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Personal Assistant Application Form Submission 

Title (required): Miss. 

Town (required): Cardiff 
County (required): South Glamorgan 

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): My previous work was at Home Bargains as a store assistant. I dealt with many customers, many of which who had health issues and so as part of my role, I used to help assist them to certain areas of the shop. I have experience in regards to caring and supporting the elderly as my grandmother suffered from paralysis and so I helped with washing and cleaning up after her. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): I believe that being compassionate and patient are two main qualities that are very much needed when working in a role like this. 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I will make it clear that I am on hand at all times for support but also make clear that they still have their independence and not force my help upon them when I can see they are able to help themselves. 

What is it about PA work which appeals to you? (required): As part of my University degree (Psychology), I have always wanted to work in the health care field and having lived with my grandmother for almost 10 years, I enjoy making others feel happy and making them feel like I am their friend and not just a PA. 

What are your hobbies/interests?: I enjoy spending time with my family/friends I enjoy reading and I love going for walks around the local park 

Would you consider a casual position if you are unsuccessful with this job? (required): Yes 

Do you drive? (required): No 
Are you a vehicle owner?  (required): No 
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): Saturday and Sundays, preferably Saturdays for long hours 

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?: Gabalfa, Riverside, Canton and Roath 

How many hours of work can you offer per week?: 4-6 

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

Further Information: Any extra shifts may have to held off until after the 26th of May due to upcoming University exams.