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Title (required): Mr. 

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 more than 10 years of experience in banking and customer service. Dealing with different kind of customers , being patient with them and help them for their tasks are some useful experience for this job aswell 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Patience, caring, understanding and kindness 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): I am a caring person and always try to understand other people. By understanding and making them happy using my skills and experience 

 
What is it about PA work which appeals to you? (required): . 

 
What are your hobbies/interests?: Reading books, cricket , nature landscapes 

 
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): No 
Do you smoke? (required): Yes 

 
Are you able to undertake training? (required): Yes 

 
What days/nights are you able to work, or prefer to work?  (required): Monday, Friday, Saturday, Sunday 

 
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 

 
What geographical area’s are you able to cover?: Cardiff 

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

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

 
Further Information: I am a student of Cardiff Metropolitan University