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Personal Assistant Application Form Submission  


Title *: Mrs. 

Town *: Cardiff  

County *: 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. *: 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. *: Personal Assistant Private person Dewis Independent Living September 2017- present Provide support and companionship to the customer during a week time for 17,5 or more to its customer residence, perform duties in line with the customer’s needs shopping and housekeeping companionships cleaning duties, manual handling and commissions, small task in the garden and cooking and or care assistance if necessary, driving. Home Instead Domiciliary care May 2017- September 2017 Caregiver Provide support and companionship to the customer during an hour or more at their residence, perform personal care duties in line with the customer’s needs shopping and housekeeping and cleaning duties, manual handling, cooking and medication or care assistance within a team work. Hallmark Residential Homes Health care assistant January 2017-August 2017 Provide support and companionship to the customer perform personal care duties in line with the customer’s needs housekeeping and cleaning duties, manual handling, nursing and palliative care assistance. Helping Hands-Alcester January 2014-January 2017 Live in care specialist Provide support and companionship to the customer perform personal care duties in line with the customer’s needs housekeeping and cleaning duties prepare home cooked food according to the customer’s tastes and likes accurately record all activity with the customer liaise with my manager regarding any concerns or issues and take urgent action where needed. Being focused on the needs of the customer at all times taking the customer to any appointments, hospital visits etc answering at any reasonable request from her customer, manager or the company assisting with household management activities and maintaining a comfortable environment for all me or clients  


What qualities do you think are important when working as a personal assistant with a disabled person? *: Emphatic and confident in my job to understand the needs of the customer and to provide support and care professionally. Knowing what to do and being confident about it suggests trust and assist/ provide confidence too for the customer also, offers safety and comfort in a professional manner. To be a good listener and assist patiently, helps me and the person to bond faster and to make a team. Loyalty and reliability it is always well appreciated and makes our relationship last longer. It is a responsibility to be discreet and keep information about the customer confidential but is also another connector in bonding a good healthy relationship with the customer. Asking help and recognise limitations it is also a quality that I have learned with experience.  


How do you think you can contribute towards the needs and the independence of a disabled person? *: By assisting with my abilities and knowledge being open and flexible to changes if necessary. Being always disposed to assist with what customer considering his needs at the time. Helping the customer to install routines if suitable or encourage to be spontaneous if that’s helps for the customer’s health. Driving and assist the customer to his appointments and meetings. Cooking, cleaning, booking appointments etc. Writing reports is needed and doing research about recreational events. Etc. 


What is it about PA work which appeals to you? *: Feeling that I am exactly the person that the customer needs for the task. e.g. driving safely and assisting with getting in and out of the car, and assisting discrete with new layout or cooking something that the customer choose and it’s satisfying / appealing and both we are happy 😃 about the outcome or provide protection and safety for the person and me.  


What are your hobbies/interests?: I am a kin gardener and I also like to read and listen all kind of music. I walk every day and I am a ‘permanent student learning about life or management in general.  


Would you consider a casual position if you are unsuccessful with this job? *: Yes 


Do you drive? *: Yes 

Are you a vehicle owner? *: Yes 

Do you smoke? *: No 


Are you able to undertake training? *: Yes 


What days/nights are you able to work, or prefer to work? *: Starting with Wednesday afternoon from 14:00 to 18:30-19:00 including Saturday. ( W, Thursday, Friday Saturday)  


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


If you would like to expand on the answers given above? Please use the box below.: An emergency to my other part time shift which is mornings until 12:30, to be ill or having emergency appointments for University ( Less probable) on Mondays and Tuesdays afternoon.  

Is there is any such information you wish to disclose, relating to any cautions or convictions which will appear on your mandatory DBS check? *: No/ 

I agree that there is nothing which would prevent me from doing this job. *: Yes 


I consent to the above *: 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?: Cyncoed, Lakeside, Pen-y-Lan, Cathays, Llanishen, Whitchurch, Roath, Heath  


How many hours of work can you offer per week?: 6-12 


Please indicate the approximate times that you are available for work throughout the week.: Wednesday PM/Thursday PM/Friday PM/Saturday PM/