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Personal Assistant Application Form Submission 

Title: Mr 
Town (required): 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. (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): I work as a residential support worker for children. I also work in a school with children. I also work with children with special education needs 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): Patience Persistency Tolerance Understanding Humour 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): Over my years of experiences working with disabled people both at home and in school, I realised patience is needed to first understand the subject. When Ive been able to understand them, I can then know what they want and also what they like to do. I like to create room for them to do whatever gives them pleasure. Especially if I could be part of it. Theres a need for every disabled person to be independent so that they too can be part of the society. So we have to give them freedom to do that which they enjoy doing. 

What is it about PA work which appeals to you? (required): I am passionate in getting the very best from people. That makes me feel fulfilled. Ive worked as a teaching assistant and Im overwhelmed by how gifted many young people. I like to be that person who identify the strength in people and help them develop it. 

What are your hobbies/interests?:Sport, music, reading, going out and having fun 

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

Do you speak any other languages? (required): No 

Do you drive? (required): Yes 
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): Both 

Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): No 

If you would like to expand on the answers given above? Please use the box below.: 

Do you have portable DBS (which has been paid for and renewed for the current year)? (required): 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? (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?:Whitchurch 

How many hours of work can you offer per week? (required): 20 

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