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Personal Assistant Application Form Submission 

 
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): Work as a carer in domicilliary care. providing personal care to the service user, protecting the service user against any form of abuse . 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Protection, communication and provision are one the quality a personal assistant should have while taking care of him 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): As a personal assistant , you need to understands on how best you can communicate with your client psychologically emotionally to be able to meet the demand of your service user. As it was stated human wants is insatiable but we must at least meet his 80 percent positive need . 

 
What is it about PA work which appeals to you? (required): To provide a high level of support to your client who is disable ensuring that his needs are met 

 
What are your hobbies/interests?: Am a lover of sports especially football, volley ball and table tennis, classical music and playing musical instrument like piano, trumpet and violin 

 
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): Yes 

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

 
What days/nights are you able to work, or prefer to work?  (required): All day 

 
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?: 50-200miles 

 
How many hours of work can you offer per week?: 60 

 
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 Overnight/Friday AM/Friday PM/Saturday Overnight/