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Personal Assistant Application Form Submission 

Title (required): Mrs. 

Town (required): Cardiff 
County (required): Wales 

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 believe that my previous employment experience will make me a suitable candidate for this position. I previously worked as a carer where I was responsible in taking care of people providing them with physical and emotional care. The tasks which I undertook was providing them with medications, taking care of domestic daily tasks such as tidying the house providing them with meals as well as personal care. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): Health and Safety Awareness Trustworthy Reliable Empathy Responsible Good listener Attention to details 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): In order to contribute towards the needs of a disabled people I will provide support in the daily tasks. It is important to create a distinction between support and control I will let them choose which tasks they want be to undertake and which tasks they prefer undertake themselves in order to promote more independence. 

What is it about PA work which appeals to you? (required): I like the structure of the role, in my previous employment I used to care for multiple different clients throughout the day. This role will enable to care and provide support to a single person, I will be able to focus on one person focusing on meeting their needs and wants. 

What are your hobbies/interests?: I like to go on walks on with my daughters, cooking, and organise picnics with the 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): Monday to Friday 

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?: Mostly 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/Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/Thursday AM/Thursday PM/Friday AM/Friday PM/Saturday AM/Saturday PM/Sunday AM/Sunday PM /