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Personal Assistant Application Form Submission 

Title: 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): MA in education (innovation in learning & teaching) Bachelor of Arts 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): Patience, friendly behaviour, quiet and calm, not to be egoistic, soft hearted, caring attitude, honesty trustworthy, polite 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): Be supportive, not controlling Train them to make decisions by introducing choices every day Be patient and positive at all times Celebrate little victories Encourage interaction with other people 

What is it about PA work which appeals to you? (required): Taking personal care for a person. Helping with his/her daily needs. Also understanding his/her feelings and all of demands. 

What are your hobbies/interests?:Drawing Gardening Crafting 

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

Do you speak any other languages? (required): Yes, English, Bangla,Hindi,Urdu 

Do you drive? (required): No 
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): Day shift, Tuesday, Thursday, friday, Saturday, Sunday 

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?:Cardiff 

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.: Monday AM/Tuesday AM/Tuesday PM/Wednesday AM/Thursday AM/Thursday PM/Friday AM/Friday PM/Saturday AM/Saturday PM/Sunday AM/Sunday PM /