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Personal Assistant Application Form Submission  


Title *: Mrs. 

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. *: My last employment was as a school escort for disabled children. I believe this can help me with this role as I have a better understanding in how to work and communicate with individuals. Having to be a personal carer for my disabled mother who is very much dependant on me. This will allow me to assist other individuals who require assistance 


What qualities do you think are important when working as a personal assistant with a disabled person? *: I believe the qualities which are important when dealing with a personal assistant are: -Having patience -To understand there needs -To pay attention to the individual -To be punctual and prompt  


How do you think you can contribute towards the needs and the independence of a disabled person? *: I can contribute as I am a taking care of my elderly, disabled mother, therefore this gives me the ability to understand other individuals needs and assist them in becoming more independent. I am also hard-working and put 100% effort in every task I complete.  


What is it about PA work which appeals to you? *: Caring is the best line of work for me wether it be adult or children as I like to make others happy and smile. Also knowing that I can make individuals feel at ease with their duties which need to be completed. 


What are your hobbies/interests?: I love socialising and spending time with my family. I also like to go shopping, gardening and walking.  


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? *: Weekdays and weekends  


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?: Rhiwbina Cyncoed Whitchurch Gabalfa 


How many hours of work can you offer per week?: 15 


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

Further Information: