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Personal Assistant Application Form Submission 

Title (required): Mrs. 

Town (required): Cardiff 
County (required): Gabalfa 

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): Atlantic Resources as a catering and cleaning assistant from January 2015 to November 2016 Left due to not enough working hours Pontcanna Care Home as Carer from November 2016 to October 2017 Left due to not enough working hours Care in Cymru as a domiciliary Carer from November 2017 to July 2020 Left due to low hourly wage Helping Hand as domiciliary Carer from July 2020 to present Want to leave so I can work in one place 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): Helping them feel safe and being there when they need your support. Being understanding and having an open mind is important. 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I have worked with vulnerable people for around 4 years now and especially for the last 2 years I’ve worked on a personal level with many clients to help them and build a good relationship with them whilst keeping them safe. I have cleaned, hoovered, dusted, washed clothes, provided food, medicine, helped with personal care and manual handling. I’ve used hoists, wheelchairs, wheel commode, standing frame, Zimmer frame and glide sheet. I am a caring, understanding person who will keep them as safe as I can. I will always be happy to help them and keep an open mind to make them comfortable. I always want to build a good friendship with my clients as I feel like it’s important that they can trust me. I always try my best and will try to understand different perspectives. 

What is it about PA work which appeals to you? (required): I like that you can have a personal connection with the client. Its nice to have someone to talk to and I like making other people feel good. 

What are your hobbies/interests?: I love gardening, spending time with family and friends and cooking. 

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): Any weekdays 

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).: No 

What geographical area’s are you able to cover?: 

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

Please indicate the approximate times that you are available for work throughout the week.: 
Further Information: