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Title *: Miss. 


Address 2: Llanrumney  

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. *: I have really good experience in this job role, I have previously worked as a support worker and I absolutely loved it, I’m very caring loving person with a good outlook on life & I love making other people happy.  

What qualities do you think are important when working as a personal assistant with a disabled person? *: I feel having a strong upbeat personality is always a good thing to have, lots of confidence & patience with a good sense of humour.  

How do you think you can contribute towards the needs and the independence of a disabled person? *: I can contribute a safe happy place with no pressure just support when needed as I know independence is a big thing and I will always encourage it.  

What is it about PA work which appeals to you? *: Making such a friendship with the person you care for is what I love most, making bad days better and good days even better.  

What are your hobbies/interests?: I enjoy shopping, going out for food, long beach walks & all things fun but also really enjoy a night in front of the telly in my pjs 

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? *: All Monday to Friday - weekends to be discussed as I own a little party business which is mostly weekend day time work  

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?: Cardiff  

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

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/Sunday Overnight/ 

Further Information: