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Personal Assistant Application Form Submission


Title (required): Miss.

Address 2: Machen
Town (required): Caerphilly


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 17 years care experience. I have worked for an agency visiting homes in the community. I have been a PA for 11 years now. Tasks involved have been personal care, domestic duties, medication prompting, shopping, social outings, hospital visits and being a PA are all those things plus more.


What qualities do you think are important when working as a personal assistant with a disabled person? (required): I am patient, kind, understanding, have a good listening ear, able to work on my own initiative, respect the need for confidentiality and good at following direction.


How do you think you can contribute towards the needs and the independence of a disabled person? (required): I have 17 years care experience, I respect the needs of the people I care for treating them as an individual, and am passionate for being able to allow a disabled person be as independent as possible with my support.


What is it about PA work which appeals to you? (required): I have been a P.A for 11 years now. Being a P.A offers an opportunity to build a relationship with the person I am caring for and offers flexibility for both. I have experience of working for a care agency and being a PA offers a more personal, person centred approach.


What are your hobbies/interests?: I have 2 children (boys) who are football mad. I have 2 dogs who love their walks. I enjoy nature, outdoors, music, reading, movies, coffee shops and love time with the family.


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): Tuesdays, Fridays, Sundays, all evenings. Possible overnights if required


Are there any circumstances which would prevent you from providing cover or swapping a shift? (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 Pontypridd


How many hours of work can you offer per week?: 16


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


Further Information: Although i live in Caerphilly, my other PA roles are in Cardiff and my children commute to school in Cardiff too. So travelling/location is not an issue.