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Personal Assistant Application Form Submission 

 
Title (required): Mr. 

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): I am currently enrolled in M.Sc Advanced Computer Science in Cardiff Metropolitan University. I have got training at Albany fish bar. I have worked as Software Engineer for 2 years back in my country Nepal. 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): The most important quality while working with personal assistant is patience and humbleness. 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): More than a care taker, I will try to be a friend in need so, I will try my best to be a comfortable person around the person. It will be my top priority to provide satisfaction to the client. 

 
What is it about PA work which appeals to you? (required): In the job description I saw that one of the patient is living around Roath area. Currently, I am residing in Roath Recreation Park so, I think the location will be near and I can provide much care outside the assigned time whenever necessary. 

 
What are your hobbies/interests?: My hobbies are Gardening, Playing football, Cleaning. 

 
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): 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): Friday, Saturday, Sunday (Morning 5 to Afternoon 4) 

 
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?: Within 3 miles from Roath Recreation Ground 

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

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

 
Further Information: Other than the time mentioned, I can be flexible according to the situation and location.