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Personal Assistant Application Form Submission


Title (required): Mrs.

Address 2: Ely
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): Currently working in a mental health secure setting, dealing with patients with learning disabilities, borderline personality disorders, schizophrenia etc. In my role I engage with patients daily having general everyday conversations, helping with cleaning of their bedrooms, wards and making sure they are safe.


What qualities do you think are important when working as a personal assistant with a disabled person? (required): Being patient, understanding and treating them like you would everybody else, with respect.


How do you think you can contribute towards the needs and the independence of a disabled person? (required): I feel I can contribute by making them feel good about themselves, having a ‘buddy’ they can trust and have fun with.


What is it about PA work which appeals to you? (required): Being able to make a difference and giving someone that’s lonely and needs someone that bit of confidence and extra freedom.


What are your hobbies/interests?: Spending time with my wife, family. Exercise, shopping, sports, meals out.


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): Any


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?: Ely


How many hours of work can you offer per week?: 40


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/Saturday AM/Saturday PM/Sunday AM/Sunday PM /