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Personal Assistant Application Form Submission 

Title: 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 had formerly worked as a voluntary support worker at the Elders Home and Care in my country. i found this very interesting, as i was able to create assistance to the residence, i always encourage for everyone to be involved so that everybody will have a sense of belonging and will be able to share their thoughts and not feel intimidated. i had a very good relationship with the residence as i am always ready to listen and help with their needs. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): One need to be a very patient, caring, have a good communication skills and is also important to be a good listener. this attributes are needed to have a good relationship with someone in need of such help. 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I believe by listening and understanding the need of the disabled person and also making sure that there is communication between myself and the disabled , allowing the person to express himself, and not limiting the ability of the person. 

What is it about PA work which appeals to you? (required): It has always been joyful for me to help people while growing up, by so doing you meet a lot of people and you become friends, it amazes me how much more i can also learn myself as this was the case when i worked as a voluntary support worker, i also learnt a lot from the residence which help shaped my perception to life in more positive way. 

What are your hobbies/interests?:watching movies, playing video games, making friends, traveling 

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

Do you speak any other languages? (required): I speak English, and my native language (Yoruba) 

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): Mondays, Wednesdays, Thursdays, Saturdays, Sundays. Anytime of the Day 

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.:Am a student presently , if am to cover or swap is not an issue if it does not collide with the day and time i will be having lectures. 

Do you have portable DBS (which has been paid for and renewed for the current year)? (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/ 

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 hours 

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