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Personal Assistant Application Form Submission 

Title (required): Ms. 

Town (required): Splott 
County (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): Previously I have worked as a cook and cook all meals from scratch at home. I have had experience with my nan who had early signs of dementia and struggled with leaving the house. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): I think patience and understanding, as well as listening, are all key qualities to have when working as a personal assistant. 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I am a caring individual and I thrive on helping and serving people. I am particularly empathetic towards other people and encourage independence where I can. I ensure that I am reliable by following routine and believe communication is paramount in creating a safe and comfortable environment. 

What is it about PA work which appeals to you? (required): I have recently moved to Cardiff and have worked in catering and retail mainly, however, I want to do something that means something and not just to/for myself. I feel being a PA to someone who is looking for care and help or just the company to be more rewarding than what I have previously done. Although catering-cooking and retail-customer service are transferable skills, I feel, when looking at being a PA for someone. 

What are your hobbies/interests?: I like to craft and make things, I sew dresses and blankets, and am crocheting a cardigan at the moment. I also dabble in other craft projects. I like walks on the beach and in woodland but enjoy a walk around the local park as well. I am a keen reader and like non-fiction, although I am a huge Harry Potter fan so enjoy other books too. 

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 am open to all days and hours 

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.: I have not previously worked in care or as a paid PA before. I do however have experience caring for my nan who had the onset of dementia. I have also raised 2 now-adult children and have run and managed our family home for 20 years. I have an 8-year-old daughter this, however, would not prevent me from covering or swapping shifts, as both my adult children live at home and help out, but I would need a little notice. I drive and have my own car, I have held my licence for over 20 years with no penalty points. 

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?: Cardiff 

How many hours of work can you offer per week?: 16-20 hours a week 

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 / 
Further Information: