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Personal Assistant Application Form Submission 

Title (required): Miss. 

Town (required): Cardiff 
County (required): South Glamorgan 

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 have 15 years experience of working as a Carer with a range of clients with different needs ranging from dementia, alchemies, cerebral palsy, learning difficulties and additional needs. - I have been a Teaching Assistant for many years working with children and young adults with special needs. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): - Patience _ Compassion _ Caring and friendly _ Loyal and trustworthy _ Experience _ Calm disposition _ Fun 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): - Promote Collaboration in Daily Tasks - Encourage Physical Activity - Focus on Their Capabilities - Actively involve them in decision-making - Be positive and celebrate achievement 

What is it about PA work which appeals to you? (required): I have always found it a fun and rewarding job. I love forming relationships and making a difference to someones day. 

What are your hobbies/interests?: - Exercise - Going out for walks with my dog - Socializing with family and friends 

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): Weekends days or nights 

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

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 and Vale 

How many hours of work can you offer per week?: 

Please indicate the approximate times that you are available for work throughout the week.: Friday Overnight/Saturday AM/Saturday PM/Saturday Overnight/Sunday AM/Sunday PM /