im able to it Im able to let them do things is a major thing. Make them at least try. Someone who becomes blind needs to learn to do things on their own. If they are being denied that, or allowed to be depend they will never be able to care for themselves. 

 
What is it about PA work which appeals to you? (required): I really like supporting people with every day tasks and help them to improve their life. I like working with people from different backgrounds and from all ages. I enjoy communicating with people. 

 
What are your hobbies/interests?: Cooking, reading, outdoor activities. 

 
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): From Monday to Friday, mornings and afternoons 

 
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/ 

 
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).: No 

 
What geographical area’s are you able to cover?: 

 
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.: Monday AM/Monday PM/Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/Thursday AM/Thursday PM/Friday AM/Friday PM/ 
Further Information: