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Personal Assistant Application Form Submission

Title (required): Mrs.

Address 2: St. Mellons
Town (required): CARDIFF
County (required): South Glamorgan

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 am an experienced carer and have worked with people with various conditions and although COPD is not one of them, my mum suffered with this and so I do have some knowledge of same.

What qualities do you think are important when working as a personal assistant with a disabled person? (required): The qualities I think are important are, patience, understanding, caring nature, honesty, trustworthy and an ability to adapt to differing situations.

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I feel that I have all of the above qualities and alongside my experience of many years as both carer and PA, enables me to contribute to individuals needs and wishes and enable a person to remain as independent as possible.

What is it about PA work which appeals to you? (required): I enjoy the closeness of working one on one with people and hopefully making a difference to their lives, even if it’s only in a small way.

What are your hobbies/interests?: Reading. Walking my dogs.

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

Do you drive? (required): Yes
Are you a vehicle owner?  (required): Yes
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): Week days or nights

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

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