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Personal Assistant Application Form Submission 

Title (required): Miss. 

Town (required): NEWPORT 

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): AS SID THAT I HAVE PERSSION TO HELP PEOPLE EXPECIALLY THOSE WHO NEED HELP LIKE PEOPLE WITH PHISICAL CHALLENGES,I HAVE ALSO WORKED IN HEALTH CARE SECTOR.I WORKED IN BOTH NURSING HOME AND RESIDENTIAL HOME. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): FRIENDLY, ALWAYS READY TO LISTEN, ABLITY TO TAKE OR MAKE DECISIONS, EMPATHY AND PROBLEM SOLVING.I HAVE ABILITY TO MANAGE TIME. 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): GIVE MY TOTAL SUPPORT, 

What is it about PA work which appeals to you? (required): PA .A PERSONAL ASSISTANT?.....ASSIST,SUPPORT,GUIDE AND OBEY 

What are your hobbies/interests?: GIVING HELPING HANDS AND TRAVELLING 

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): Yes 

What days/nights are you able to work, or prefer to work?  (required): AM AVAILABLE TO WORK BOTH DAY AND NIGHT 

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?: NEWPORT AREA 

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

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