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Personal Assistant Application Form Submission  


Title *: Mr. 

Town *: Cardiff 

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. *: BA equivalent Islamic studies(inc knowledge of social sector) 


What qualities do you think are important when working as a personal assistant with a disabled person? *: Care Compassion Good listening Emotional intelligence Empathy Being considerate Tolerance  


How do you think you can contribute towards the needs and the independence of a disabled person? *: Can adjust to the demand of the situation.Work well with the persons mindset.  


What is it about PA work which appeals to you? *: Simple tasks  


What are your hobbies/interests?:  

Would you consider a casual position if you are unsuccessful with this job? *: Yes 


Do you drive? *: No 


Are you a vehicle owner? *: No 


Do you smoke? *: No 


Are you able to undertake training? *: Yes 


What days/nights are you able to work, or prefer to work? *: Weekends with flexibility and possibly weekdays in the night (depending) 


Are there any circumstances which would prevent you from providing cover or swapping a shift? *: 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? *: 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?: Grange town and nearby areas to it  


How many hours of work can you offer per week?: 5-20 


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