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Personal Assistant Application Form Submission  


Title *: Miss.  

Address 2: St Mellons 

Town *: 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 over 10 years work experience in health and social care. I have a level 4 in health and social care from Cardiff university. I have worked in hospital on wards as a health care assistant and have worked in the community supporting in people’s home. I have currently worked for Dewis for nearly 2 years and have enjoyed every minute. 


What qualities do you think are important when working as a personal assistant with a disabled person? *: You need patience and compassion and empathy when working with someone who has a disability and require assistance with their everyday life. You need to build up a good friendship and have a trust from both sides , You are not just there PA but you become friends and I feel you need all these qualities to for fill the role as a PA. 


How do you think you can contribute towards the needs and the independence of a disabled person? *: I have over 10 years of experience working in a hospital and community setting. I understand the struggles and issues that can affect someone with a disability. I have patience and empathy with someone who has a disability and always try and see things from their point of view and work with them to make the best of our time together. 


What is it about PA work which appeals to you? *: I have worked for Dewis for nearly 2 years I like the flexibility with the hours and I like I have the same clients and can get to know them and become friends. 


What are your hobbies/interests?: Shopping, cinema, walking and spending time with family and friends. 


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? *: Flexible around my other client I care for. 


Are there any circumstances which would prevent you from providing cover or swapping a shift? *: Yes 


If you would like to expand on the answers given above? Please use the box below.: I have another lady I look after in the evening. So as long as it didn’t clash with shifts my other client then I would be happy to swop hours and days if needed.  


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?: 16 


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

Further Information: Can do afternoon but only til 3pm.