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Title (required): Mrs. 

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 have worked as Adult Support worker at Tams Exclusive haven Ltd where I provided personal care and assistance to individual with disabilities within their home and out In the community. I also have experience in offering advice on independent living skills such as food preparation, shopping, cleaning, laundry as part of my roles. 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): As a personal assistant with a disabled person, you must be very patient and have a good communication and Interpersonal skills, you must be friendly, caring and have tolerance. 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): By motivating them always and encourage them always. Let them know there is ability in disability. 

 
What is it about PA work which appeals to you? (required): Because I will be part of their life, I love to make people and bring out the best part of their life 

 
What are your hobbies/interests?: Going out to places have never been before, meeting new people, gisting with people. 

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

 
Do you drive? (required): No 
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 day and night 

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

 
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?: Cardiff 

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

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