CDF157 To request further information or to arrange an interview please Click here Personal Assistant Application Form Submission Title (required): Mrs. Address 2: Pontprennau 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): My last job was working for Dewis, looking after a lady with short term memory loss and I have also worked on a dementia ward at a nursing home for three years. What qualities do you think are important when working as a personal assistant with a disabled person? (required): It is important to be careful and compassionate and mindful of their disability. How do you think you can contribute towards the needs and the independence of a disabled person? (required): I would support them to live a happy and healthy life in the community. What is it about PA work which appeals to you? (required): I enjoy caring for people it gives me a great sense of achievement when I can make somebody happy. What are your hobbies/interests?: I enjoy looking after my families animals, fish a dog and guinea pigs. Would you consider a casual position if you are unsuccessful with this job? (required): Yes 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): Every day but not nights. 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.: I also have an active DBS. 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?: 14 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/Saturday PM/Sunday AM/Sunday PM / Further Information: I have an active DBS.