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Personal Assistant Application Form Submission 

 
Title (required): Mrs. 

Address 2: Canton 
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): Qualified Music Therapist Care worker for blind people 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Empathy:This, I believe,is one of the most important qualities when working with any person with a disability. Patience is also essential ready to deal with any situation without panic or stress,keeping calm in any situation. Non-judgemental and tolerant.Never judge and accept all behaviours,never be forceful in trying to do/progress something that they may not wish to do. 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): I believe I possess all the above qualities and attributes to assist a person with disabilities. My training,both theoretical and practical,as a music therapist as well as a Touch therapist,has taught me a great deal about how I can help improve the quality of life of a disabled person.My most recent employment as a personal assistant or a blind person,until she passed away,was extremely satisfying and M,my client would always look forward to my visits,as can be testified by one of my listed referees. 

 
What is it about PA work which appeals to you? (required): I am organised and methodical,with good attention to detail, and would always be flexible in meeting the needs of disabled people,children and adults.In my previous role as a personal assistant to a blind person with other health issues, and living on her own, I was able to support her in maintaining her independence and self-esteem,which was important to her a former professional nursing sister. 

 
What are your hobbies/interests?: Music,gardening,cooking,Yoga. 

 
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): Monday,Tuesday,Wednesday until 5pm 

 
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.: 

 
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?: around Canton,Llandaff 

 
How many hours of work can you offer per week?: 5 hours p/w 

 
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/