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Personal Assistant Application Form Submission  

Title (required): Mrs. 

Address 2: Gabalfa  
Town (required): Cardiff  
County (required): Wales  

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’ve been working for a home care company for the past 8 years. I work as a care assistant and provide care and assistance to our clients. I have a wide range of experience in working with vulnerable individuals which can help me in this job. Some of my duties include personal care, preparing food, giving the medication at the required time, cleaning, doing the shopping and providing companionship. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): I believe i am very hard working, empathetic and passionate about caring and helping people. These qualities are essential in caring for disabled people.  
How do you think you can contribute towards the needs and the independence of a disabled person? (required): My passion and determination to help people.  

What is it about PA work which appeals to you? (required): My passion to help people gives me satisfaction. I really love to assist clients and anyone in need. I believe this PA role is exactly what I’m looking for.  

What are your hobbies/interests?: Cooking, swimming , caring and socialising  

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): Yes 

Are you able to undertake training? (required): Yes 

What days/nights are you able to work, or prefer to work?  (required): Currently I am able to work any 3 nights. Preferably Thursday, Friday and Saturday nights  

Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): No  

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?: Whitchurch, gabalfa, roath, cyncoed, canton, grangetown, fairwater. 

How many hours of work can you offer per week?: 27 hours  

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