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Personal Assistant Application Form Submission 

Title (required): Mrs. 

Address 2: Llanedeyrn 

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 no past experience. However i am outgoing, confident, im very chatty, very sociable, i am a very caring and understanding person, i am reliable and flexiable to work any hours. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): I believe passion is the most important thing to have, because if you got passion youve got most things. Keeping your person safe at all times, being kind, a good listener is all so important. My daughter has dyspraxia and she comes with many challenges and i have a great understanding that every single day is very different and ive learnt to adapt around every day. 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I can make them feel safe, make them feel as though they can talk to me, im hoping to build their confidence, make them smile, anything i can do to make someone smile makes me smile 

What is it about PA work which appeals to you? (required): I have 2 children with additional needs which i care for and last year my mum sadly passed with with terminal cancer and taking care of her showed me exactly what i want to do with my life. I always need i wanted to care for someone i just wasnt sure if that would be children, adults or those with disabilities and now im sure one zero percent that caring is all i want to do. 

What are your hobbies/interests?: I enjoy reading, social media, meeting with friends, i also make light up canvases for children scared of the dark. I have many interests to. 

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): I can work any day. Times from monday to friday will be within school hours so 9.30 to 3 and weekends anytime 

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?: Llanedeyrn, pentwyn. Albany road, heath, city road. 

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

Further Information: I can provide references later on. I just need the personal details o these people.