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Personal Assistant Application Form Submission 

 
Title (required): Mr. 

Town (required): CARDIFF CITY 
County (required): SOUTH GLAMORGAN 

 
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): Education background B-Tech in FUTO Nigeria and MSC in (HSE) South wales USW I have cared and supported my old grand mother even in sickbed for years back then. My official care training was done by Cardiff city hall group 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): sympathy and caring to the service users Assurance and good communication skill Having patience To be willing to assist your patience for possibilities 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): Is to make him calm and happy always To give a manual support, hoisting and wheelchair assured his emotional wellbeing is okay and alright , 

 
What is it about PA work which appeals to you? (required): Because you will be dealing wit an individual at home and not with multiple service users. 

 
What are your hobbies/interests?: watching new discovery. 

 
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): Nights 

 
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.: yes there are many unknown factors 

 
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?: 20 hours 

 
Please indicate the approximate times that you are available for work throughout the week.: Friday AM/Saturday AM/