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Personal Assistant Application Form Submission 

 
Title (required): Miss. 

Address 2: Rhydyfelin 

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): Receptionist in travelodge witchurch, Batleys Cardiff warehouse, Care for my couisn who sadly passed away at the age of 37 she was mentally and physically disabled. Also some one with MD. 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Relaxed , calm , friendly and meeting they daily basic needs in life 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): Everything I said above 

 
What is it about PA work which appeals to you? (required): Working on my own and being out and about in my car be lost with out it 

 
What are your hobbies/interests?: Travelling, cooking I make some really nice meals as I also do hello fresh myself. And got loads of pics of food I’ve cooked over the years 

 
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): Yes 

 
Are you able to undertake training? (required): Yes 

 
What days/nights are you able to work, or prefer to work?  (required): Monday to Friday 9 am to 3pm so I can do school run as I have a 5 year old daughters and 12 

 
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?: Pontypridd taffs well 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/Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/Thursday AM/Thursday PM/Friday AM/Friday PM/Saturday AM/Saturday PM/