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Personal Assistant Application Form Submission 

 
Title (required): Miss. 

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 work as PA for about 5 years, and with Dewiscil in the last 2 years. I can provide references. Im Romanian, with infinitive rezidency in UK, English is not my first language, but good enough for daily communication. I attend courses at UWTSD Cardiff for BA International Hotel Manager 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): I am patient Alway helpful Looking for others needs Discretion 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): I ll listen the requirements 

 
What is it about PA work which appeals to you? (required): I already work as a PA I need more hours 

 
What are your hobbies/interests?: I have a family, a 6 yrs d boy I am happy to chat with people, I like to go out for coffee, shopping, trips. 

 
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): I would like nights, on Tuesday and Thursday 

 
Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): No 

 
If you would like to expand on the answers given above? Please use the box below.: Only these days/nights I can be away from home Sometimes I might cover other hours, like Saturday and Sunday mornings after 10 

 
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?: All Cardiff I drive, I have my own car 

 
How many hours of work can you offer per week?: 2-3 nights 

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