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Personal Assistant Application Form Submission 

Title (required): Mrs. 

Town (required): Llanbradach 
County (required): Caerphilly 

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): Home carer with ABBA Care. For the last 12 years- Greenbanks/ Saga and Allied. Elderly care in the community. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): Caring, trustworthy, reliable, well organised, discretion and loyalty. 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): Helping the client to achieve as much independence as possible, with day to day living. 

What is it about PA work which appeals to you? (required): It is more companionship type of roles I prefer and am now looking for, rather than care work. 

What are your hobbies/interests?: Reading and gardening. 

Would you consider a casual position if you are unsuccessful with this job? (required): No 

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): Monday- Friday days. Odd weekends if needed. 

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

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?: Whitchurch, Llanishen and Caerphilly 

How many hours of work can you offer per week?: 30 hours- daytime.