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Personal Assistant Application Form Submission 

Title (required): Mrs. 

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): Having previously worked in a Care Home then went on to work in the community which I prefer. My last role was within a team looking after a lovely lady with dementia for over 4years which was an absolute pleasure until she passed away. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): Being kind trustworthy lots of patience and empathy 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I enjoy giving my time to this field. I am a friendly kind person with lots of patience and their privacy and independence is so important 

What is it about PA work which appeals to you? (required): Being able to be part of their care and their lives. 

What are your hobbies/interests?: I enjoy reading. Spending time with my family.. Going out for meals . Watching TV especially britbox and listening to music 

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): No 

Are you able to undertake training? (required): No 

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

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 work in a school so depending on time slots for shifts. I have always worked at the school whilst working my care roles so the two can ve managed . 

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?: Cyncoed 

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