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Personal Assistant Application Form Submission 

Title (required): Mr. 

Town (required): Gabalfa 

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 have looked after my nan for a long time so i know how to keep her entertained and also how to provide support with living (cooking, cleaning, accompanying etc.) I also have a cousin with autism and ADHD who I spend a lot of time with helping to perform certain activities (playing in the park and with LEGO etc.) so I have become accustomed to dealing with outbreaks and panic attacks in a calm manner, and also to helping him through stressful social situations. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): Empathy- being able to understand or at least accommodate the other persons feelings/ reasonings plays a big part in building a relationship and helping overcome potentially stressful situations. Compassion- Putting yourself in another persons position is essential in helping them get the best out of any given situation as to not leave them feeling upset or distraught. Caring- One must be able to provide care and assistance to the other person no matter what position they find themselves in, in order to not compromise the safety and protection as well as happiness of the other individual 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I will be able to support them in tasks around the house (cooking, cleaning, playing with toys, using bathroom facilities etc.) as well as outside of the house (staying safe and protected, going for walks, playing in the park etc.) 

What is it about PA work which appeals to you? (required): I enjoy helping others, seeing them improve in daily life and putting a smile on their face. In the future I am going to be a clinical psychologist due to my love for helping people so starting early in a personal assistant role will allow me to express my passion for helping others whilst also providing me with experience in helping other people. 

What are your hobbies/interests?: I enjoy nature, going for long walks, reading books, listening to music, playing games, visiting my family. 

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): Monday until 12pm and anytime after 5pm, Tuesday until 12pm and after 3pm, All day Wednesday, Thursday until 9am and anytime after 12 (most weeks), Friday until 10am and after 5pm (most weeks)- Saturday and Sunday free all day (most weeks) 

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 in full-time education and occasionally go home to visit my family on the weekends and for holidays (e.g., Christmas, Easter). 

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?: Gabalfa, Mynachdy, LLandaff, Llandaff North, Pontcanna, Cathays, Plasnewydd, Tredegarville, Riverside, Birchgrove, Taffs Mead. 

How many hours of work can you offer per week?: 10-20hours 

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 PM/Thursday Overnight/Friday PM/Friday Overnight/Saturday AM/Saturday PM/Saturday Overnight/Sunday AM/Sunday PM /Sunday Overnight/ 

Further Information: Times may differ week to week depending on Term/ Holiday time and when I go back home to be with my family.