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Personal Assistant Application Form Submission  


Title *: Miss. 

Address 2: St. Mellons 

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 am currently a care assistant in domiciliary care working in the community. I have completely an NVQ Level 2 in health and care social and I am currently looking to start a Level 3. 

What qualities do you think are important when working as a personal assistant with a disabled person? *: As a PA I think important qualities within the role should include: - Punctual and reliable - Trustworthy and proactive - Positive and energetic - Organised  

How do you think you can contribute towards the needs and the independence of a disabled person? *: I am a polite, caring and understanding person. An individuals needs and safety are my main priority while at work.  

What is it about PA work which appeals to you? *: I am currently a community carer that have grown a bond with many of my service users. I feel that once a bond have grown you get to know a person very well and this makes a job so much more enjoyable.  

What are your hobbies/interests?: I am a mother of 2 little boys that keep me on my toes. I love to socialise and enjoy bringing up my boys and seeing them grow.  

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? *: Yes 

Are you able to undertake training? *: Yes 

What days/nights are you able to work, or prefer to work? *: Monday-Friday 9:30-14:30. 18.00-19.30 

Are there any circumstances which would prevent you from providing cover or swapping a shift? *: 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? *: 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?: Most of cardiff. Perfer the East of Cardiff: Llanrumney/Rumney/St Mellons 

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

Please indicate the approximate times that you are available for work throughout the week.:  
Further Information: I am available monday-friday: 09:30-14:30 and 18:00-19.30 (this may vary depending on area)