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Personal Assistant Application Form Submission


Title (required): Mrs.

Address 2: Llanedeyrn
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): When my father in law got diagnosed with Alzheimers I would look after my father in law while my mother in law would have a couple of hours break, I have also got three grown up sons so have experience with looking after children.


What qualities do you think are important when working as a personal assistant with a disabled person? (required): Im understanding, caring and sociable. Im also trustworthy, honest , loyal and reliable.


How do you think you can contribute towards the needs and the independence of a disabled person? (required): Im good at communicating and got a very caring nature.


What is it about PA work which appeals to you? (required): I think it would be a rewarding job helping somebody to live and experience life as they should.


What are your hobbies/interests?: I got to the gym on a regular basis , I enjoy bike riding and road running in my local community. I also enjoy going out my meals and socialising.


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 work every morning as a cleaner in my local harvester so preferably after 9


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?: Cardiff


How many hours of work can you offer per week?: 16


Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Monday PM/Monday Overnight/Tuesday AM/Thursday AM/Thursday PM/Saturday AM/Sunday AM/