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Title (required): Miss. 

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 had to support my elder brother daily while growing up. He is living with cerebral palsy. This has never stopped us from supporting him to engage in activities his mates did in school. With extra support from us, he completed law school and now he has been called to bar to be a barrister. I feel a huge sense of accomplishment when I discuss this with anyone. We did it 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Working to accomplish your clients daily goal/choices Being smart Readiness to complete assigned tasks Friendly approach to every situation 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): Asking questions to confirm his/her needs Being consistent in your approach Caring for his/her emotional and social needs/requirements Delivering your best for every interactions 

 
What is it about PA work which appeals to you? (required): I enjoy being serviceable because it gives me a greater sense of purpose. I also love having varieties in my daily activities and having to be always prepared for the requirements 

 
What are your hobbies/interests?: Reading Playing games Walking Watching series 

 
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): Monday, Tuesday, Wednesday, 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.: No, I would always been present 


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, Newport, Treforest 

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

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