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Personal Assistant Application Form Submission 

Title (required): Mrs. 

Town (required): Butetown 
County (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): Being a mother has helped me gain the essential skills that are perfectly transferable to a care role. I have nurtured all my children and have once cared for my aunty. I see my skills as transferable because children and elderly people are very similar as both are sensitive and require a lot of assistance, guidance and attention. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): Being a personal assistant requires kindness, reliability, trustworthy, honesty, caring nature and having the ability to be patient and listen at all times. 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I am a friendly, positive person with a can do attitude. I have a great personality and all my friends tell that I have a good sense of humour, which I believe is important for this role. Laughter is a medicine for the soul. 

What is it about PA work which appeals to you? (required): I feel this role is well-suited for me because I am a highly organised person and I take my responsibilities very seriously. I enjoy making a difference to someone’s life by supporting them to live independently in their own home or socialising in the community. This role would give me the opportunity to develop more skills in the care industry. 

What are your hobbies/interests?: I love taking photos of nature, i enjoy walking trails, spending time with my children and socialising 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): Week days and some weekends 

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/ 

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?: Butetown, grangetown and canton 

How many hours of work can you offer per week?: 8-10 per week 

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