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Personal Assistant Application Form Submission  


Title *: Mrs. 

Town *: Porth 

County *: RCT

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 been a carer for the past 8 years working out in the community visiting various homes to provide personal,domestic,social.and medication care to the clients I visited.Also,worked with a gentleman with MS who was in a wheelchair and helped him with is independent living.Taking him out in his car and helping him in the community.Using ceiling hoist for in and out of bed and providing personal care to the gentleman. 


What qualities do you think are important when working as a personal assistant with a disabled person? *: The qualities I think are important are giving dignity and respect to a person.Being kind,patient and emphatic.Just treating them the same as you would any other person. 


How do you think you can contribute towards the needs and the independence of a disabled person? *: I think I can contribute as I can offer the support and guidance needed as I have experience from working with someone who was wheelchair bound using hoists etc and just helping them live a life they deserve.I have QCF Level.2,an Enhanced DBS,I am a driver.I know the importance of working in someone elses home. 


What is it about PA work which appeals to you? *: I like to help people live a full,enjoyable life.Its the knowing that you can help them to live their best life possible in just helping a little or alot.Its really up to the individual and their needs.I just like to help out where I can. 


What are your hobbies/interests?: Rugby,reading,music,I like the cinema and walking my Husky dog. 


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? *: Any 


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


If you would like to expand on the answers given above? Please use the box below.:  


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?: RCT,Cardiff,Vale of Glamorgan 


How many hours of work can you offer per week?: 40 Hrs 


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

Further Information: