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Personal Assistant Application Form Submission 

 
Title (required): Mrs. 


Address 2: Riverside 
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): I work as a kitchen assistant in high school plus I do cleaning with Cardiff Council in the primary school. 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): I will I will give 110% of care to the person who Im looking after. 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): I can be the person who can be relying on at any time. 

 
What is it about PA work which appeals to you? (required): Im very comfortable to work with adult or kids at any environment. 

 
What are your hobbies/interests?: Cooking cleaning and helping people with personal problem or general and be a good adviser. 

 
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): Days please. 

 
Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): No 

 
If you would like to expand on the answers given above? Please use the box below.: Im very flexible. 

 
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?: 20 hours a week 

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