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Personal Assistant Application Form Submission  

Title *: Miss. 

Town *: Llanedeyrn  
County *: 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. *: 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. *: GCSE- English D GCSE- Maths D GCSE-science D I currently work for ladbrokes coral ltd I have been in the position for 18 years, I also work as a personal assistant which I absolutely love and am looking to move into the care field more prominently.  

What qualities do you think are important when working as a personal assistant with a disabled person? *: Qualities which I think are important are being understanding to the persons needs, being patient kind and caring. Reliable, trustworthy and friendly and always respecting confidentiality.  

How do you think you can contribute towards the needs and the independence of a disabled person? *: i think I would contribute by always listening to the person, taking there needs into consideration assisting them in their day to day living and encouraging them to be as independent as possible  

What is it about PA work which appeals to you? *: I love my current personal assistant job there is nothing more satisfying than knowing you are helping someone live as independently as possible, bringing quality to their life, helping them enjoy a social life and do the hobbies/interests they enjoy.  

What are your hobbies/interests?: I enjoy cooking/baking. Walking my dogs. Reading going to the cinema  

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? *: Yes 

Are you able to undertake training? *: Yes 

What days/nights are you able to work, or prefer to work? *: Mon, wed, Friday daytime (school time) Wednesday overnight. Thursday all day 

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.: The only thing that would prevent me swapping a shift would be my commitment to my other job and having childcare for my young daughter.  

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?: Pentwyn, llanedeyrn, cyncoed, Heath, roath, gabalfa, splott, tremorfa, Whitchurch, llanishen, penylan, Llanrumney, Rumney and st mellons  

How many hours of work can you offer per week?: 16-20 

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