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Personal Assistant Application Form Submission  

 
Title *: Miss. 

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 a carer for my disabled cousin, I help around his home to keep it tidy, make meals and entertain him.  

 
What qualities do you think are important when working as a personal assistant with a disabled person? *: To have patience and kindness. To be knowledgeable about the person and their specific requirements. To know the protocols that would need to take place in the case of an emergency.  

 
How do you think you can contribute towards the needs and the independence of a disabled person? *: Bring my positive, caring and kind personality to the person, talk to them and address their needs patiently with attentive listening, to ensure they are more than content.  

 
What is it about PA work which appeals to you? *: Being able to work one on one with someone, so I can use my skills more effectively. 

 
What are your hobbies/interests?: I like reading, bike riding, travelling the country and exploring the nature. 

 
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? *: monday-friday 

 
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?: cardiff 

 
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/ 
Further Information: