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Personal Assistant Application Form Submission


Title (required): Mrs.

Address 2: Grangetown
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): Administration job in 2010 to 2015 School lunchtime supervisor 2018


What qualities do you think are important when working as a personal assistant with a disabled person? (required): * be kind * be patient * be caring


How do you think you can contribute towards the needs and the independence of a disabled person? (required): I can help them to be independent and give them the support they need. Its very important that they enjoy life like a normal person.


What is it about PA work which appeals to you? (required): I like taking care of people its very natural to me as I have 2 kids myself. My day will be successful if I can make someone laugh a little everyday.


What are your hobbies/interests?: I like shopping and being social with my friends.


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): I can work Monday 10am to 2 pm. Wednesday 10am to 2pm. Thursday 10am to 2pm. Saturday all day. I am flexible and could some evenings. I have 2 kids and I need to work school hours.


Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): Yes


If you would like to expand on the answers given above? Please use the box below.: I have 2 kids and I need to work around their school and mosque schedule but I can discuss times with employers.


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?: Riverside Grangetown Splott Canton Leckwith


How many hours of work can you offer per week?: 10 to 12 hours per week


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