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Personal Assistant Application Form Submission

Title (required): Mr.

Address 2: Ely
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 do not have any previous Personal assistant experience but I have been taught by my mother from a young age to be independent and self sufficient. I can do house chores as I also help my wife around the house and I love cooking.

What qualities do you think are important when working as a personal assistant with a disabled person? (required): Good communication, good listener, patience, understanding, helpfulness, sense of humour, empathetic, confident, punctual and reliable

How do you think you can contribute towards the needs and the independence of a disabled person? (required): To be Supportive and not controlling, Empower the person to actively involve them in decision making. Be positive. Celebrate small wins. Do not judge. Respect each other and the person you are assistings needs and wants. Get into community activities. Encourage them to make learning a daily habit for both of us.

What is it about PA work which appeals to you? (required): I have always been passionate about helping others. I am a positive person with a great sense of humour and love meeting people and learning new skills.

What are your hobbies/interests?: I love watching football, I love meeting new people, I like to travel and to take my children out for walks.

Would you consider a casual position if you are unsuccessful with this job? (required): Yes

Do you speak any other languages? (required): Portuguese

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): Afternoon shift from 14h00pm, no nights

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

If you would like to expand on the answers given above? Please use the box below.: Yes I would only be able to work in the afternoon/evening as my wife works during the morning.

Do you have portable DBS (which has been paid for and renewed for the current year)? (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?: Ely, Grangetown, Canton, City Centre, Riverside

How many hours of work can you offer per week? (required): 20 hours per week

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