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Personal Assistant Application Form Submission


Title (required): Mr.

Town (required): Cardiff
County (required): South Glamorgan


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): N/A


What qualities do you think are important when working as a personal assistant with a disabled person? (required): Patience, positivity and communication


How do you think you can contribute towards the needs and the independence of a disabled person? (required): With care, endurance and safety


What is it about PA work which appeals to you? (required): Taking care of others


What are your hobbies/interests?: Talking to others, going out and spending time with friends and family


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): Mondays to Saturdays from 10am to 2pm


Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): Yes


If you would like to expand on the answers given above? Please use the box below.: I can’t be that flexible with my shifts because I have children to take care of as well


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


How many hours of work can you offer per week?: 15


Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Tuesday AM/Wednesday AM/Thursday AM/Friday AM/Saturday AM/
Further Information: I could go in the morning when my children are in school.