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Personal Assistant Application Form Submission  


Title *: Mrs. 


Address 2: Machen  

Town *: Caerphilly  

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 am an articulate, self motivated, confident individual of a smart appearance. I am able to present a professional image in line with any employers core values. I am approachable and able to create immediate good impression. Right now I am looking for a suitable position in the health care section. Previous employment... Hairdresser 1980..2009 Fostermum ... 2010...2015 Personal Care assistant Dewis Cymru 2011 to date  

What qualities do you think are important when working as a personal assistant with a disabled person? *: Hard working and reliable Always act in a professional manner Good organisation skills Team player , work well with others Willing to train to gain further skills and knowledge.  

How do you think you can contribute towards the needs and the independence of a disabled person? *: Able to support and keep safe persons involved. My ability to keep calm with a caring approach. Listing intently and supporting individual needs.  

What is it about PA work which appeals to you? *: I feel rewarded making a difference to persons that want my help. I’m very reliable with lots of energy and love doing what I do well .  

What are your hobbies/interests?: Family activities, cinema. Walking my two dogs. Reading , knitting I have completed two full marathons and numerous half marathons. I belong to a triathlon club and have completed cycle events and duathlon.  

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? *: Very flexible  

Are there any circumstances which would prevent you from providing cover or swapping a shift? *: Yes 

If you would like to expand on the answers given above? Please use the box below.: My ability to stay calm under stressful circumstances as worked as a Fostermum for several years. Love driving , sense of direction not so. Thank goodness for sat nav  

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?: Happy to travel.  

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

Please indicate the approximate times that you are available for work throughout the week.:  
Further Information: Flexible with hours willing to work as a team , sharing if needs. Happy to work any day