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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 have worked in the care industry since 2011. I was a support worker providing assistance to people with learning disabilites in their homes. I have workedwith individuals with varying needs including help with personal care, mobilizing and transferring, carrying out domestic tasks and accessing daytime and social activities. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): To be honest and trustwothy. To have good communication skills. To be open and friendly. It is also important to be reliable, motivated and enjoy working alonevor within a team. 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): Provide assistance physically if required in areas where assistance is required. Maintain independance and skills by enabling the person to carry out things that they can do with advice and prompting. Assist the individual to access new experiences of choice. 

What is it about PA work which appeals to you? (required): I enjoy working with people. I am a sociable person and have worked in the care industry in various guises for all of my working life. I have always worked with people who have learning disabilities but my skills are transferable and some will be relevant. For example manual handling. 

What are your hobbies/interests?: I enjoy walking. I have a dog who I walk wvery day. I like gardening and will be sharing an allottment with my sister. I like to read and I also enjoy going out for food and drinks with my family and friends. 

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): Monday to Saturday. 

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/ 

Please provide details if necessary: 

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?: Cardiff 

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

Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Monday PM/Monday Overnight/Tuesday AM/Tuesday PM/Tuesday Overnight/Wednesday AM/Wednesday PM/Wednesday Overnight/Thursday AM/Thursday PM/Thursday Overnight/Friday AM/Friday PM/Friday Overnight/Saturday AM/Saturday PM/ 
Further Information: