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Personal Assistant Application Form Submission  


Title *: Ms. 

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. *: HSC Level 2 First aid Manual Handling. All Passport Wales Enhanced DBS  

What qualities do you think are important when working as a personal assistant with a disabled person? *: I currently work through Dewis as a PA for 2 families. I have experience of working in the NHS as Bank support across various wards, in Residential homes supporting people with Dementia, in ASD schools and with children with Special Needs. 

How do you think you can contribute towards the needs and the independence of a disabled person? *: I can be a positive support. 

What is it about PA work which appeals to you? *: I enjoy the flexibility and variety. 

What are your hobbies/interests?: Working Out and Dog 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? *: During school hours 

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.: Depends on the circumstances 

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).: No 

What geographical area’s are you able to cover?: North Cardiff, Radyr, Taffs well , Danescourt, LLandaff, Tongwynlais 

How many hours of work can you offer per week?: 20 - 25 

Please indicate the approximate times that you are available for work throughout the week.:  
Further Information: