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Personal Assistant Application Form Submission 

 
Title (required): Mrs. 

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 understand that working as a care assistant involves helping clients, who are often elderly, to live their best possible life by assisting with their immediate needs like washing, dressing and going to the toilet. It also includes providing basic medical care like giving clients medication or monitoring temperature and blood pressure. 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): 1. The ability to work on your own initiative. 2. Good listening and communication skills. 3. Flexibility and time management. 4. Good interpersonal skills to work with someone on a one to one basis. 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): 1. Positive relationships. 2. A sense of belonging. 3. Individual autonomy. 4. Active involvement in decision-making. 5. Active engagement in community. 

 
What is it about PA work which appeals to you? (required): I am professional, conscientious and a highly-organized person who has a passion for a PA work. So, I take the responsibilities of my role seriously. So, I very much enjoy being the person who has the responsibility of organizing and planning things for my employer. 

 
What are your hobbies/interests?: Reading Travelling Meeting People Baking 

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

 
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): Anytime 

 
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, United Kingdom 

 
How many hours of work can you offer per week?: No Restriction 

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