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Personal Assistant Application Form Submission 

Title (required): Miss. 

Address 2: Grangetown 
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): 1996-2017 Cardiff and Vale ESOL Service - Creche Leader 2016-2018 Supported Lodgings Scheme - Supported Lodgings Carer 2017-present After School Club - Play Worker 2021-present- Personal Assistant 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): I am hard working, adaptable, positive, and willing to give support to help the person achieve personal goals and reach their full potential, which will help promote their physical and mental wellbeing. 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I am a good listener, I have patience, understanding, good communication skills, I am motivated, energetic and I have a good sense of humour. I am aware of maintaining confidentiality, I am willing to develop and enhance my skills by completing any training required I am willing to provide social support when needed and also carry out domestic support and help with personal support. 

What is it about PA work which appeals to you? (required): I find PA work a very rewarding job as I enjoy helping and supporting people to reach their full potential, with positive encouragement. 

What are your hobbies/interests?: I enjoy going for walks, reading, going to The Cinema, The Theatre, I also like social activities, meals going out for Tea/Coffee with family/friends. Chatting about different topics 

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): No 

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

What days/nights are you able to work, or prefer to work?  (required): Availability Monday, Tuesday, Wednesday, Thursday, until 2.30pm Friday available all 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.: I am working from 3.00pm Until 6.00pm Monday to Thursday, so my availability is any time until 2.30pm and I am available all day Friday. 

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?: 4 hours per week 

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